Stars Senior Director of National Quality – Remote – Minnetonka, MN Hybrid preferred

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.

We have made a promise to the seniors we serve that we will support more effective care with networks focused on quality outcomes, a patient-centered clinical model and more members in high-quality rated plans – all delivered at the lowest medical costs and meeting and exceeding the expectations of CMS. The Stars Sr. Director of National Quality is accountable owner for one or more Mega contracts’ Star performance and as such responsible for the contract(s) Star rating to deliver our goal of 80% of our members in 4+ Star plans.  The role is responsible for defining, leading and coordinating all local & national initiatives for assigned UHC H-Contracts ensuring all stakeholders are coordinating to drive high quality performance.

This position is open to telecommuters around the U.S.  The preferred location for this position is working a hybrid schedule, 4-days per week in the Minnetonka, MN office. If you are located outside the MN or DC area; you’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Limited travel will be required for this position; depending on your location it could be about 6 trips per year.

Primary Responsibilities:

• Actively coordinate with all Medicare & Retirement national functions (Stars, Product, Sales, Marketing, Member Experience, Finance), UnitedHealthcare shared services functions (Network, Clinical, Quality, Operations), Optum (Local Care Delivery, QFO, HouseCalls, Complex Population Management), lines of business (M&R, DSNP, ISNP, Group) and local leadership (Local EDs, CEOs) to establish and drive local tactical plans for improving CMS Star ratings and quality for assigned H-Contracts 
• Coordinate with Network and Optum teams to provide H-Plan Leads, Practice Performance Managers and embedded Practice Resources strategic direction; develop performance targets / metrics; ensure performance to targets.  Includes HEDIS, Pharmacy and CAHPS/HOS performance; development and use of appropriate supporting tools (HouseCalls, CAHPS/HOS tools, QFO, Provider Incentives) 
• Partner with local health plan team, Network, Market Medical Director, external vendors and Optum to develop local strategies and operationalize them
• Leverage all reporting and analytics tools to monitor performance of various contracts and develop mitigation plans
• Lead all business aspects of Local Market Initiatives Platform (CORRAL), develop and maintain effective processes to engage the platform’s stakeholders and technology leads to enhance the platform, support utilization metrics and initiative effectiveness
• Meet all assigned performance targets 
• Maintain solid relationships with Medicare & Retirement national and local functions, UnitedHealthcare shared services functions and Optum businesses through regular communications and face to face contacts 
• Effectively manage the budget for the mega contracts to drive the highest ROI
• Exemplify and model Our United Culture and live our values with conviction

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:

• 10+ years of experience in a large, complex and successful health care / managed care organization with demonstrated track record of increasing responsibility and accountability 
  
• 7+ years of experience working with health care providers / networks, CMS Star ratings, HEDIS/Rx/Survey measures and clinical quality 
  
• 5+ years of experience leading or supporting MA H-contract management for Stars Quality purposes
  
• 2+ years of experience leading or supporting provider engagement for Stars Quality purposes
  
• Experience with local markets operations and strategies
  
• Proven excellent written and verbal communication skills, including well-developed interpersonal skills used to influence the behavior of others across a highly matrixed organization
  
• Demonstrated success building relationships with external executives and stakeholders 
  
• Proven track record of meeting business goals via driving disciplined, fact-based decisions and executing with discipline and urgency

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

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.