Associate Director of Quality Optimization & Business Intelligence – 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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

 

This Associate Director position provides leadership and direction for the quality improvement and management program.  You will work within highly matrixed relationships with the VP of Medicare Optimization & Business Intelligence 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 and programs within the state, and includes both quality management/regulatory adherence and quality improvement.  You will develop and maintain strong 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:  Clinical, Physician Engagement, Member Experience, Benefit Design/Product, Compliance, Network, Behavioral Services, Medicare and Retirement/Stars, and Pharmacy 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.

 

Primary Responsibilities:

• Functions 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
• Support the maturation of team delivery of business intelligence, contract/market insights, and identification of opportunities that elevate member and provider quality outcomes
• Ability to complete data analysis and review of performance trends of Contract, Provider and Member outcomes. Comfortable analyzing and summarizing large and small data sets
• Identify opportunities to support quality strategies/programs that target improved outcomes for HEDIS, Part D, CAHPS, and HOS Star domains during prospective season. Requires thorough knowledge of all Stars domains
• Present data insights to Contract/Market/Leadership stakeholders. Ability to communicate effectively on data analysis outcomes and execute on required next steps for to turn opportunity into action
• Collaborate with the internal technology leader(s) on the team’s data strategy, documentation, delivery standards across all Star reporting work streams
• Support and lead BI team delivery of core reporting tools/dashboards and ad hoc reporting requests. Manage to backlog of enhancements and forecast work activity to optimize delivery
• Work with direct reports’ to monitor work output, conduct employee training, assist with career growth/development, and conduct performance evaluation reviews
• Be a leader for a data-driven, decision-making culture for Medicare & Retirement’s Stars program business
• Ability to execute as both an individual contributor as well as lead a team to achieve business-oriented goals
• Solid ability to solve complex process problems spanning multiple functional areas and business units; managing through direct and indirect reporting relationship

 

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 Medicare Quality/Stars experience
• 5+ years of experience in data mining/analysis(Measure Compliance, Claims, Member, Provider, and Product Plan information)
• 5+ years of experience leading or coaching a team and prioritizing deliverables
• 5+ years of experience in business operations of a large, matrixed, consumer-related organization
• 5+ years of experience utilizing technology tools to support data analysis projects: SQL Server, SAS, Snowflake, Tableau and / or Power BI
• Thorough knowledge of all Stars Domains and Star Measures (HEDIS, Part D, CAHPS/HOS, Operations)
• Experience navigating and working with teams across an enterprise 
• Intermediate or higher level of proficiency with Microsoft Power Point, Excel and Word; experience developing presentations and utilizing data to collect, analyze and present information 

 

Preferred Qualifications:

• Experience in a leadership capacity within an Information Technology group
• Experience managing health plan strategy activities within Stars 
• Experience working in data analytics 
• Experience leading business data transformation programs / initiatives  
• Experience developing and implementing quality performance improvement projects and using data to develop intervention strategies to improve outcomes 
• 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
• Change management skills and experience
• Excellent team building, collaboration and motivational skills
• Performance driven and results-oriented 
• Relationship focused
• Demonstrated influencing and negotiation skills
• Independent decision maker and risk taker
• Excellent written and oral communication skills with internal and external partners and employees; and ability to articulate strategy and operational processes

 

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

 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $104,700 to $190,400 annually. 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.

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.