Associate Director of Quality Optimization & Insights - Minnetonka, MN or Remote

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

This Associate Director position provides leadership and direction for Stars quality improvement and overall program management. You will work within highly matrixed relationships with the VP of Medicare Quality Optimization & Insights to assist in managing the overall quality strategy for the Medicare Stars product/plan; ensuring the quality program is proactive, continuously improving, applies to all product(s) and programs, includes both quality management/regulatory adherence. You will develop and maintain solid relationships with health plan leaders and functional leaders. You will also provide leadership input to expand and support provider engagement, and advocacy at the national level. In this role, you will coordinate across multiple functional areas including but not limited to: Medicare and Retirement/Stars, Clinical, Pharmacy, Physician Engagement, Member Experience, Benefit Design/Product, Compliance, Network, and Behavioral Services as needed to support the quality outcomes and STARs improvement activities

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.

Primary Responsibilities:

• Function as a Manager within the Medicare Optimization & Business Intelligence team that consists of overseeing the work of employees executing health plan support activities, data analysis related to plan/provider/member performance, and tracking to performance goal outcomes
• Ideation and development of strategies, programs or drivers that target improved outcomes for HEDIS, Part D, CAHPS, and HOS Star domains during prospective season. Requires thorough knowledge of all Stars domains
• Oversee the support structure for HEDIS Retrospective Chart Chase season for all M&R health plans which includes, general health plan support, vendor collection monitoring, CMS submission profile, and overall plan prioritization
• Liaison to work across the enterprise and downstream to health plans (education, reporting, coordination with STARS team). Assist in setting the strategic direction for markets and Health Plans, which is done in collaboration with the contract market quality partners through analyzing, reviewing, trending, and forecasting reports, making fact-based decisions, providing excellent customer service to both internal and external customers
• Build and maintain relationships within operations and across the Stars organization, conducting market meetings to maximize operational performance and meet enterprise and contract goals
• Complete data analysis and review of performance trends of Contract, Provider and Member outcomes, analyze and summarize large and small data sets
• Collaborate with reporting and analytics teams to develop business intelligence insights, support reporting enhancements, and data driven execution strategies within Stars
• Develop, in collaboration with national and local partners, a path to 4 Star performance goals for underperforming Star eligible plans
• Execute as both an individual contributor as well as lead a team to achieve business-oriented goals
• Work with direct reports to monitor work output, conduct employee training, assist with career growth/development, and conduct performance evaluation reviews
• Solve complex process problems spanning multiple functional areas and business units; manage through direct an indirect reporting relationships

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:

• 5+ years of Medicare Star rating experience
• 3+ years of leadership or managerial experience
• 3+ years of experience in business operations of a large, matrixed, consumer-related organization
• 2+ years HEDIS Chase experience (Retrospective Season)
• 2+ years leading/collaborating on the management of Stars programs and/or strategies(Prospective Season)
• Experience developing and implementing quality performance improvement projects and using data to develop intervention strategies to improve outcomes
• Experience navigating and working with teams across an enterprise
• Thorough knowledge of all Stars Domains and Star Measures(HEDIS, Part D, CAHPS/HOS, Operations)
• Thorough knowledge of Stars and HEDIS program management and operations
• Intermediate or higher level of proficiency with Microsoft Power Point, Excel and Word; experience to develop presentations and utilizing data to collect, analyze, and prese

Preferred Qualifications:

• Change management skills and experience
• Process and project management skills and experience
• Staff development skills and experience
• Expert knowledge of the managed care/health insurance industry, products, and services
• Comprehensive understanding of functional areas and the impact in performance and performance measurement of quality
• Proven excellent team building, collaboration, and motivational skills
• Proven performance driven and results-oriented
• Proven relationship focused
• Demonstrated influencing and negotiation skills
• Proven independent decision maker and risk taker
• Proven excellent written and oral communication skills with internal and external partners and employees
• Proven effective and proven communication skills with ability to articulate strategy and operational processes

*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 $112,700 to $193,200 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.