Provider Performance & STARs Optimization Lead

Texas Health Institute; Honolulu (HI); Remote; USD 86,000 - 117,000; Full time

Job summary

UnitedHealthcare is seeking a Practice Performance Manager to partner with providers, drive STARs and HEDIS improvements, and educate care teams to enhance clinical outcomes. The role emphasizes data-driven analysis, program implementation, and strategic collaboration with physicians and health plans.

Travel up to 60% across the territory with 40% remote work, supporting ongoing education and measurement reporting to leadership.

Qualifications

• 5+ years of healthcare industry experience.
• 3+ years of experience working for a health plan and/or for a provider's office.
• 1+ year of STARs experience.
• Proven solid communication and presentation skills.
• Proven solid relationship building skills with clinical and non-clinical personnel.
• Weekly commitment of 60% travel for business meetings (including client/health plan partners and provider meetings) and 40% remote work.

Responsibilities

• Meet with providers to discuss UHG tools and programs focused on improving the quality of care for Medicare Advantage Members.
• Execute applicable provider incentive programs for health plan.
• Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and ACOs.
• Develop comprehensive, provider-specific plans to increase HEDIS performance and improve outcomes.
• Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution.
• Coordinate and lead Stars-specific JOC meetings with provider groups to drive continual process improvement and goals.
• Provide reporting to health plan leadership on progress of overall performance, gap closure, and use of virtual resources.

Skills

Communication skills

Relationship building

Willingness to travel

Strategic collaboration

Tools

Microsoft Office

Excel

Outlook

PowerPoint

Job description

UnitedHealthcare is seeking a Practice Performance Manager to partner with providers, drive STARs and HEDIS improvements, and educate care teams to enhance clinical outcomes. The role emphasizes data-driven analysis, program implementation, and strategic collaboration with physicians and health plans.

Travel up to 60% across the territory with 40% remote work, supporting ongoing education and measurement reporting to leadership.