Director of Product, Quality Optimization (Hedis/Stars) - Remote
$134.6k - $230.8kOptum
- Remote job
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 provide 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. 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. #J-18808-Ljbffr Optum
- UnitedHealth Group seeks a Director of Product on the Quality Optimization team within OptumInsight to drive strategy and execution for NCQA, CMS Stars, MSSP, and related quality programs. Remote work is possible nationwide with in-office requirements in Minneapolis or...Remote workHEDISWork at office
$150k - $210k
...Position Summary The Director of Health Plan Quality is responsible for... ...performance pillars: STAR Ratings, Member Experience... ...these domains to optimize clinical quality,... ...ratings. Oversee HEDIS, HOS, and administrative... ...Hours Full time (remote/hybrid/onsite) Position...Remote workHEDISFull timeLocal area- ...Position Summary The Director of Quality is an execution-focused... ...stakeholders to improve HEDIS and Medicare Advantage Stars performance, strengthen... ...members; establish clear productivity, quality, service, and... ...a corporate, primarily remote environment and requires...Remote workHEDISContract workLocal area
$104.04k - $137.84k
...experience!Reporting to the Director, Medicare Stars, the Quality Improvement (QI)... ...but not limited to, HEDIS, CAHPS, and NCQA... ...project teams to achieve optimal outcomesProblem... ...skills to ensure a productive work environment and... ...(Monday & Friday - remote, Tuesday - Thursday...Remote workHEDISTemporary workWork at officeMonday to Friday$75k - $90k
...Overall Purpose The Supervisor Quality HEDIS Stars is responsible for the day-to-day direction... ...analytics on measure performance and team productivity interprets results to identify trends... ...to supervise coach and motivate a remote or hybrid team including workload balancing...Remote workHEDISFull timeWork experience placementWork at office3 days per week- Imperial Health Plan of California, Inc. is seeking a Quality & Risk Adjustment coordinator in Dallas, TX to manage HEDIS data collection, validation, and submission under QI leadership. This role also supports CMS Stars activities and ensures regulatory compliance with...Remote jobHEDIS
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...on National Committee for Quality Assurance (NCQA)... ...Data and Information Set (HEDIS) performance ~ Responsible... ...adjustment processes for all products ~ Collaborate with Medicare STARS team to improve overall... ...flexible approach to work with remote, hybrid, field or office...Remote workHEDISFull timePart timeWork at officeLocal areaRelocationFlexible hours$135.2k - $179.13k
...experience!The Supervisor, Quality Engineering is both a... ..., but not limited to, HEDIS, CAHPS, and NCQA... ...enhancements as well as production support releases on several... ...thinking to optimize test approach and efficiencyEmpathy... .... (Monday & Friday - remote, Tuesday – Thursday...Remote workHEDISTemporary workMonday to Friday$35 - $38 per hour
...an alternative application process. Quality & Risk Adjustment Dallas, TX, US 4 days... ...: $35.00 To $38.00 Hourly This is a remote position - must reside in the Dallas-Fort... ...Data and Information Set (HEDIS®) and CMS Stars activities, ensuring compliance with regulatory...Remote workHEDISHourly pay$129.7k - $162.1k
...inc. Job Posting Location : Remote - USA Job Title : Director, Quality Performance Operations Job... ...disciplined, scalable execution across HEDIS, Stars, clinical quality programs, and... .... Monitor IHA program productivity, completion, quality, member experience...Remote workHEDISFull timeWork at office$112.6k - $150k
...AreYou are a Medicare Advantage Stars Senior Product Manager who connects CMS... ...regulatory requirements, health plan quality strategies, data analytics,... ...Stars measures, including HEDIS, pharmacy, CAHPS, HOS,... ...computer-based role performed in a remote, hybrid, or office...Remote workHEDISH1bWork at officeShift work2 days per week$130.33k - $195.5k
...Together. The Senior Technical Product Manager will lead product... ...efficiency and decision quality, and support better member outcomes... ...Partner with business and optimization teams to identify, assess,... ...FHIR. Understanding of HEDIS/Stars, risk adjustment, and utilization...Remote workHEDIS- Duly Health and Care is seeking a Quality Performance Analyst to drive clinical quality... ...analytics, value-based contract optimization, and provider engagement. You will forecast... ...teams in improving quality metrics and Stars/HEDIS performance. The role emphasizes Excel-...Remote jobHEDISContract work
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...improving risk management, quality and revenue growth. Ready to... ...Program. The Clinical Pharmacist optimizes medication therapy,... ...enjoy the flexibility to work remotely * from anywhere within the U... ...Value-Based CareExperience in HEDIS and STARS Quality MeasuresExperience working...Remote workHEDISMinimum wageFull timeWork experience placementLocal areaFlexible hoursAfternoon shift- Scopely is seeking a Senior Director of Product, Performance to join the Slate... ...the US on a hybrid or remote basis (Hybrid in Culver City... ...decisions Drive monetization optimization by identifying opportunities... ...along with “Stumble Guys,” “Star Trek™ Fleet Command,” “MARVEL...Remote workLocal areaWorldwide
