Director of Product Management- Quality, HEDIS or Stars - Remote
$134.6k - $230.8kUnitedHealth Group
Job ID: 97834818192Posted: 2026-09-10Location: Eden Prairie, Minnesota, United StatesSalary: $134,600 - $230,800/yearJob Area: ProductCompany: UnitedHealth GroupOptum Insight 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 to start 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 help drive Product strategy, execution to deliver product capabilities to our Payer customers enabling NCQA Health Plan Ratings (with HEDIS at the core), CMS Stars, the CMS Quality Rating System (QRS), to drive 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 & roadmap(3YP) and portfolio level across teams with a Tech forward AI focused approachManages the products across the entire PDLCManages ongoing product performance, metrics, enhancements, financial health, and end-of-life decisions as appropriateUnderstands and evaluates enterprise-wide assets as portfolio expansions to improve the competitive position and drive customer valueDemonstrates systems thinking and can readily identify downstream impacts of decisions and proactively construe alternativesServes as the product champion and subject matter expert for the business and sales partnersEmpowers, leads and manages product teamsActs as primary steward to drive informed decisions that generate revenue and growth while protecting operating expensesOwns Go to market material updateSupports Compliance, Privacy, Legal Product submissionsContributes to client communicationYou'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 Product Management experience, owning product strategy, roadmap, and execution7+ years of HEDIS measures Expertise 7+ years of CMS Stars program Expertise5+ years of Retrieval & Abstraction expertise5+ years of People Management experience4+ years of MSSP/ACO REACH expertise4+ years of Value based care program expertiseExperience supporting NCQA Health Plan RatingsPreferred Qualifications:3+ years of AI/ML experience3+ years of EMR Interoperability experienceNew Product build experience from scratch*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 $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 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.
$125k - $165k
...Overview The Product Marketing Director owns go-to-market strategy and... ...contributor role will support our Quality, HEDIS and Stars solutions by working... .... Partner with product management, sales, and Enterprise... ...this job will be based remotely, all interviews will be...Remote workHEDISQualityWork at officeImmediate start- ...providers to detect, manage, and prevent chronic... ...seeking a Medical Director of Clinical Product to serve as a clinical... ...safety. Drive Quality & Pre-Launch Standards... ..., quality metrics ( HEDIS/Stars ), and care... ...Additionally, we embrace a remote-first culture that supports...Remote workHEDISQualityFull timeWork at officeFlexible hours
- ...Leading quality improvement initiatives, the full-time... ...Improvement Program Director will manage healthcare quality programs... ...NCQA standards in a remote capacity. Key... ...programs/projects, including HEDIS performance... ...Experience with Medicare Stars programs and government...Remote workHEDISQualityFull time
- ...initiatives, the full-time Senior Quality Improvement Specialist will... ...improvement programs remotely, ensuring compliance and... ...effectiveness. Key responsibilities Manage and lead large-scale health... ...measures such as Star Ratings and HEDIS Required qualifications Bachelor...Remote workHEDISQualityFull time
- ...Overseeing the quality improvement program, the full-time remote Quality Improvement Manager will manage daily QI functions, analyze reports, and ensure compliance... ...certain states Experience with managed care, Medicare STARS, and HEDIS initiatives strongly preferred...Remote workHEDISQualityFull time
- ...following: ~ Telemedicine Care ~ Care Management Active clinical licensure —... ...with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures ~ Background in home‑... ...SNP patients through telehealth and remote monitoring Collaborate with physicians...Remote workHEDISQualityShift work
$135k
...Nurse Practitioner Delaware | Remote | Full-Time This is a... ...Provide comprehensive care management for medically complex Medicaid... ...planning discussions Support quality initiatives through accurate... ...adjustment, and closure of STAR and HEDIS quality gaps Help develop...Remote workHEDISQualityFull time- ...clients in advancing data quality and regulatory reporting, the full-time remote Senior Product Engineer - HEDIS SME will lead data quality... ...on HEDIS measures and CMS STARs methodologies. Key Responsibilities... ...experience in data quality management and analytics within payer...Remote workHEDISQualityFull time
$42.26 - $45.78 per hour
...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 position has oversight...Remote workHEDISQualityHourly pay- ...Director Of QualityStrivector Corp is a National... ...a Director of Quality your roles and responsibilities... ...imperatives.HEDIS and Supplemental... ...measures like MA Stars and HEDIS.... ...Experience: 7 years of management or supervisory experience... ...or California. Remote / Hybrid: Fully...Remote workHEDISQualityPermanent employmentFull timeFor contractorsRelocation
- ...providers to detect, manage, and prevent chronic... ...seeking a Medical Director of Clinical Product to serve as a clinical... ...safety. Drive Quality & Pre-Launch Standards... ..., quality metrics ( HEDIS/Stars ), and care... ...Additionally, we embrace a remote-first culture that supports...Remote workHEDISQualityFull timeWork at officeFlexible hours
- ...care. The role is flexible with remote and on-site work, collaborating with... ...include medication management for targeted populations, CDTA, MTM... ...programs, education for clinicians, and quality initiatives to improve HEDIS and CMS 5-Star #J-18808-Ljbffr Kaiser PermanenteRemote workHEDISQualityFlexible hours
