About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Medical and Clinical Operations



Approximate Salary:

Not Specified

Position Type:

Full Time

Assoc Director Clinical Quality - NY Mkt Required

UHG - New York, US

Posted: 12/17/2018

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)
The Associate Director, Clinical Quality will be accountable for achieving assigned goals relating to HEDIS/Stars and risk adjustment for Government Programs in the NY Market. This role will be responsible for developing and executing business plans and strategies in the NY market. There will be a strong focus on managing CMS HEDIS/Stars and risk adjustment initiatives and building relationships with internal leadership and the provider community.  This leader is responsible for driving market-level H contracts to a 4 Star rating or higher and will have a staff of 50+ clinical and non-clinical individuals. They will collaborate to execute and meet market goals and rely on a number of individuals across the enterprise to deliver services in support of the NY Market.

Required Qualifications:

  • BS Degree required Advanced degree preferred (Health Administration, Communications, Science, Business, etc.)
  • 5 or more years leadership experience in a health care setting- preferably in a managed care organization or provider practice
  • 2+ years of HEDIS, Stars and / or Risk Adjustment experience
  • Proficient in Microsoft Word, Outlook, PowerPoint and strong Excel and analytical skills
  • Strong relationship building skills with clinical and non-clinical personnel


Preferred Qualifications:

  • Demonstrated success, with a deep understanding of Health Care delivery operations and compliance, health care financing and industry trends
  • Strong negotiation skills; the ability to gain acceptance from others of a plan or idea and to achieve mutually beneficial outcomes
  • Proven record of strong strategic thinking capabilities
  • Certified Risk Coder(CRC)
  • Certified Professional Coder(CPC)


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)



Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Keywords: Managed Care, Healthcare, Medicare Stars, Risk Adjustment, provider network management, project management, Supervisor, Manager, Director, New Jersey

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