Associate Director, HEDIS and Quality - Remote

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

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

Primary Responsibilities: 

• Serve as a dedicated resource for our key large business client GEHA
• Provide end-to-end clinical quality life cycle consulting services to this external client to improve clinical operation, and HEDIS scores for all segments of clinical operations including the GEHA clinical operations shared services model
• This includes the quality technology solutions, service solutions, data solutions, product implementation, HEDIS strategy and consultation, service optimization, regulatory consultation, and preparedness
• Acts as primary liaison between the external client, other UMR functional teams and the clinical operations teams to ensure exceptional handling of the client’s needs
• Considered Clinical Operations Quality HEDIS leadership which is contractually required by client to support overall quality oversight

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. 

Required Qualifications: 

• 5 years of working experience with people management with demonstrated ability to lead and influence cross-functional teams
• 5 years of experience working in a complex matrixed work environment with competing priorities
• Experience with analyzing HEDIS metrics or Functional SME for HEDIS reporting
• Systems analysis experience
• Project management experience in a managed healthcare setting
• Working knowledge of HEDIS/CAHPS standards, implementation, strategy, and quality improvement compliance activities
• Proven ability to write clearly composed documentation for business requirements documentation as well as information that will be distributed to auditors
• Proficiency with Excel, Word, PowerPoint, and Microsoft Teams
• Proven exceptional analytical and data representation expertise
• Ability to travel

Preferred Qualifications:

• Active and unrestricted Registered Nurse license in primary state of residence
• Experience with process improvement, workflow, benchmarking and / or evaluation of business processes
• Experience using collaboration and diplomacy to work as part of a matrixed, inter-disciplinary team
• Experience with content creation, storytelling, and ability to define key takeaways for clinical, operational, and financial stakeholders
• Solid executive presence and client-facing skills; Customer-oriented
• Solid communication and interpersonal skills and the ability to build and maintain relationships
• Self-motivated; able to manage several projects at once
• Skilled at engaging decision-makers and stakeholders by presenting compelling real-time reports
• Exceptional writing and presentation skills, including use of PowerPoint

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.  

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.    

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.   

Salary : $104,700 - $190,400