Healthcare Senior Data Analyst Consultant, Payment Model Implementation (CMMI) - Remote

Optum is a leading health care and human services consulting firm, and they are seeking a Senior Data Analyst Consultant to support payment model implementation. The role involves engaging with clients, leading operations support, conducting financial analysis, and mentoring staff while ensuring high-quality deliverables in value-based care initiatives.

Responsibilities:

• Engage, develop, and cultivate existing client relationships through policy consultation and thought leadership
• Lead payment model operations and technical assistance activities, including oversight of analytics to inform model operations, for value-based care initiatives
• 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
• Mentor other staff to develop their technical and analytical problem-solving skills
• 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
• Efficiently query large databases of healthcare claims and eligibility data
• Perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models

Requirements:

• 6+ years of experience using SQL, R, Python, or SAS in a research, consulting, or business environment
• 4+ years of experience working on federal health policy issues, including Medicare and Medicaid value-based payment, working in multiple areas serving as a subject matter expert
• Experience translating complex findings to non-technical audiences in both written and verbal contexts
• Experience successfully leading cross-functional project teams
• Experience working on implementing or evaluating value-based payment programs
• Experience working in Snowflake or Databricks environments
• Experience supporting multi-year payment model implementation contracts
• Experience with databases having complex structures and relationships, such as the Integrated Data Repository, Chronic Conditions Warehouse, or similar data environment