Manager, Medicaid Data (T-MSIS) and Payment Model Implementation - Remote
Optum/UHG · Washington, District of Columbia, United States · US
Healthcare Consulting
Remote
Pharmacist
Demand74
Career growth72
Healthcare fit60
Remote potential85
5-year outlook
Likely competitive for experienced Medicaid data and policy consultants, with upside from value-based payment and CMS model implementation work; exact compensation depends on location, title level, and prior consulting/data experience.
Clinical license
Not required
Applicant reach
narrow
Seniority
mid
Employment type
–
Date found
2026-10-21
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Contract
- Hours
- Variable hours
- Eligible countries
- United States
- Profession fit
- Pharmacist
Why this was classified this way
- contractor
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for clinicians with strong Medicaid data, SQL/Python, and payment policy experience; not a realistic entry point for clinicians without hands-on analytics or consulting exposure.
Who should apply
Clinicians with health informatics, Medicaid/payer, population health, quality measurement, or policy analytics experience who can independently write SQL/Python and translate policy into data specifications.
CV angle
Frame real clinical and healthcare experience around Medicaid populations, quality measures, payment models, data documentation, and cross-functional policy translation; highlight concrete SQL/Python projects, analytic deliverables, and any payer, public health, or informatics work without inventing data or consulting experience.
Skills to highlight
- SQL
- Python
- Medicaid and T-MSIS/TAF data
- Payment model implementation
- Attribution and payment calculations
- Quality measurement
- Data quality assessment
- Policy-to-data specification translation
- Documentation and stakeholder communication
Role summary
Supports the CMS Innovation Center LEAD model by analyzing Medicaid T-MSIS/TAF data, translating policy into data specifications and code, and implementing attribution, payment calculations, and quality measurement for a national healthcare consulting firm.
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