Quality Director of Operations - Remote

Lensa; Portland (OR); Remote; USD 124,000 - 240,000; Full time

Job summary

A leading healthcare organization is seeking a Director of Quality Operations to provide strategic leadership in transforming care delivery. The role focuses on quality improvement, compliance, and collaboration with various teams to enhance patient outcomes. This position offers remote flexibility and the opportunity to lead impactful healthcare initiatives.

Benefits

Comprehensive benefits package

Incentives

Stock options

401k

Qualifications

• 5+ years of healthcare leadership experience, including Quality programs.
• Experience in managed care, population health, and risk models.

Responsibilities

• Develop and implement strategies for Quality and population health.
• Analyze data to improve quality outcomes.
• Coordinate Quality initiatives for patient populations.

Skills

Leadership

Communication

Data Analysis

Negotiation

Education

Certified Healthcare Quality Professional (CPHQ)

Job description

Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

The Director of Quality Operations provides strategic and operational leadership to champion Optum Care Network’s (OCN) transformation to a patient-centered model of care, achieving the Quadruple Aim and providing optimal outcomes for patients. The Director partners with various teams and stakeholders to establish an optimal care delivery system, develop strategies supporting OCN's mission, and ensure high performance on clinical care quality measures. Practice transformation includes engaged leadership, quality improvement strategies, evidence-based care, patient-centered interactions, enhanced access, and care coordination.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

The duties listed below are illustrative; omission of specific duties does not exclude them if work is similar or related.

Responsibilities

• Develop and implement strategies and initiatives to support Quality and population health priorities.
• Analyze data and conduct operational activities to identify opportunities and improve quality outcomes.
• Coordinate and prioritize Quality initiatives for our value-based patient populations.
• Ensure compliance with health plan requirements, Medicare guidelines, HEDIS/STARS, CMS, etc.
• Lead practice transformation efforts with engaged leadership, evidence-based care, and patient-centered interactions.
• Foster a culture of excellence through benchmarking and sharing best practices.
• Resolve technical, operational, and organizational issues outside own team.
• Partner with provider networks and physician groups to improve quality and practice transformation.
• Collaborate with various teams to implement process changes and adhere to standards.
• Interface with health plans, regulatory bodies, and pay-for-performance programs.
• Coordinate pharmacy quality initiatives with clinical pharmacy teams.
• Develop and manage annual Quality work plan.
• Oversee daily Quality programs and clinical guideline development.
• Manage HEDIS data submission and support Quality committee activities.
• Lead quality work streams and manage responsible leaders.
• Support strategic growth and evaluate potential physician groups.

Performs other duties as assigned.

Knowledge, Skills & Abilities

• Passion for transforming healthcare with successful, innovative quality programs.
• Experience in quality improvement, measurement systems, and incentives.
• Strong interpersonal, leadership, communication, negotiation, and organizational skills.
• Strategic understanding of industry regulations and competitive landscape.
• Ability to define success metrics and track progress.
• Active listening skills and ability to understand diverse perspectives.
• Ability to build effective relationships with staff, professionals, and the public.

We offer a challenging environment with clear success criteria, development opportunities, and performance recognition.

Required Qualifications

• 5+ years of healthcare leadership experience, including Quality programs, managed care, population health, and risk models.

Preferred Qualifications

• Active WA RN license.
• Certified Healthcare Quality Professional (CPHQ).

Physical and Mental Demands

Employees must meet physical and mental requirements, with accommodations available for disabilities.

Physical demands include sitting, walking, standing, talking, using hands, and lifting up to 25 pounds. Vision requirements include close and distance vision.

Mental demands include communication, data analysis, problem-solving, learning, detailed work, and managing multiple tasks under deadlines.

Working Conditions

Typical office environment with potential for irregular hours. Interaction is busy and sometimes interruptive.

Contact

Interactions with physicians, staff, agencies, and vendors. Remote employees must adhere to telecommuting policies.

The salary range is $124,500 to $239,400 annually, based on experience and other factors. Benefits include comprehensive packages, incentives, stock options, and 401k.

Application deadline is at least 2 business days or until a sufficient pool is reached.

Our mission is to improve health equity and outcomes, addressing disparities and promoting environmental sustainability. We are an Equal Opportunity Employer and drug-free workplace.