Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

  

OptumServe Consulting (OSC)/The Lewin Group (Lewin), a premier national healthcare and human services consulting and policy analysis firm, brings more than 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors. OSC/Lewin's strategic and analytical services aim to help clients:

Improve policy and expand knowledge of healthcare and human service systems Enact, run, and evaluate programs to enhance delivery and financing of healthcare and family services Deal with shifts in healthcare practice, technology, and regulation Optimize performance, quality, coverage, and health outcomes Create strategies for institutions, communities, associations, foundations, governments, and people to make healthcare and human services systems more effective

 

Currently, OSC/Lewin has more than 250 consultants drawn from industry, government, and academia. They all share a strong commitment to Lewin's core values of objectivity, integrity, analytical innovation, vision, and dedication to client satisfaction. 
 

As a Consultant, you will perform a variety of research and analysis tasks to support consulting projects for federal and state governments, health plans, associations and foundations, hospitals, and health systems. 
OSC/Lewin is looking for a detail-oriented individual to work with its project teams supporting the identification of fraud, waste, and abuse (FWA) in government health programs. Lewin assists state and federal administrations such as the Center for Medicare and Medicaid Services in evaluating and optimizing healthcare program operations through a combination of analytic and policy-driven research, modeling, and reporting.
 

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

Primary Responsibilities

Provide Medicaid and CHIP claims subject matter expertise Embrace the use of quantitative and qualitative skills to understand the driving factors of FWA in the government space Lead and perform a variety of research and consulting tasks, including data review and analysis Lead and mentor more junior analysts in meeting their project timelines Contribute critical thinking and problem-solving skills to develop creative and innovative solutions Improve existing project deliverables and perform ad hoc analyses based on client need Manage time effectively across multiple projects or tasks, with different managers and competing priorities Maintain a high degree of accuracy, along with attention to detail, excellent oral and written communication skills, strong interpersonal skills, and the ability to always meet deadlines

 

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

Bachelor’s degree or higher from an accredited college/university 3+ years of experience with project or task management 2+ years of experience analyzing medical claims data with SAS Experience working with Medicaid and CHIP programs Academic and/or work experience: Performing quantitative analysis Aptitude for interpreting data outputs and articulating findings Overseeing day-to-day management of project tasks Maintaining a high degree of accuracy and attention to detail Working effectively as a member of a project team Preparing presentations and reports for clients Solid oral and written communication skills

 

Preferred Qualifications

Advanced degree from an accredited college/university in mathematics, statistics, biostatistics, economics, computer science, data science, epidemiology, or other quantitative fields Knowledge of the Payment Error Rate Measurement (PERM) program or other improper payment measurements Experience working in the Integrated Data Repository (IDR) or using T-MSIS data
Experience using other software for data analysis, such as Python, R, or Tableau Experience with data analyses, such as hypothesis testing, regression modeling, and data visualization Healthcare or human services research experience

 

*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, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.
 

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