Director, Advisory Services - Stars Strategy & Performance - Remote
About The Position
The Director, Advisory Services - Stars Strategy & Performance leads the growth, development, and delivery of Medicare Advantage Stars consulting services within the Quality & Risk Adjustment practice. The role serves as an executive subject matter expert in Stars strategy, governance, quality performance improvement, and CMS Star Ratings optimization, helping health plans address regulatory complexity, improve quality outcomes, and maximize Quality Bonus Payment opportunities. The position supports offerings spanning strategy consulting, forecasting, governance, dashboards, CAHPS/HOS alignment, pharmacy performance, and interim Stars leadership services. The Director establishes and maintains the practice’s Stars market leadership by developing differentiated advisory services, expanding executive-level client relationships, and integrating Stars capabilities across HEDIS, Clinical Quality, Risk Adjustment, Pharmacy, and Analytics. The role also supports practice growth and oversees Stars-related client delivery. The position may be performed remotely from anywhere in the U.S. However, hires in the Minneapolis or Washington, D.C. area must work in the office at least four days per week. Remote employees must follow UnitedHealth Group’s Telecommuter Policy. Travel is required as business needs dictate; the posting describes this as “50%25 of the time.”
Requirements
- At least 8 years of healthcare experience with significant Medicare Advantage Stars expertise.
- Demonstrated experience leading Stars strategy, quality improvement, quality operations, or Medicare performance programs.
- Experience presenting to executive leadership and influencing cross-functional stakeholders.
- Deep understanding of CMS Star Ratings, CAHPS, HOS, Part D performance, Quality Bonus Payment methodology, and performance forecasting.
- Demonstrated consulting, client relationship management, and business development skills.
- Ability to lead complex transformational initiatives and drive measurable performance improvement.
- Ability to identify automation opportunities and leverage AI to improve productivity and quality.
- Must be able and willing to travel as business needs dictate; the posting states “50%25 of the time.”
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
Nice To Haves
- Advanced degree such as MPH, MHA, MBA, PharmD, RN, or a related healthcare discipline.
- NCQA, quality improvement, population health, or healthcare analytics certifications.
- Experience as a Director of Stars, Director of Medicare Quality, Director of Population Health, or equivalent leader within a Medicare Advantage health plan.
- Experience leading CAHPS, HOS, Pharmacy Quality, Risk Adjustment, and HEDIS initiatives as part of an integrated quality strategy.
- Consulting experience with a national consulting firm, healthcare advisory practice, or managed services organization.
- Experience leading large-scale Stars transformations, governance redesigns, operating model development, or enterprise quality programs.
- Experience developing and selling advisory services, scopes of work, and executive-level client solutions.
- Experience with Stars analytics platforms, forecast modeling tools, dashboards, and performance monitoring systems.
- Experience presenting to executive leadership teams, boards, or quality governance committees.
- Understanding of Medicare Advantage financial mechanics, including Quality Bonus Payment (QBP), bid strategy impacts, and revenue implications associated with Star Ratings performance.
- Success improving Star Ratings performance and moving across key rating thresholds (3.5, 4.0, 4.5, or 5 Stars).
- Established relationships within the Medicare Advantage industry, including health plans, PBMs, provider organizations, and vendor partners.
- Ability to identify emerging market trends and translate them into new consulting offerings and practice growth opportunities.
Responsibilities
- Lead the growth and expansion of the Stars consulting practice, including solution development, business development, and client engagement strategy.
- Serve as a trusted advisor to executive client stakeholders, including Medicare, Quality, Population Health, and Clinical Operations leadership.
- Design and lead Stars performance improvement initiatives spanning HEDIS, CAHPS, HOS, Pharmacy, Provider, and Operational measures.
- Develop Stars strategic roadmaps, governance structures, forecasting models, and performance improvement plans.
- Translate CMS regulations, methodology updates, and industry trends into actionable client strategies.
- Partner with HEDIS, Clinical Quality, Risk Adjustment, Analytics, and Technology teams to develop integrated client solutions.
- Lead strategic assessments, maturity evaluations, and Stars program redesign efforts.
- Support sales pursuits, proposal development, thought leadership, and market-facing Stars offerings.
- Provide executive oversight for Stars-related delivery engagements and ensure successful client outcomes.
- Mentor and develop Stars consultants and emerging quality leaders within the practice.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution, subject to eligibility requirements.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
