Healthcare Data Analytics Consultant, Quality Measurement - Remote

About the Role

We are looking for a Healthcare Data Analytics Consultant, Quality Measurement to lead quality measurement initiatives for Medicare and Medicaid. The role involves consulting, business development, and technical leadership in health data analytics.

Location:

Remote within the U.S. (Minneapolis or Washington, D.C. hires must work in office at least four days per week).

Compensation: $91,700 to $163,700 annually based on experience. Benefits include comprehensive package, incentive and recognition programs, equity stock purchase, and 401(k) contribution.

• Evaluate evidence on effectiveness for clinical measures derived from administrative or claims data, health records, electronic health records, and other data sources in compliance with CMS, AHRQ, and 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.

• Health policy professional with 4+ years industry experience in health services research, evaluation, or policy and a strong analytic skill set; advanced degree (MD, DO, Master’s, or PhD) or bachelor's degree plus 6+ years of experience.
• Experience leading business development and proposal response efforts, engaging 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 and communicating 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.

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401(k) contribution.

Optum Care is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Optum Care is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.