Director of Product- Quality - HEDIS or Stars - Remote
$112.7k - $193.2kUnitedhealth Group
Job ID: 98709280752Posted: 2026-08-03Location: Eden Prairie, Minnesota, United StatesSalary: $112,700 - $193,200/yearJob Area: ProductCompany: UnitedHealth GroupOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Senior Product Manager is a strategic product leader responsible for defining and executing the product strategy for one of Optum Payment Integrity's Facility Claim Review products. These are established, widely adopted products operating at significant scale which means the innovation you drive reaches the market fast and shows up in real client and financial outcomes, not someday but now.Optum Payment Integrity helps health plans and healthcare organizations ensure claims are paid accurately and fairly, reducing unnecessary medical spend across the full claim lifecycle through a combination of advanced analytics, AI, and deep healthcare reimbursement expertise. You will own the product vision, roadmap, and performance ensuring the product delivers measurable client value, scales effectively, and remains differentiated in the market. Why this roleOwn a product that's already winning and take it further. You're not starting from zero. You'll inherit a proven, in-market product with a strong client base and clear runway to scale new value quickly.Build at the intersection of healthcare reimbursement and applied AI. You'll partner daily with AI/ML, analytics, and data science teams to turn some of healthcare's most complex reimbursement problems into intelligent, data-driven solutions.Real influence, real visibility. You'll set strategy, drive execution, and shape decisions alongside senior leaders across product, engineering, and go-to-market with your impact measured in client outcomes and business growth.This is a high-impact role for a strategic product leader who thrives at the intersection of data, technology, and market opportunity, and who is equally adept at setting vision and driving execution.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:Define the Market Vision and Product StrategyCraft and champion a clear product vision and multi-year product strategyTranslate market needs, payer feedback, facility reimbursement changes, and competitive intelligence into actionable product directionAlign product investments to deliver customer value, revenue growth, and market differentiationPartner with other Product Managers in the portfolio to ensure product decisions support both scalability and client successLead Product Development and ExecutionTranslate strategy into actionable roadmaps, well-defined requirements, and prioritized outcomesCollaborate with engineering, AI/ML, analytics, and operations to deliver data-driven solutions that improve accuracy, efficiency, and user experienceDrive prioritization, balancing innovation, technical debt reduction, and operational scalabilityEnsure product launches are timely, high-quality, and aligned to go-to-market goalsMeasure and Optimize Product PerformanceDefine and monitor KPIs tied to adoption, financial performance, and client outcomesPartner with analytics and finance teams to evaluate product ROI and inform future investmentsUse data and user feedback to continuously refine strategy, features, and market positioningCollaborate to Drive Market GrowthPartner with go-to-market, sales, and marketing teams to drive product adoption and expansion across payer clientsSupport pricing, packaging, and positioning in collaboration with the Director of Product and GTM leadershipIdentify and scale client-proven innovations to the broader marketStay Ahead of Market and Industry TrendsMonitor market, regulatory, and competitive shifts to identify emerging opportunities and risksTranslate evolving market dynamics into forward-looking roadmap updates At Optum, product leaders are builders and connectors - translating complex healthcare challenges into scalable, data-driven solutions that improve affordability and trust in the healthcare system. You will collaborate closely with other Product Managers and cross-functional teams to advance a unified roadmap and shared vision for building AI-powered solutions that transform healthcare payment integrity.If you thrive on turning insight into impact and working across teams to drive innovation, you'll find your next challenge here.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:7+ years of experience in product management, product strategy, and/or business transformation3+ years of experience in payment integrityExperience with inpatient and outpatient reimbursement methodologies (ex. DRG) and facility claimsExperience developing product strategies, roadmaps, business cases, and implementation plans for complex healthcare products or initiativesExperience leading cross-functional initiatives and influencing stakeholders across Product, Clinical, Technology, Operations, and Growth organizationsExperience partnering with engineering, AI/ML, analytics, and data science teams to deliver data-driven products and capabilitiesProven solid analytical skills with experience using customer insights, market intelligence, and data to drive product prioritization and decision-makingProven ability to translate complex or ambiguous business challenges into scalable product solutions and actionable roadmapsProven solid written and verbal communication skills with experience presenting product strategies, business cases, and results to senior leadershipPreferred