- ...To support quality initiatives in a remote environment, the full-time Clinical Administrative Coordinator will manage market-specific data entry, conduct medical record reviews for HEDIS measures, and provide administrative... ...to support HEDIS and Star quality measures...Remote workHEDISQualityFull timeWork at office
$130k - $140k
...recruiting Nurse Practitioners for a fully remote, full-time W-2 direct provider role... ...patient assessments, medication management, care planning, and follow-up through... ...support HCC coding, risk adjustment, and HEDIS and STAR quality gap closure through their documentation...Remote workHEDISQualityFull timeLive inMonday to Friday- ...will be to work both remote and on-site.Job Summary... ...Care Chronic Disease Management (CDM): asthma,... ...affordability and/or safety Quality - initiatives to... ...organizational performance on HEDIS and CMS 5-Star measuresEssential... ..., quality and productivity targets specified by...Remote workHEDISQualityWork at officeLocal areaFlexible hours
- ...Provide clinical care and ongoing management through telehealth and remote care technologies. ● Manage medically... ...and support model. ● Support quality initiatives including accurate... ...related to HCC coding, risk adjustment, STAR and HEDIS measures, and closure of quality...Remote workHEDISQualityFull timeWork from home
- ...Medicare Advantage products. The CMO is responsible... ...utilization management, clinical operations, quality, population health,... ...Quality to develop the Stars strategy, quality... ..., facility medical directors, advanced practice... ...including Stars and HEDIS), care management models...Remote workHEDISQuality
- ...Telemedicine Psychiatrist to deliver high-quality, integrated psychiatry and behavioral... ...proactive, longitudinal patient management through a virtual-first platform. Physicians... ...with quality measures such as HEDIS, STAR ratings, and other performance-based metrics...Remote workHEDISQualityNight shiftWeekend workAfternoon shift
$286.07k - $353.38k
...Vice President, Medical Director, Health Plan provides... ...Plan, with a focus on quality, affordability,... ...leadership across utilization management, care management,... ...Provide clinical input into product design, Medicare bids, risk adjustment, STARS, HEDIS, value-based...Remote workHEDISQualityFull timeHome office- ...telehealth services. This fully remote executive role offers... ...around risk adjustment, HEDIS, STAR measures, and value-... ...experience at Director or VP level, specifically managing clinical teams across multiple... ...adjustment, HEDIS, STAR quality measures, and value-based...Remote workHEDISQuality
$115k - $140k
...health, dignity, and quality of life of our members... ...support chronic condition management, and emphasize... ...care models, including STARS/HEDIS and identification of... ...and dignity.Flexible remote environment: Work from... ...for all roles excluding Director and above; Commission...Remote workHEDISQualityFull timeContract workInternshipLocal areaWork from homeFlexible hours- ...Telemedicine Care ~ Care Management ANY of the following valid... .... Through telehealth, remote care management, and close coordination... ...support model. Supporting quality initiatives, including... ...quality measures, including STAR and HEDIS initiatives. Experience conducting...Remote workHEDISQualityFull timeWork from home
- ...Quality Improvement SpecialistCompletes quality improvement activities... ...according to the Quality Management program. Brown University... ...programs such as: HEDIS, Medicare 5 Star, Meaningful Use Ability to... ...role works primarily in a remote capacity and has daily communications...Remote workHEDISQualityWork at officeLocal area
$106.52k - $157.27k
...Analyst!This position is fully remote.OverviewThe Healthcare... ...position supports data quality and data stewardship functions... ...trends-Quality including HEDIS reporting, interventions, and STAR ratings-Clinical gaps and adherence-Network Management contracting and pay-for-...Remote workHEDISQualityFull timeTemporary workShift work- ...will be to work both remote and on-site. Job Summary... ...Care Chronic Disease Management (CDM): asthma,... ...affordability and/or safety Quality - initiatives to... ...organizational performance on HEDIS and CMS 5-Star measuresEssential... ..., quality and productivity targets specified by...Remote workHEDISQualityWork at officeLocal areaFlexible hours
$120k - $155k
...deliver comprehensive, high-quality care while fostering... ...will provide ongoing management of chronic conditions,... ...and quality metrics (HEDIS, STAR ratings, etc.) is a... ...for all roles excluding Director and above; Commission... ...SummaryLocation: Fully Remote - Arizona; Fully...Remote workHEDISQualityFull timeContract workInternshipWork from homeMonday to FridayShift workWeekend work- ...Primary Care | Complex Care Management | Telehealth Location: Ohio Work Arrangement: Remote Experience: 3+ Years of Primary... ...engagement. Support quality improvement initiatives through... ...HCC coding, risk adjustment, STAR, HEDIS, and quality-gap closure...Remote workHEDISQualityWork at office
$71.1k - $97.8k
...coordination and documentation remotely. Key Responsibilities... ...providers, facility case managers, and other healthcare professionals... ...specialty Knowledge of HEDIS and Stars measures Work Schedule... ...are leading to a better quality of life for people with Medicare...Remote workHEDISQualityFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- Director Product Management - Care CoordinationSkip to main contentWe use cookies to make the... ..., CMS interoperability rules, quality measurement under HEDIS and Stars, chronic care management billing... ...gap closure, transitions of care, remote monitoring, and patient...Remote workHEDISQualityTemporary workFor contractorsLocal area
- ...fulltime opportunity Remote with Travel (70%... ...Position Summary The Director of APP Strategy and Operations... ...role supporting the Management Services Organization... ...models, supporting quality initiatives, and... ...measure performance, and STAR/HEDIS alignment where applicable...Remote workHEDISQualityFull time
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