Payment Model Implementation Analytics Consultant - Remote - Healthcare Innovation and Policy Analysis

Join the Future of Healthcare: Payment Model Implementation Analytics Consultant - Remote

Are you passionate about revolutionizing the healthcare industry through data-driven insights and policy analysis? Do you have a knack for quantitative analysis and a keen interest in healthcare policy? Look no further! Optum Serve Consulting/The Lewin Group (OSC/Lewin), a renowned national healthcare and human services consulting firm, is seeking a talented Payment Model Implementation Analytics Consultant to join our team remotely. As a consultant, you will have the opportunity to work on cutting-edge projects, analyzing complex healthcare data to inform the design, implementation, and evaluation of Medicare and Medicaid payment models.

About OSC/Lewin and Our Mission

OSC/Lewin is a premier national healthcare and human services consulting and policy analysis firm, boasting over 50 years of experience in finding innovative solutions for leading organizations in the public, non-profit, and private sectors. Our team of over 250 consultants, drawn from industry, government, and academia, shares a solid commitment to our core values of objectivity, integrity, analytical innovation, vision, and dedication to client satisfaction. We help federal, state, and other decision-makers strengthen health and human services programs, make informed policy choices, and implement critical initiatives.

Our Culture and Values

At OSC/Lewin, we pride ourselves on a culture that values collaboration, innovation, and growth. Our team members enjoy a flexible work environment, opportunities for professional development, and a comprehensive benefits package. We believe in fostering a diverse and inclusive workplace, where everyone has the opportunity to thrive and contribute to our mission. Our values include:

• Objectivity: We remain impartial and unbiased in our analysis and recommendations.
• Integrity: We uphold the highest standards of ethics and integrity in our work.
• Analytical Innovation: We leverage cutting-edge analytical techniques and tools to drive insights and solutions.
• Vision: We strive to anticipate and address the evolving needs of our clients and the healthcare industry.
• Dedication to Client Satisfaction: We are committed to delivering exceptional service and value to our clients.

Job Summary

As a Payment Model Implementation Analytics Consultant, you will play a critical role in supporting the design, implementation, and evaluation of Medicare and Medicaid payment models. You will work closely with our clients to analyze complex healthcare data, develop payment calculations, and conduct financial and trend analysis. Your expertise in statistics, econometrics, and data visualization will help inform health policy decisions and drive meaningful change in the healthcare industry.

Key Responsibilities:

• Perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models.
• Support the development of payment calculations, conduct financial and trend analysis, calculate quality metrics, and perform fast-paced ad-hoc analysis to quickly address client needs.
• Work with clients to verify analysis parameters and specifications.
• Apply machine learning, econometrics/statistics, predictive modeling, return-on-investment analysis, simulation, and data visualization methods to support the development of health policy.
• Efficiently query large databases of healthcare claims and eligibility data.
• Write detailed specifications and documentation of data processing and analytical steps.
• Write effective and efficient code both independently and under the guidance of project managers using best practice quality control procedures.
• Maintain a consistently high degree of accuracy and attention to detail in all tasks.
• Work effectively and cooperatively as a member of a project team.
• Prepare data and information for internal as well as external use, contribute to reports, and assist with project coordination tasks.

Requirements and Qualifications

Essential Qualifications:

• Bachelor's degree or higher in Statistics, Economics, Public Health, Public Policy, or a related field.
• 4 years of experience in the health/analytics field.
• 4 years of experience using SAS (including macro processing and Proc SQL), R, Python, or SQL in a research, consulting, or business environment.
• 4 years of experience analyzing Medicare and/or Medicaid claims data (e.g., T-MSIS).
• Experience working with healthcare claims and enrollment data in large data warehouse environments (e.g., IDR, CCW).
• Experience in preparing data and information for client-facing reports and presentations.
• Solid understanding and experience analyzing healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts).

Preferred Qualifications:

• Master's degree or Ph.D. in Statistics, Economics, Public Health, Public Policy, or a related field.
• Academic coursework in statistics, econometric modeling, or other comparable coursework.
• Experience working on Federal or State contracts supporting payment model implementation.
• Experience conducting statistical analysis to inform health policy.
• Experience with databases having complex structures and relationships, such as the Integrated Data Repository or Chronic Conditions Warehouse.
• Experience managing and analyzing large datasets using SAS grid and other parallel processing techniques.
• Experience with other software such as Excel (e.g., pivot tables, VBA).
• Understanding of Medicare and Medicaid payment methodologies.
• Proven excellent oral and written communication skills, solid interpersonal skills, and a focus on meeting deadlines.

Career Growth Opportunities and Learning Benefits

At OSC/Lewin, we are committed to the growth and development of our team members. As a Payment Model Implementation Analytics Consultant, you will have access to:

• Professional development opportunities, including training and mentorship programs.
• Collaborative and dynamic work environment that encourages innovation and creativity.
• Flexible work arrangements, including remote work options.
• Comprehensive benefits package, including incentive and recognition programs, equity stock purchase, and 401k contribution.

Work Environment and Company Culture

OSC/Lewin is a remote-friendly organization, and this role can be performed from anywhere within the U.S. Our team members enjoy a flexible work environment, opportunities for professional growth, and a culture that values collaboration, innovation, and diversity. We are committed to fostering a workplace that is inclusive, respectful, and supportive of all employees.

Compensation and Benefits

We offer a competitive salary and benefits package, including:

• Competitive salary range: $88,000 to $173,200 annually (for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents).
• Comprehensive benefits package, including medical, dental, and vision coverage.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution.

How to Apply

If you are a motivated and talented individual with a passion for healthcare policy and data analysis, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to:

We are an Equal Employment Opportunity/Affirmative Action employer and welcome applications from diverse candidates. OSC/Lewin is a drug-free workplace, and candidates are required to pass a drug test before beginning employment.

Application Deadline

This job posting will be active for a minimum of 2 business days or until a sufficient candidate pool has been collected. We encourage you to apply promptly, as this opportunity may close early due to the volume of applicants.

Conclusion

Join our team as a Payment Model Implementation Analytics Consultant and become part of a dynamic and innovative organization that is shaping the future of healthcare. We look forward to hearing from talented candidates like you who are passionate about using data-driven insights to inform health policy and drive meaningful change.