Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Director of Product Management- Quality, HEDIS or Stars - Remote

$134.6k - $230.8k

divvyDOSE

Director Of Product

Optum 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 approach
  • Manages the products across the entire PDLC
  • Manages ongoing product performance, metrics, enhancements, financial health, and end-of-life decisions as appropriate
  • Understands and evaluates enterprise-wide assets as portfolio expansions to improve the competitive position and drive customer value
  • Demonstrates systems thinking and can readily identify downstream impacts of decisions and proactively construe alternatives
  • Serves as the product champion and subject matter expert for the business and sales partners
  • Empowers, leads and manages product teams
  • Acts as primary steward to drive informed decisions that generate revenue and growth while protecting operating expenses
  • Owns Go to market material update
  • Supports Compliance, Privacy, Legal Product submissions
  • Contributes to client communication

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 Product Management experience, owning product strategy, roadmap, and execution
  • 7+ years of HEDIS measures Expertise
  • 7+ years of CMS Stars program Expertise
  • 5+ years of Retrieval & Abstraction expertise
  • 5+ years of People Management experience
  • 4+ years of MSSP/ACO REACH expertise
  • 4+ years of Value based care program expertise
  • Experience supporting NCQA Health Plan Ratings

Preferred Qualifications:

  • 3+ years of AI/ML experience
  • 3+ years of EMR Interoperability experience
  • New Product build experience from scratch

*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.

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.

divvyDOSE
Vacancy posted 6 hours ago
Similar jobs that could be interesting for youBased on the Director of Product Management- Quality, HEDIS or Stars - Remote in Eden Prairie, MN vacancy
  •  ...UnitedHealth Group company, seeks a Clinical Quality Consultant (CQC) to drive clinical relationships and engagement with account management, quality nurses, physician practices,...  ...responsibilities include analyzing HEDIS and STARs reporting, participating in regular business... 
    Remote job
    HEDIS
    Quality

    Texas Health Institute

    Brooklyn, NY
    2 days ago
  •  ...actuarial models forecasting Medicare Advantage Star Ratings. The role analyzes data from claims, enrollment, clinical data, HEDIS and CMS sources and guides decision-making....  ...adherence to corporate goals while driving quality improvements within Medicare #J-18808-... 
    Remote job
    HEDIS
    Quality

    Highmark Health

    Brooklyn, NY
    3 days ago
  •  ...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 work
    HEDIS
    Quality
    Full time
    Work at office
    Flexible hours

    Cloverhealth

    Remote
    28 days ago
  •  ...Baptist Health is seeking a remote Value Based Care Pharmacy Technician to join our Pharmacy team. You will identify...  ..., document interventions in the EHR, and monitor quality metrics like Medicare Star Ratings and HEDIS, while collaborating with care teams to improve... 
    Remote work
    HEDIS
    Quality

    JobRx, Inc.

    Brooklyn, NY
    3 days ago
  • Role Description The Manager, Product Management – Population...  ...care management (CM), quality, behavioral health, pharmacy...  ..., NCQA, HEDIS, state Medicaid), and...  ...~Partner with the Director/Sr. Director to shape...  ...work solutions including remote options, hybrid work schedules... 
    Remote work
    HEDIS
    Quality
    Full time
    Flexible hours

    Amerihealth Caritas

    Remote
    16 hours ago
  •  ...To lead continuous quality improvement initiatives, the full-time Senior Manager, Quality Improvement will oversee accreditation...  ...of care, all while working remotely from Kansas or Iowa. Key...  ...scale projects Proficiency in HEDIS, CAHPS, Star Ratings, and provider quality... 
    Remote work
    HEDIS
    Quality
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  • $135k

     ...Job Description This is a remote position. We're Hiring: Nurse...  ...Provide comprehensive care management for medically complex...  ...planning discussions Support quality initiatives through accurate...  ...adjustment, and closure of STAR and HEDIS quality gaps Help develop... 
    Remote work
    HEDIS
    Quality
    Full time

