23 days old

Associate Director Quality Field - OptumInsight RQS - Alabama or Arkansas

Little Rock, AR 72201
  • Job Code

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The Associate Director Quality Field team position will provide leadership to a team of Practice Performance Managers in Arkansas and Alabama and is accountable for the performance and direction of Stars Quality and Risk performance for provider practices in designated H contracts (health plans and markets) as well as other incentive initiatives.

This position will work with the Quality Field Managers and team to drive Stars and Risk strategy through provider engagement of key health systems and provider groups to help transform their practices to better manage the health and quality of their UHC Medicare populations including HEDIS / Stars performance in incentive or risk programs. This includes relationship building, assessments of current capabilities and process gaps, analyzing performance reporting, driving incentive engagement, and Quality action plan development including CAHPS and HOS. They will lead and participate jointly with their team in meetings with providers to find new ways to collaborate; ensuring that our collective approach is patient and provider centered. 

Will require a highly organized approach to a heavy workload with frequent requirements to re-prioritize. Internally, this role will drive the operations for a team of Field based employees working with Providers and manage their work and progress against individual, market and national goals. 

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, risk, member engagement, provider relationships, clinical care coordination and data / reporting - to develop the strategy, programs and tactics necessary to achieve Healthplan quality and risk outcomes on a sustainable basis.

Primary Responsibilities:

  • Development and execution of clinical and quality strategy related HEDIS, Part D Stars and risk Improvements in partnership with Medicare Market CEO, Executive Director, Data Support, and other Optum and UHC parties as appropriate
  • Day to day leadership of the market's Medicare Stars & risk results
  • Participation and leadership in provider meetings focused on HEDIS and Part D quality improvement, in partnership with Healthcare Advocates, UHC's network management team, Practice Based Support and local Medicare leadership
  • Cross functional leadership and engagement with health plan, clinical accountable care teams, and operations
  • Regular reporting and updates to senior leadership, including Health Plan CEO and segment clinical and quality teams. Development of PowerPoint and data packages.  
  • Leadership and support of achieving a minimum of 4 Star rating for assigned H contracts and for achieving 80% of our members in 4 Star or better plans and risk suspect coding assessment and diagnosis @75%
  • Direct management of Quality Field team engaging with Provider offices and accountable for member outreach goals
  • Participation in health plan senior leadership team
  • Will manage staff and programs in a complex, growing and evolving organization
  • Provide leadership to multiple direct reports (Manager level) and accountability for approximately 35 indirect reports and is responsible for performance of managers and staff
  • Manage and ensure metrics and performance goals are met and regularly report to leadership
  • Recommends and participates in departmental policy and procedure development and ensures that policies and procedures are enforced to ensure compliance with all contractual and regulatory requirements
  • Will utilize business and financial acumen as well as the ability to interpret and apply data in directing and prioritizing work

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.



Posted: 2020-10-06 Expires: 2020-11-05

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 Quality Field - OptumInsight RQS - Alabama or Arkansas

UnitedHealth Group
Little Rock, AR 72201

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