$90k - $103k
...outcomes and improving quality of life by delaying... ...coordination through education, remote monitoring,... ...refills and therapy optimization.Quality Measures and... ...Supports achievement of HEDIS, Medicare Stars, and other value-... ...with MS Office Suite of products including Outlook and...Remote workHEDISFull timeLocal areaShift work- ...Location: Tampa, FL / Remote (you will need to be... ...data pipelines, data products, and platform capabilities... ...and resolve data quality issues, and improve the... ...Build, maintain, and optimize ELT/ETL pipelines using... ...VBC datasets (RAF, HCC, HEDIS, Stars, utilization) Cloud...Remote workHEDIS
$65.79k - $142.55k
...Job Summary Provides subject matter expertise and leadership for Care Connections, Medicare Stars and quality improvement (QI) programs/activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved...Remote workFull timeWork at office$60.52k - $129.62k
...CVS Health Quality Improvement Specialist We're building a world... ...initiatives aimed to achieve HEDIS and CAHPS goals. Provides insights and recommendations to optimize healthcare practices and achieve... ...managed care quality, HEDIS and STARs measures, as well as...Remote workHEDISHourly payFull timeTemporary workWork experience placementMonday to Friday$126.3k - $173.7k
...locations. In this remote position, you... ...to the Associate Director Integrated Clinic... ...regulatory agencies. Optimization of drug coverage... ...formulary products, lower cost alternatives... .... Engage in quality improvement... .... Support CMS Stars and HEDIS quality measures...Remote workHEDISFull timeTemporary workApprenticeshipWork from homeHome office$80.94k - $125.46k
Program Manager II, Quality Reporting & Data Governance... ...22, 2026 Full-Time Remote Salary Range : $80,940... ...Data Information Set (HEDIS), Consumer Assessment of... ...related to HEDIS, CMS Star, Value Based Payment Programs... ...program development, product development, process improvement...Remote workHEDISFull timeTemporary workPart timeWork at officeTrial periodFlexible hours- ...In the assigned Job Role of Product Project Lead 2 your Area Of... ...and driving development and quality assurance aligning resources... ...creating connected ecosystems optimizing operations and delivering... ...supporting Medicare Advantage Stars HEDIS quality improvement population...HEDISFull timeTemporary workRelocation
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...drastically changing their quality of life and health... ...data to inform product and program design... ...reports to the Director of Data... ...capabilities, and ways to optimize data usage to better... ...quality metrics (HEDIS, Stars) and ROI/financial... ...supporting strong remote-first practices...Remote workHEDISFull timeFlexible hours- ...Reports To: SVP, Quality & Network... ...Places of Work: Remote People Leader:... ...technological innovation and product development while... ...and Medical Director to ensure clinically... .... • Advance HEDIS/STAR and other quality... ...implementation and optimization of clinical...Remote workHEDISFull timeWork at officeLocal area
- ...Regional Medical Director For Musculoskeletal Value Based Care... ...clinical strategies that improve quality, outcomes, patient... ...clinical decision-making to optimize patient outcomes and performance... ...other quality measures such as HEDIS scores, Star Ratings, and other key VBC quality...Remote jobHEDISContract workWork at officeLocal area
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...Job Summary Provides subject matter expertise and leadership for quality management and quality performance improvement activities.... ...compliance with Healthcare Effectiveness Data and Information Set (HEDIS) regulations. Essential Job Duties • Drives quality program...Remote workHEDISFull timeContract workWork at officeNight shift$86.3k - $118.7k
...of our caring community The Manager, Quality Improvement leads quality and process improvement... ...assurance activities and readiness for HEDIS, CAHPS, NCQA accreditation, case file and... ...Information Workstyle: This is a remote position. Travel: Up to 5% within...Remote workHEDISFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...and cross-functional alignment to optimize health plan performance and AI-enabled... ...Medicare/Medicaid regulations, and quality performance measures (HEDIS, STARS) Preferred Qualifications... ...join a collaborative, inclusive and remote-first culture - you've come to the...Remote workHEDISFull timeFlexible hours
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...Join the Movement At Enhanced, we believe optimal health shouldn't be complicated,... ...performance. If you're excited about building products that help people become the best version... ...America (no sponsorship required). If remote, must be okay with travel to NYC on occasion...Remote workFull time
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