6 days old

Associate Director of General Management (HEDIS, Stars) - Telecommute

San Antonio, TX 78205 Work Remotely
  • Job Code
    894281

This position has responsibilities for Quality Performance Improvement activities for specific contracts across multiple geographies. Serves on multiple Optum Clinical and Quality Committees and leadership teams designed to provide strategic direction for all local care delivery groups within Optum.

 

The Associate Director of General Management (HEDIS, Stars) provides strategic direction, leadership and oversight for performance. This role is responsible for planning, organizing, and directing the administration of all Quality Programs / Strategies. Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff. Responsible for coordinating with appropriate personnel to meet operational program needs, ensures compliance with state / federal health plan requirements, Medicare guidelines, NCQA and health plan requirements. Provides long-term planning and oversight to ensure activities are appropriately integrated into strategic direction and operations, as well as the mission and values of the company.

 

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

 
Primary Responsibilities:
  • Participates in requested evaluations and audits related to HEDIS / STAR
  • Collaborates with CDO to ensure successful execution of Star Measure initiatives as defined by enterprise and / Optum
  • Collaborates with OptumCare Quality Performance Executive team on HEDIS / STAR strategies
  • Works with Optum LCDO Quality leadership team to provide HEDIS / STAR reporting and to develop strategic direction
  • Collaborate/contribute to team Share point development
  • Facilitates, integrates, and/ or coordinates the implementation and evaluation of identified CAHPS / HOS / quality improvement/ HEDIS / STAR activities as requested by UHG / UHC or related companies
    Promotes understanding, communication and coordination of all quality improvement program components
    Coordinates reporting on quality initiatives to all appropriate committees
  • Leads the coordination and completion of projects with cross - functional teams and senior leaders across medical / nursing / clinical functional areas to achieve targeted clinical strategic performance goals
  • Participates in various teams, committees and meetings at any level required to maintain business necessity
  • Plan/develop agenda and cadence for CDO market meetings (Ad hoc market meetings , Onboarding, Quality Alliance Participation )
  • Provides leadership and support in establishing and directing the Stars Program for specific contracts
  • Oversees the CAHPS / HOS survey process for all contracted health plans
  • Oversees medical / nursing/ clinical workflow mapping, performance monitoring, and coaching site visits in clinic settings using process improvement methodologies to identify workflow gaps and establish future - state recommendations
  • Develops and maintains policies and procedures that support the corporate initiatives that meet State, Federal legal requirements and standards
  • Maintains Star program documents, reports, and committee minutes and follows all internal privacy and confidentiality policies and procedures
  • Engage and collaborate with Analytics team on creation of Stars/Quality data/reporting to ensure customer requirements and are met
  • Provide strategic direction, leadership and oversight for market performance
  • Develops HEDIS / STAR member and provider engagement strategies
  • Directs medical/ nursing / clinical best practice identification and standardization adoption in clinical settings with cross - functional teams and senior leaders
  • Analyze data for trending/patterns to identify improvement opportunities weekly
  • Lead and manage Quality/Stars initiatives from concept & design through post deployment
 

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.

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Posted: 2020-10-15 Expires: 2020-11-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Associate Director of General Management (HEDIS, Stars) - Telecommute

UnitedHealth Group
San Antonio, TX 78205

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