Associate Director Supplemental Data – 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

The Associate Director Supplemental data position is a telecommuting role and will function as the liaison and manage the relationship for QFO with UHC, Optum Digital Assist and EMR teams throughout the enterprise. They will lead and manage market integration, execution and end to end strategies and processes to ensure that supplemental data is submitted and flowing through UHG systems in order to optimize gap and suspect closure performance.  This position is accountable for Stars and Risk Adjustment improvements for all supplemental data submitting providers within the Quality Field Organization. This position will work with national UHC, Optum and QFO leadership oversee process and implementation of supplemental data feeds.  They will help coordinate actions at the local market level from a QFO perspective.

The role will work through multiple layers of management and senior level professional staff and impacts the entire health plan performance.  The position will lead the organization – across all matrix partners and across multiple layers of management and senior staff, with a focus on quality, provider relationships, data / reporting – to develop the strategy, programs and tactics necessary to achieve quality and revenue outcomes on a sustainable basis.  While the position is primarily internal, there may be some external provider meetings and accountability.

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

Primary Responsibilities:

• Monitor and guide the end-to-end process of supplemental data management for providers managed by the Quality Field Operations (QFO) team, ensuring QFO priorities, data accuracy, completeness, and integrity at a national level
• Advise executive leadership on current performance, growth opportunities, issues impacting employee, provider and patient experience, and technical priorities the country
• Lead collaboration with cross-functional teams to establish communication, create job aids, engage with providers, vendors and internal teams, integrate new data sources, align existing resources with QFO objectives nationwide
• Direct and lead a team of experts supporting QFO account owners and providers across the nation, providing guidance on UHC/Optum structured data solutions, consultation on industry standards and tools, EMR workflows, and developing employee and provider facing materials to improve Medicare quality, risk adjustment, provider and patient experience
• Innovate and drive performance in Medicare Advantage Stars and risk adjustment through the implementation and utilization of advanced technology solutions and leveraging new data sources
• Expand QFO capabilities in additional markets as needed based on EMR product expansions
• Cross functional relationship with UHC and Optum leadership providing updates to senior leadership with development of PowerPoint and data packages  
• Responsible for all communications and QFO reporting structure and processes for supplemental data
• Develop and execute clinical and quality strategies with QFO Markets related to Stars and Risk adjustment improvements through Provider engagement. May include participation and leadership in provider meetings focused on Stars and Risk Adjustment quality improvement
• Leadership and support of achieving a minimum of 4 Star rating for QFO managed providers and membership; achieving 80% of members in 4 STAR plans
• Partnering internally with business partners to drive strategic opportunities aligning to business objectives, goals and overall strategy
• Providing executive level program updates on MBO performance, stars and risk performance, department goals and mitigated action plans

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 experience working directly with Medicare Stars or HEDIS (or similar risk / quality programs)  
• 5+ years of experience working with provider practices
• 2+ years working with electronic medical records and submission of bulk data, including CCDs, structured data files
• 2+ years of experience analyzing and interpreting complex clinical data and analytics reporting 
• Proficiency with MS Outlook, Word, Excel, and PowerPoint
• Ability to travel up to 40%, to market meetings as needed 
• Driver’s License and access to a reliable transportation

Preferred Qualifications:

• Experience with EMR / EHR programs    
• Experience with government programs

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

The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.