Associate Director, STARS Clinical Practice Performance – Remote

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.

 

This role entails overseeing Quality Performance Improvement initiatives for various ISNP and IESNP contracts across different regions. The position involves collaboration with Regional Leadership to assess and evaluate performance metrics, formulate strategic plans, and implement initiatives aimed at enhancing Star Outcomes. Additionally, it supports clinical programs within each region to promote superior clinical results.

 

The ISNP/IESNP Manager provides strategic direction, leadership and oversight for performance. This role is responsible for strategy, analysis, planning, organizing, delivering power point presentations (executive and detail level) and directing the administration of all Quality Programs\Strategies. Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff. Responsible for coordinating with appropriate personnel to develop and meet operational goals, ensures compliance with state/federal health plan requirements, Medicare guidelines, NCQA and health plan requirements. Provides long-term planning and oversight to ensure activities are appropriately integrated into strategic direction and operations, as well as the mission and values of the company.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

• Provides leadership and support in establishing and directing the Stars Program for specific regions within multiple ISNP contracts
• Develops and prepares for monthly market and regional level meetings to discuss Star performance and review opportunities for improvement
• Collaborates with the Regional Vice-President to execute the implementation of the Star initiatives
• Provides expertise to the training department on Star measures and tools that support collection of and communication about HEDIS/STAR to the enterprise
• Working in collaboration with the Clinical Training team to develop monthly Lunch and Learn curriculum for clinical team
• Develops HEDIS/STAR member and provider engagement strategies
• Works with Optum LCDO Quality leadership team to provide HEDIS/STAR reporting and to develop strategic direction
• Facilitates, integrates, and/or coordinates the implementation and evaluation of identified quality improvement/HEDIS/STAR activities as requested by customer base
• Promotes understanding, communication and coordination of all quality initiatives
• Coordinates reporting on quality initiatives to all appropriate markets and leaders
• Participates in various teams, committees and meetings at any level required to maintain business necessity
• Maintains Star program documents, reports, and meeting minutes and follows all internal privacy and confidentiality policies and procedures
• Leads the coordination and completion of projects with cross-functional teams and senior leaders across medical/nursing/clinical functional areas to achieve targeted clinical strategic performance goals

 

You’ll 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:

• Clinical and/or Operational background in Medicare Advantage with 5+ years experience in Quality operations
• 3+ years of experience in STARS rating program management
• Experience with and demonstrated proficiency in creating and presenting high-level PowerPoint presentations and delivering to executive audiences
• Proven experience in formulating robust strategic initiatives to enhance clinical performance
• Advanced Microsoft Excel skills with experience analyzing and interpreting operational data and proven ability to identify trends and opportunities, and develop strategies based on the insights derived from the data
• Demonstrated ability to collaborate effectively with senior executives, coupled with an executive presence

 

Preferred Qualifications:

• Project Management experience
• People management experience
• HEDIS MRR background

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

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.

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

 

 

UnitedHealth Group 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.

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.