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

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

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401(k) plan

Job summary

UnitedHealth Group's Optum Insight is seeking a Director of Product on the Quality Optimization team to drive strategy and execution across NCQA Health Plan Ratings, CMS Stars, MSSP, and related quality programs. You will lead AI-enabled capabilities and oversee the product lifecycle from concept to delivery.

Remote work from anywhere in the U.S. is allowed, with in-office four days per week for Minneapolis or Washington, DC area hires.

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 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.

Skills

Product management

People management

Healthcare experience

AI/ML awareness

SaaS experience

Job description

OptumInsight is 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, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and 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’ll enjoy 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’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 provided development 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 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 $134,600 - $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Benefits:

• a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)

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.