Qualifications:MBA or equivalent experience in business strategy, technology, or product leadershipProduct or Agile certifications such as CSPO, PSPO, SAFe POPM, or similarHands-on experience integrating AI into product design, development, or ongoing managementExperience launching and scaling products in data intensive, cloud based, or AI enabled platformsExperience leading or mentoring other product professionals, or partnering closely with engineering leaders to deliver outcomes (not just outputs)Experience leading senior level presentations, workshops, or stakeholder forumsWorking knowledge of Optum and/or UnitedHealth GroupProven ability to extract actionable insights from large, heterogeneous datasets *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay 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 $112,700 - $193,200 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 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. UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
- Centene Corporation is looking for a qualified candidate to lead process improvement initiatives and ensure HEDIS audit readiness. This role requires deep experience in managing regulatory timelines and delivering accurate results across health operations. The ideal candidate...Remote jobHEDIS
- Overall PurposeThe National Quality Manager directs P3 Health Partners' enterprise-wide... ...organizational performance in CMS Star Ratings, HEDIS metrics, CAHPS, and other key quality... ...care. Reporting to the National Quality Director, the National Quality Manager is ultimately...HEDISFull timeWork at office3 days per week
- ...We are seeking a Medical Director of Clinical Product to serve as a clinical voice... ...and safety. Drive Quality & Pre-Launch Standards: Establish... ..., quality metrics ( HEDIS/Stars ), and care management levers... ..., we embrace a remote-first culture that supports...Remote workHEDISFull timeWork at officeFlexible hours
$78.7k - $134.9k
...care, where coordinated, quality service is the norm... ...periods Balances productivity expectations with quality... ...requirements, HEDIS & STAR measurements, RADV, correct... ...retrieval work including remote electronic health... ...discussions Assists Director and Manager as needed...Remote workHEDISWork experience placement- JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare...Remote workWork at office
- ...Description The Manager, Product Management – Population... ...care management (CM), quality, behavioral health,... ...Interoperability, NCQA, HEDIS, state Medicaid), and consistently... ...~Partner with the Director/Sr. Director to shape... ...solutions including remote options, hybrid work schedules...Remote workHEDISFull timeFlexible hours
- ...Centene Corp. seeks a Director of Quality & Process Improvement to lead HEDIS audit readiness and process improvement initiatives. This position involves working... ...analysis to enhance operational effectiveness. Remote work options available along with a comprehensive benefits...Remote workHEDIS
$135.2k - $179.13k
...authentic experience!The Supervisor, Quality Engineering is both a... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...projects, enhancements as well as production support releases on several applications... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in...Remote workHEDISTemporary workMonday to Friday$79.7k - $142.6k
...Responsibilities:Assist with the implementation of the HEDIS program for vision, including the HEDIS... ...projects to improve HEDIS scores, CMS Star Ratings and other metrics.Identify... ...improvements related to enhancing quality Assist in developing targeted educational...Remote workHEDISTemporary workWork experience placementLocal areaWork from homeFlexible hours$118.4k - $219k
...for this job have the flexibility to work remote from home anywhere in the United States.... ...areas that impact operations. Support NCQA HEDIS audit readiness and compliance, ensuring... ..., coordination and evaluation of quality assurance and training, including policy...Remote workHEDISFull timePart timeWork at officeWork from homeFlexible hours$105.6k - $195.4k
...apply for the Senior Manager, Quality Improvement role at Centene... ...workplace flexibility. This is a remote role with the ideal candidates... ...the performance of staff. HEDIS Experience Highly Preferred... ..., United States . Senior Director, GMP Quality Assurance,...Remote workHEDISFull timeContract workFor contractorsWork at officeFlexible hours- ...Employer Marshall Health Network, Inc. Position Title Director of Ambulatory Quality, Safety & Value-Based Performance Position Summary The Director... ...based arrangements Monitor and improve quality metrics (HEDIS, STAR ratings, ACO measures) Support risk adjustment accuracy...HEDISContract work
$25k
...the world where every product feels joyful, effortless... ...personal. We're hiring a Director of Hardware to run... ...PM EST. Hybrid: 1 day remote (Monday) and 4 days in... ...coherence and product quality become our moat. Our product... ...investment. Drive toward 4.3+ star ratings through...Remote workFor contractorsWork at officeLocal areaOverseasFlexible hours- ...Role Overview Reporting to the CMO of eternalHealth, the Director of Quality is responsible for the design, implementation, monitoring... ...providers, and delegated entities to drive performance on HEDIS®, CAHPS®, STAR Ratings, and other quality measures, while promoting a...HEDIS
$165k - $195k
