Healthcare Data Analytics Consultant, Quality Measurement - Remote

Optum is a premier national health care and human services consulting firm seeking a Healthcare Data Analytics Consultant specializing in Quality Measurement. The role involves evaluating clinical measures, developing protocols, performing quantitative analysis, and managing client relationships to drive organizational growth in health services.

Responsibilities:

• Evaluate evidence on effectiveness for clinical measures derived from administrative or claims data, health records, electronic health records, other data sources in compliance with Centers for Medicare & Medicaid Services (CMS), the Agency for Healthcare Research and Quality, and the National Quality Forum (NQF) requirements
• Develop test measure protocols and measure specifications
• Perform a broad range of quantitative analysis to inform quality measurement for Medicare and Medicaid payment models
• Track activities of key standards-setting committees and consensus-based organizations such as NQF
• Draft and manage proposals for new projects related to measure development, testing, maintenance, and implementation
• 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
• Mentor other team members to develop their technical and analytical problem-solving skills

Requirements:

• Health policy professional with 4+ years industry experience in health services research, evaluation and/or policy including strong analytic skills and advanced degree (M.D., D.O., Master's degree, or Ph.D.) in medicine, economics, health policy research, or similar discipline OR a Bachelor's degree with 6+ years of experience
• Experience in leading business development and proposal response efforts, including engaging with clients and partners in the business development process
• Experience working on quality measure engagements, preferably for federal programs, including those at CMS
• Experience working with various types of data used to measure health care quality (e.g., administrative claims, instrument-collected data, chart-abstracted data, EHR output)
• Experience collaborating with and building consensus with diverse teams ability to communicate with individuals of varying technical aptitudes and professional backgrounds
• Demonstrated experience implementing or supporting eCQMs for CMS programs (e.g., IQR, MIPS, ACOs, Innovation Center models)
• Experience working with clinical data from EHRs and/or claims data in a quality measurement context
• Broad understanding of federal or state health policy issues, with ability to work in multiple areas serving as a subject matter expert
• Solid understanding of CMS quality measure specifications, including numerators, denominators, exclusions, and data completeness rules
• Proven ability to translate policy and measure specifications into technical requirements and implementation logic
• Experience supporting multi-year quality measure development or implementation contracts
• Experience with databases having complex structures and relationships, such as the Integrated Data Repository, Chronic Conditions Warehouse, or similar data environment
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy