Job Abstract

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.

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 solid commitment to Lewin's core values of objectivity, integrity, analytical innovation, vision, and dedication to client satisfaction.

As a Health PolicyConsultant, 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.

Youll 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, payment, and/or eligibility and enrollment 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
• 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, solid interpersonal skills, and the ability to always meet deadlines

Youll 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:

• Bachelors degree or higher from an accredited college/university
• 3+ years of experience with project or task management
• 2+ years of experience with Medicaid and CHIP claims, eligibility, and/or enrollment
• Previous academic and/or work experience
  
  • Performing qualitative or quantitative analysis
  • 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 Public Health, Public Policy, Business Administration, or related field
• Healthcare or human services research consulting experience
• Knowledge of PERM program, MEQC program, improper payment rates, eligibility processes, procedures, and/or systems

*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington 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, youll 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.