*Remote role but must be able to work within the West Coast and/or Central Time Zone Hours* Optum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Director, Contract Performance Management, has responsibilities for Quality Performance Improvement activities for OptumCare across multiple geographies regarding HEDIS/STAR ratings. Serves on multiple Optum Clinical and Quality Committees and leadership teams designed to provide strategic direction for all local care delivery groups within Optum. Provides strategic direction, leadership and oversight for enterprise Quality performance. Responsible for planning, organizing, and directing the administration of all Quality Programs. Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff. Responsible for coordinating with appropriate personnel to meet operational program needs, ensures compliance with state/federal health plan requirements, Medicare guidelines, NCQA and health plan requirements. Provides long-term planning and oversight to ensure activities are appropriately integrated into strategic direction and operations, as well as the mission and values of the company. If you’re able to work West Coast to Central (MST/CST) time zone hours, you’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Provides leadership and support in establishing and directing Stars/HEDIS strategy - Provides expertise on HEDIS/STAR measures and tools that support collection of and communication about HEDIS/STAR to the enterprise - Develops HEDIS/STAR member and provider engagement strategies - Collaborates with executive team to execute HEDIS/STAR strategies - Works with Quality leadership team to provide HEDIS/STAR reporting and to develop strategic direction - Facilitates, integrates, and/or coordinates the implementation and evaluation of identified quality improvement/HEDIS/STAR activities as requested by Health Plan partners or related companies - Promotes understanding, communication and coordination of all quality improvement program components - Participates in requested evaluations and Health Plan audits - Coordinates reporting on quality initiatives to all appropriate committees - Participates in various teams, committees and meetings at any level required to maintain business necessity - Maintains program documents, reports, and committee minutes and follows all internal privacy and confidentiality policies and procedures - Maintains current knowledge of regulatory requirements associated with the program - Participated in the HEDIS data submission process - Leads the coordination and completion of projects with cross-functional teams and senior leaders across clinical functional areas to achieve targeted clinical strategic performance goals - Directs clinical best practice identification and standardization adoption in clinical settings with cross-functional teams and senior leaders 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: - 15+ years of management-level experience in managed care, medical management programs required, including five or more years of experience at the Director level or above - 5+ years of experience working with CMS Medicare Stars quality programs, inclusive of CAHPS, HOS, and NCQA HEDIS measures - Demonstrate knowledge of the business environment and business requirements (e.g., strategy changes, emerging business needs) - Knowledge of federal and state laws and NCQA regulations relating to managed care, and all aspects of Medical Management - Ability to establish and maintain effective working relationships with employees, managers, healthcare professionals, physicians and other members of senior administration and the general public - Excellent verbal, written communication, presentation, and facilitation skills - Knowledge of fiscal management and human resource management techniques - Ability and willingness to travel as determined by business need Preferred Qualifications: - Active and unrestricted Registered Nurse license in any US state with the ability to obtain a Texas license within 12 months of starting employment - Health plan, healthcare or clinic operations experience - Experience working in Medicare or Stars Improvement Physical & Mental Requirements: - Ability to lift up to 10 pounds - Ability to push or pull heavy objects using up to 25 pounds of force - Ability to sit for extended periods of time - Ability to stand for extended periods of time - Ability to use fine motor skills to operate office equipment and/or machinery - Ability to properly drive and operate a company vehicle - Ability to receive and comprehend instructions verbally and/or in writing - Ability to use logical reasoning for simple and complex problem solving *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy The salary range for this role is $124,500 to $239,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. 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. 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.