25 days old

Optum At Home Market Specialist-Star Operations – Telecommute

Pittsburgh, PA 15219 Work Remotely
  • Job Code

This position has responsibilities for Quality Performance Improvement and Market activities for Optum at Home across multiple geographies. Collaborates with Leadership to review performance, develop key strategy and initiatives to improve Star Outcomes, and supports clinical programs in each region to drive quality clinical outcomes.

The Optum at Home Market Specialist 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 develop and meet operational goals, 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.

Primary Responsibilities:
  • Responsible for analyzing data and determining outcomes for new Optum at Home markets
  • Provides leadership and support in establishing and directing the Stars Program for specific regions within Optum at Home
  • Develops and prepares for monthly leadership, JOC, and market level meetings to discuss Star performance and review opportunities for improvement
  • Collaborates with the market executives to execute the implementation of the Star initiatives
  • Provides expertise to the market on Star measures and tools that support collection of and communication about HEDIS/STARS to the Optum at Home markets
  • Working in collaboration with the Clinical Training team to develop required educational materials and/or support for increased Star acumen.
  • Develops HEDIS/STAR member and provider engagement strategies
  • Works with the Star Analytics team to develop needed reporting to fully develop the strategic direction of the market
  • Facilitates, integrates, and/or coordinates the implementation and evaluation of identified quality improvement/HEDIS/STAR activities as requested by market and/or clinical leadership
  • Promotes understanding, communication and coordination of all quality initiatives
  • Coordinates reporting on quality initiatives to all appropriate markets and leaders
  • Participates in various teams, committees and meetings at any level required to maintain business necessity
  • Maintains Star program documents, reports, and meeting minutes and follows all internal privacy and confidentiality policies and procedures
  • 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 goal

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: 2020-10-30 Expires: 2020-11-29

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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Optum At Home Market Specialist-Star Operations – Telecommute

UnitedHealth Group
Pittsburgh, PA 15219

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