Manager, Payment Model Implementation - Remote

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. With over 300 consultants from industry, government, and academia, OSC/Lewin provides depth and breadth of expertise in health and human services consulting, guided by 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.

About the role

The Senior Consultant will provide support on payment model implementation contracts, including leading operations support, analytics, and policy analysis. In collaboration with staff across the organization, you will deliver unparalleled client service, produce high-quality deliverables, and drive innovation. You will also support business growth by developing new client relationships, attaining contracts, and expanding the firm’s work.

You'll enjoy the flexibility to work remotely from anywhere within the U.S., though hires in the Minneapolis or Washington, D.C. area will be required to work in the office a minimum of four days per week.

Responsibilities

• Lead multi-disciplinary project teams and workstreams, providing direction, prioritization, and coordination across analysts, consultants, and client stakeholders to ensure successful delivery of strategic initiatives.
• 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 address client needs.
• Mentor staff to develop their technical and analytical problem-solving skills.
• Maintain a 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 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, 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.

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 environments.

Benefits

In addition to your salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The salary for this role ranges from $112,700 to $193,200 annually based on full-time employment. Pay is determined by several factors, including local labor markets, education, work experience, and certifications. We comply with all minimum wage laws as applicable.

Schedule

• Monday - Friday, daylight shift in your time zone.
• Remote work flexibility with in-office requirements for Minneapolis or Washington, D.C. hires (minimum four days per week).