Director of Product, Quality Optimization (Hedis/Stars) - Remote

Taleo; Eden Prairie (MN); Remote; USD 135,000 - 231,000; Full time

Benefits offered by this job

Remote work flexibility

Job summary

UnitedHealth Group seeks a Director of Product, Quality Optimization to drive strategy and execution across Hedis/Stars quality programs, with a focus on AI-enabled improvements and revenue growth. Remote work available across the U.S.; Minneapolis/DC office requirements may apply for certain locations.

You will lead product teams, ensure compliance and privacy submissions, and collaborate with business and sales partners to deliver measurable year-round performance improvements for CMS Stars,

Qualifications

• 7+ years of experience in healthcare, healthcare tech, or technology sectors.
• 5+ years of people management experience.
• 5+ years of product management experience, including owning product strategy, roadmap, and execution.
• 5+ years of HEDIS measures expertise, CMS Stars program excellence, MSSP/ACO REACH or similar quality program

Responsibilities

• Drive product vision, go-to-market strategy, and technology roadmap with an AI-centric approach.
• Manage capabilities across the entire product development life cycle.
• Optimize ongoing product performance, metrics, financial health, and investment decisions as appropriate.
• Understand and evaluate enterprise-wide assets as portfolio expansions to improve the competitive position and drive customer value.
• Demonstrate systems thinking, readily identify downstream impacts of decisions, and proactively construe alternatives.
• Serve as the product champion and subject matter expert for the business and sales partners.
• Empower, lead, and manage product teams.
• Own go-to-market material update.
• Support compliance, privacy, and legal product submissions.
• Support both new and existing client communications

Skills

Product management

People management

Healthcare industry

HEDIS/CMS Stars

AI/ML capabilities

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Director of Product, Quality Optimization (Hedis/Stars) - Remote (2393110)

Director of Product, Quality Optimization (Hedis/Stars) - Remote - 2393110

OptumInsightis improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, andultimately consumers. Our deepexpertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management,qualityand revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Optum® Value Connect is a next-generation technology platform with intuitive, AI-enabled capabilities that help surface opportunities for improvement, identify root causes of underperformance, proactively identify interventions and rapidly facilitate interventions to drive outcome improvements directly or embedded in other applications.

As the Director of Product on the Quality Optimization team, part of the Value Connect Platform you will drive product strategy and execution to enable success in NCQA Health Plan Ratings (with HEDIS® at the core), CMS Stars, MSSP Performance, the CMS Quality Rating System (QRS), and other Quality Programs. Success is achieved by driving accuracy, compliance, and measurable year round performance improvement. Along with driving VBC success across all lines of business with a key focus on CMS Stars, MSSP, ACO REACH (Lead), MIPS, and client and state specific VBC quality programs, combining unified measurement across standard, configurable analytics, and integrated workflows to deliver consistent, measurable improvement for our Provider & ACO customers.

You’llenjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Drive showcase and align on product vision, go-to-market strategy, & technology roadmap teams with an AI-centric approach
• Manage the capabilities across the entire product development life cycle
• Optimize ongoing product performance, metrics, enhancements, financial health, and investment decisions as appropriate
• Understand and evaluate enterprise-wide assets as portfolio expansions to improve the competitive position and drive customer value
• Demonstrate systems thinking, readily identify downstream impacts of decisions, and proactively construe alternatives
• Serve as the product champion and subject matter expert for the business and sales partners
• Empower, lead, and manage product teams
• Act as primary steward to drive informed decisions that generate revenue and growth while protecting operating expenses
• Own go-to-market material update
• Support compliance, privacy, and legal product submissions
• Support both new and existing client communications

You’llbe 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 asprovidedevelopment for other roles you may be interested in.

Required Qualifications:

• 7+ years of experience in healthcare, healthcare tech, or technology sectors
• 5+ years of people management experience
• 5+ years of product management experience, including owning product strategy, roadmap, and execution
• 5+ years of HEDIS measures expertise, CMS Stars program excellence, MSSP/ACO REACH or similar quality program

Preferred Qualifications:

• 4+ years of experience building SaaS technology solutions
• 4+ years of value based care program expertise
• 3+ years of retrieval & abstraction expertise
• 3+ years of experience supporting NCQA Health Plan Ratings
• 2+ years of experience productizing AI/ML capabilities
• 2+ years of EMR interoperability and/or provider engagement experience
• New product launch experience

*All employees working remotely will berequiredto 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 $134,600 - $230,800 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.