Director of Product- Quality - HEDIS or Stars - Remote
About The Position
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Optum® Value Connect is a next-generation technology platform with intuitive, AI-enabled capabilities that help surface opportunities for improvement, identify root causes of underperformance, proactively identify interventions and rapidly facilitate interventions to drive outcome improvements directly or embedded in other applications. As the Director of Product on the Quality Optimization team, part of the Value Connect Platform you will help drive Product strategy, execution to deliver product capabilities to our Payer customers enabling NCQA Health Plan Ratings (with HEDIS® at the core), CMS Stars, the CMS Quality Rating System (QRS), to drive accuracy, compliance, and measurable year round performance improvement. Along with driving VBC success across all lines of business with a key focus on CMS Stars, MSSP, ACO REACH (Lead), MIPS, and client and state specific VBC quality programs, combining unified measurement across standard, configurable analytics, and integrated workflows to deliver consistent, measurable improvement for our Provider & ACO customers. 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
- 7+ years of Product Management experience, owning product strategy, roadmap, and execution
- 7+ years of HEDIS measures Expertise
- 7+ years of CMS Stars program Expertise
- 5+ years of Retrieval & Abstraction expertise
- 5+ years of People Management experience
- 4+ years of MSSP/ACO REACH expertise
- 4+ years of Value based care program expertise
- Experience supporting NCQA Health Plan Ratings
Nice To Haves
- 3+ years of AI/ML experience
- 3+ years of EMR Interoperability experience
- New Product build experience from scratch
Responsibilities
- Drive showcase and align on product vision, go-to-market strategy & roadmap(3YP) and portfolio level across teams with a Tech forward AI focused approach
- Manages the products across the entire PDLC
- Manages ongoing product performance, metrics, enhancements, financial health, and end-of-life decisions as appropriate
- Understands and evaluates enterprise-wide assets as portfolio expansions to improve the competitive position and drive customer value
- Demonstrates systems thinking and can readily identify downstream impacts of decisions and proactively construe alternatives
- Serves as the product champion and subject matter expert for the business and sales partners
- Empowers, leads and manages product teams
- Acts as primary steward to drive informed decisions that generate revenue and growth while protecting operating expenses
- Owns Go to market material update
- Supports Compliance, Privacy, Legal Product submissions
- Contributes to client communication
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
