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UnitedHealth Group Director, Implementation and Policy - Remote in Falls Church, Virginia

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.

In the wide-ranging field of health human services consulting, OSC/Lewin provides both depth and breadth of expertise. Currently, OSC/Lewin has more than 250 consultants drawn from industry, government and academia. They all share a solid commitment to OSC/Lewin’s core values of objectivity, integrity, analytical innovation, vision, and dedication to client satisfaction.

At OSC/Lewin, we help federal, state, and other decision-makers strengthen health and human services programs, make informed policy choices, and implement critical initiatives. We are seeking a passionate, visionary, and growth-oriented leader who can deliver innovate solutions to our clients. The successful candidate for Director, Implementation and Policy will be an established and recognized thought leader with a strong track record in supporting payment model implementation contracts and business development.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Engage, develop, cultivate and expand new and existing client relationships through policy consultation and thought leadership

  • Support the continued development of existing strategy to fuel long-term organizational growth in partnership with organizational leadership

  • Manage project delivery teams responsible for day-to-day project execution, including teams responsible for calculating payments, conducting financial and trend analysis, calculating quality metrics, and other quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models

  • Apply machine learning, econometrics/statistics, predictive modeling, return-on-investment analysis, simulation, and data visualization methods to support the development of health policy

  • Mentor other team members to develop their technical and analytical problem-solving skills

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Masters or Ph.D. in health services research, public health, public policy, epidemiology, economics, statistics, or related field with 8+ years of experience in a research, consulting, or business environment OR Bachelor’s degree and 10+ years of experience

  • 8+ years of experience using SAS, R, Python, or SQL in a research, consulting, or business environment

  • Experience applying econometrics/statistics, predictive modeling, simulation, and data visualization methods to support the development of health policy

  • Experience working with and advising clients

  • Experience in managing high performing project teams and personnel

  • Extensive knowledge of healthcare data/payment concepts (e.g., claims data structure/contents, claim types, payment concepts) and analyzing claims and enrollment data

  • Broad understanding of federal health policy issues, with ability to work in multiple areas serving as a subject matter or technical expert, utilizing solid client management skills

  • Understanding of Medicare and Medicaid payment methodologies

  • Proven excellent written and oral communication skills, including the ability to clearly communicate with individuals of varying technical aptitudes and professional backgrounds

Preferred Qualifications:

  • 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

  • Experience in leading business development and proposal response efforts, including engaging with clients and partners in the business development process

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $122,100 to $234,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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