    SerKy Consulting, LLC

    Lewes, DE
    16 days ago
  •  ...telephone triage experience ~ Care Management Active clinical licensure —...  ...Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures ~ Background in home‑...  ...SNP patients through telehealth and remote monitoring Collaborate with... 
    Remote job
    HEDIS
    Quality
    Shift work

    Purposelink Recruitment

    Ohio
    13 days ago
  •  ...Health Plan in California seeks a Quality Improvement Measure Strategist...  ...that enhance performance on HEDIS, CAHPS, and NCQA accreditation...  ...teams. Reporting to the Manager, Quality Improvement Strategy,...  ...external partners to achieve 4-star measure performance and support... 
    Remote job
    HEDIS
    Quality

    Inland Empire Health Plans

    Rancho Cucamonga, CA
    2 days ago
  • CVS Health is seeking a Quality Practice Liaison for a work-at-home role supporting the Arizona Mercy Care Plan. You will present HEDIS gaps in care, educate on measures, and abstract data...  ...processes. The role requires NCQA HEDIS/STAR familiarity and ability to work with... 
    Remote job
    HEDIS
    Quality

    Hispanic Alliance for Career Enhancement

    Seattle, WA
    4 days ago
  • Molina Healthcare is seeking a remote Sr Quality Improvement/HEDIS Specialist to join their Health Plan Community Interventions team. The ideal candidate...  ...strategies. This role focuses primarily on Medicare Stars Measures and involves developing member intervention initiatives... 
    Remote job
    HEDIS
    Quality

    Molina Healthcare

    Columbus, OH
    3 days ago
  • $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 work
    HEDIS
    Quality
    Full time
    Home office

    Martin's Point Health Care

    Portland, ME
    16 hours ago
  • $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 work
    HEDIS
    Quality
    Full time
    Contract work
    Internship
    Local area
    Work from home
    Flexible hours

    Devoted Health

    Alabama
    3 days ago
  • $125k

     ...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 work
    HEDIS
    Quality
    Full time
    Contract work
    Internship
    Work from home
    Monday to Friday
    Shift work
    Weekend work

    Devoted Health

    Arizona
    1 day ago
  •  ...Quality Improvement SpecialistCompletes quality improvement activities...  ...according to the Quality Management program. Brown University...  ...programs such as: HEDIS, Medicare 5 Star, Meaningful UseAbility to use...  ...role works primarily in a remote capacity and has daily communications... 
    Remote work
    HEDIS
    Quality
    Work at office
    Local area
    Shift work

    Brown University Health

    Providence, RI
    3 days ago
  • EmblemHealth seeks a data analytics professional to support Quality Management by developing and maintaining monitoring and reporting structures for HEDIS-QARR, Medicare Stars, Medicaid QIA, and related initiatives. You will generate meaningful insights and actionable analytics... 
    HEDIS
    Quality

    EmblemHealth

    New York, NY
    3 days ago
  • $159.3k - $273.2k

     ...driven by our north star, value-based care,...  ...in healthcare; Quality metrics, measures,...  ...compliance, leading and managing key talent and...  ..., compliance, productivity, and timely resolution...  ...cost management, HEDIS quality metrics...  ...Experience managing remote staff, preferably... 
    Remote work
    HEDIS
    Quality
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealth Group

    Sumter, SC
    4 days ago
  •  ...Job Summary Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position...  ...adjustment program workflows. Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking... 
    Remote work
    HEDIS
    Quality

    SAN ANTONIO STAFFING

    San Antonio, TX
    1 day ago
  • AdvantageCare Physicians (ACPNY) is seeking a Quality Navigator to serve as an embedded...  ...providers, office leadership, care management, and interdisciplinary teams to identify...  ...performance data, you will improve Medicare Stars, HEDIS, QARR, and CAHPS #J-18808-Ljbffr... 
    HEDIS
    Quality
    Work at office

