The Senior Consultant will support Medicaid data and policy work for the CMS Innovation Center's LEAD model. This is a hands-on role. The person will work directly in Medicaid data, including T-MSIS Analytic Files (TAF), and translate model policy into data specifications, code, and results for model operations, including attribution, payment calculations, and quality measurement. This person should be an experienced individual contributor who can independently structure ambiguous analytic work, work closely with policy and task leads, and deliver accurate, well-documented work.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the
Minneapolis or Washington, D.C. area, you will be required to
work in the office a minimum of four days per week .
Primary Responsibilities:- Conduct hands-on analysis of Medicaid data, including T-MSIS data, to support implementation and operations for the LEAD model
- Translate model policy and methodology into clear data specifications, business rules, and code for core payment model functions, including beneficiary attribution, payment calculations, and quality measurement
- Write, test, and maintain SQL code to build analytic files, define populations, and produce model outputs; use Python where appropriate
- Assess Medicaid data quality and completeness across states, account for differences in state data, delivery systems, and managed care and fee-for-service environments, and document how those differences affect model calculations
- Link and analyze Medicaid data alongside Medicare data sources, such as data located in the CMS Integrated Data Repository (IDR), as needed to support model methodology
- Develop and maintain clear documentation of specifications, code, data sources, assumptions, and quality assurance checks
- Perform and support quality assurance of analytic outputs and deliverables, including independent code review and reconciliation of results
- Summarize analytic findings and methodology for technical and non-technical audiences, including memos, tables, and presentation materials for CMS
- Share Medicaid data knowledge with colleagues and review their work as needed
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:- Master's degree or higher in public health, public policy, health services research, economics, statistics, epidemiology, data science or another relevelant field, with 6+ years of relevant professional experience; or a Bachelor's degree in a relevant field with 8+ years of relevant professional experience.
- 2+ years of direct experience working with T-MSIS data
- Experience working in the CMS Integrated Data Repository (IDR) in Snowflake or Databricks environments
- Experience turning payment model or program policy into data specifications and code, such as attribution, payment, benchmark, or quality measure calculations
- Proficiency programming in SQL, including building analytic files from large claims and enrollment datasets
- Solid working knowledge of Medicaid eligibility, enrollment, and claims data, including known data quality issues and differences in state reporting
- Understanding of Medicaid policy and delivery systems, including fee-for-service and managed care, sufficient to interpret how policy choices affect data and results
- Demonstrated ability to independently structure ambiguous analytic assignments, manage competing priorities, and drive work to completion
- Solid written and verbal communication skills, with the ability to explain data and methodology clearly to technical and non-technical audiences
- Demonstrated attention to detail and ability to produce accurate, well-documented, high-quality work in a fast-moving client-service environment
- Ability to work effectively both independently and collaboratively in a multidisciplinary project environment
Preferred Qualifications:- Experience working with Medicaid data across multiple states
- Programming experience in Python
- Experience supporting a CMS Innovation Center model or another federal healthcare demonstration
- Experience with alternative payment models, accountable care, or total cost of care methodologies
- Experience working in or directly supporting a state Medicaid agency, CMS, CMCS, CMMI, a Medicaid managed care organization, or a Medicaid data or policy contractor
- Consulting experience managing multiple concurrent assignments and responding to evolving federal client priorities
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