Role Description As Director, Clinical Product, you will be the senior product leader responsible for the... ...product solutions. ~Your north star is to increase the share of care-team... ...program. ~Hybrid opportunity with remote work and on-site time at our NYC HQ....Remote workFull timeFlexible hours- ...Eligible Special Needs Plan (D-SNP) populations, the full-time Remote Clinical Program and Population Health Strategist will develop... ...(D-SNP) and/or Medicaid programs Strong understanding of HEDIS, Stars, risk adjustment, and utilization drivers Experience working...Remote workHEDISFull time
$42.26 - $45.78 per hour
...This position serves as internal and outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing and managing initiatives to achieve 5 stars. The...Remote workHEDISHourly pay$66.46k - $129.59k
**Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS... ...and timelines and implementing solutions to maximize national HEDIS audit success. - Partner with other teams to ensure data quality...Remote workHEDISWork experience placementWork at office- ...seeks an experienced Medical Director to lead population health initiatives... ...risk adjustment efforts, and quality programs within a contracted... ...Carolina or Georgia, with remote work options for some... ...and finance leaders to drive STAR/HEDIS performance and program delivery...Remote workHEDIS
- ...provides strategic oversight for clinical quality, patient safety, risk management,... ...into actionable requirements, ensuring products and services meet member expectations... ...Demonstrated experience managing CMS 5-Star ratings, HEDIS metrics, Joint Commission surveys, and...HEDISLocal areaImmediate startShift work
- ...the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Facilitates... ...Qualifications • Knowledge of Quality Measures such as STARS, HEDIS, etc. and experience with EMRs To all current Molina...HEDISWork at office
$85k - $110k
...position (3 days on-site and 2 days remote). This role may require... ...$110,000.00 Position Summary The Quality Improvement (QI) Manager reports to the Director of Quality Operations and serves... ...specific quality requirements (e.g., HEDIS, UDS, CMS). Supports audit readiness...Remote workHEDISFlexible hours- Director Product Management - Care CoordinationSkip to main contentWe use cookies to... ...programs, CMS interoperability rules, quality measurement under HEDIS and Stars, chronic care management billing),... ...gap closure, transitions of care, remote monitoring, and patient engagement...Remote workHEDISTemporary workFor contractorsLocal area
$79.7k - $142.6k
...Operations - Clinical and Quality Solutions department... ...on client quality and production concerns (will the vendor... ...level agreementsPost HEDIS reporting and metrics Retrieval... ...experience in HEDIS / Stars chart retrieval2+ years... ...Home, Work At Home, Remote, WAHBrand:...Remote workHEDISWork experience placementWork from home- ...Job Title: Informatics Manager - HEDIS Informatics Job ID: 79383 Location: USA - Remote What you will be doing:... ...responsible for HEDIS and/or Medicare Stars reporting and analytics Oversee... ...measure Experience with production reporting standards in healthcare...Remote workHEDIS
$145k - $150k
...operations teams (Care Management, Quality, Population Health, Customer... ...standing up a complex product, shepherding it from development... ..., quality measurement (HEDIS/Stars), or call center operations.... ...Home: Guidehealth is a fully remote company, providing you the flexibility...Remote workHEDISFull timeWork from home$113.33k - $170k
Role Description The Technical Product Manager will drive the strategy, development... ...: Experience supporting Medicare STARS, HEDIS, and healthcare quality programs within a health plan or healthcare... ...Requirements ~This is a fully remote position; however, candidates must...Remote workHEDISFull time$125k
...deliver comprehensive, high-quality care while fostering strong,... ...management, and quality metrics (HEDIS, STAR ratings, etc.) is a plus.... ...eligibility for all roles excluding Director and above; Commission... ...employment.SummaryLocation: Fully Remote - Arizona; Fully Remote -...Remote workHEDISFull timeContract workInternshipWork from homeMonday to FridayShift workWeekend work$135k
...Description Job Description This is a remote position. We're Hiring: Nurse... ...advance care planning discussions Support quality initiatives through accurate clinical documentation... ...coding, risk adjustment, and closure of STAR and HEDIS quality gaps Help develop and refine...Remote workHEDISFull time$115k - $140k
...improving the health, dignity, and quality of life of our members. You’... ...care models, including STARS/HEDIS and identification of care gaps... ...health and dignity.Flexible remote environment: Work from home while... ...for all roles excluding Director and above; Commission eligibility...Remote workHEDISFull timeContract workInternshipLocal areaWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director of Product- Quality - HEDIS or Stars - Remote. Be the first to apply!
- senior manager quality engineering Eden Prairie, MN
- quality equipment Eden Prairie, MN
- aerospace quality Eden Prairie, MN
- quality manufacturing Eden Prairie, MN
- quality lead Eden Prairie, MN
- quality inspection Eden Prairie, MN
- water quality Eden Prairie, MN
- air quality Eden Prairie, MN
- supplier quality Eden Prairie, MN
- quality management nurse Eden Prairie, MN