    EmblemHealth

    New York, NY
    1 day ago
  • Overall PurposeThe National Quality Manager directs P3 Health Partners' enterprise-wide quality...  ...organizational performance in CMS Star Ratings, HEDIS metrics, CAHPS, and other key quality...  .... Reporting to the National Quality Director, the National Quality Manager is... 
    HEDIS
    Quality
    Full time
    Work at office
    3 days per week

    P3 Health Partners

    Henderson, NV
    4 days ago
  •  ...The Director of Product Management for Care Coordination is the single accountable product owner...  ..., CMS interoperability rules, quality measurement under HEDIS and Stars, chronic care management...  ...closure, transitions of care, remote monitoring, and patient engagement... 
    Remote work
    HEDIS
    Quality
    Temporary work
    For contractors
    Local area

    Francisco Partners

    Raleigh, NC
    1 day ago
  •  ...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 work
    HEDIS
    Quality
    Full time
    Work at office
    Flexible hours

    Cloverhealth

    Remote
    16 days ago
  •  ...Coding Auditor Location: Remote (U.S.) Employment Type:...  ...standards. Meet productivity, quality, and audit performance expectations...  ..., analytical, and time management skills. ~ High School...  ..., or a related field. HEDIS and/or STAR Ratings experience. Provider... 
    Remote work
    HEDIS
    Quality
    Contract work
    Work at office

    The Judge Group

    Eagan, MN
    1 day ago
  •  ...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 work
    HEDIS
    Quality
    Full time

    Cardiovascular Associates of America

    United States
    a month ago
  •  ...leadership and direction of the Vice President Quality Improvement, the Quality Stars Program Coordinator will focus on the clinical operations...  ...of experience related to any of the following: Managed Care, Medicare Stars, HEDIS, CAHPS, HOS. # Has the ability to prioritize... 
    HEDIS
    Quality
    Local area

    The Health Plan of West Virginia Inc

    Wheeling, WV
    13 days ago
  • $292.3k

     ...removing barriers to quality care. The work you do...  ...affordability, improve HEDIS and CMS Star performance, reduce...  ...flexibility to work remotely* as you take on some...  ...providers and UHC network management colleagues to advance...  ...program and product design through market... 
    Remote work
    HEDIS
    Quality
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealth Group

    Atlanta, GA
    16 hours ago
  • $160k - $180k

     ...closely with Customer Success Managers, Data Engineers, Product Managers, and other cross-...  ...value-based care models, and quality measurement programs including HEDIS, PQA, Stars, MSSP, and MIPS. ~...  ...Prior work with distributed or remote teams. Responsibilities... 
    Remote work
    HEDIS
    Quality
    Full time

    Ursa Health

    Remote
    2 days ago
  •  ...specialty care network delivering patient-centered care across multiple offices. The Quality Navigator serves as an embedded clinical quality resource to improve Medicare Stars, HEDIS, QARR, and value-based outcomes by collaborating with providers, care teams, and leadership... 
    HEDIS
    Quality

    AdvantageCare Physicians

    New York, NY
    1 day ago
  •  ...Transitional Care Clinical Pharmacy Manager is a core clinical team member...  ..., utilizing telemedicine, remote patient monitoring, and in‑person...  ...centers. Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value‑based care... 
    Remote work
    HEDIS
    Quality

    ViziRecruiter,LLC.

    New York, NY
    3 days ago
  • Role Description This is a remote position. We are seeking an Exasol Data Engineer to support...  ...with healthcare data structures, quality measures, and value-based care programs....  ...analytics across MSSP, Medicare Advantage Stars, HEDIS, eCQMs, CQL, and HCC risk adjustment on... 
    Remote work
    HEDIS
    Quality
    Contract work

    Quoris, LLC

    Remote
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Director of Product Management- Quality, HEDIS or Stars - Remote. Be the first to apply!