Manager, Medicaid Data; T-MSIS) and Model Implementation - Remote

Improve the lives of others while Caring. Connecting. Growing together.

Job Description
- Manager, Medicaid Data (T-MSIS) and Payment Model Implementation
- Remote (2396685)

Manager, Medicaid Data (T-MSIS) and Payment Model Implementation
- Remote - 2396685

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 inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

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.

In the wide-ranging field of health human services consulting, OSC/Lewin provides both depth and breadth of expertise. Currently, OSC/Lewin has more than 250 consultants drawn from industry, government and academia. They all share a solid commitment to OSC/Lewin’s core values of objectivity, integrity, analytical innovation, vision, and dedication to client satisfaction.

At OSC/Lewin, we help federal decision-makers strengthen health and human services programs, make informed policy choices, and implement critical initiatives. OSC/Lewin also works with foundations and associations to research and evaluate complex health care and human services needs. By delivering objective, data-driven research, program planning and development, technical assistance, implementation, post-implementation analytics, and evaluations, OSC/Lewin supports current program activities, informs future program investments and supports strategic decision processes that improve the health and well-being of the nation's citizens.

The Senior Consultant will support Medicaid data and policy work for the CMS Innovation Center's LEAD model. This is a hands-on role. The person will work directly in Medicaid data, including T-MSIS Analytic Files (TAF), and translate model policy into data specifications, code, and results for model operations, including attribution, payment calculations, and quality measurement. This person should be an experienced individual contributor who can independently structure ambiguous analytic work, work closely with policy and task leads, and deliver accurate, well-documented work.

You’ll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area
, you will be required to work in the office a minimum of four days per week
.

• Conduct hands‑on analysis of Medicaid data, including T-MSIS data, to support implementation and operations for the LEAD model
• Translate model policy and methodology into clear data specifications, business rules, and code for core payment model functions, including beneficiary attribution, payment calculations, and quality measurement
• Write, test, and maintain SQL code to build analytic files, define populations, and produce model outputs; use Python where appropriate
• Assess Medicaid data quality and completeness across states, account for differences in state data, delivery systems, and managed care and fee-for-service environments, and document how those differences affect model calculations
• Link and analyze Medicaid data alongside Medicare data…