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

UnitedHealth Group•Minnetonka, MN

14h•Remote

About The Position

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.

Requirements

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

Nice To Haves

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

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