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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:

Business Operations

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Associate Director of STARS & Quality – US Telecommute (Minnetonka, MN preferred)

UHG - Minnetonka, Minnesota

Posted: 12/12/2018

Do you believe data can help reshape the future, and you find yourself loving the thrill of diving into challenging analysis.  At UnitedHealth Group, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your analysis expertise to help change the future of health care. Does the challenge intrigue you?
 
As a key member of the Central Region Stars and Quality team, you will be part of UnitedHealth Group's mission of helping people live healthier lives. As an Associate Director of Stars and Quality, you will grow and develop as you conduct and manage outcomes of various initiatives. You will be challenged to analyze, review, and forecast data for operational and business planning. As part of this elite team, you will be empowered to impact the health care system through the analysis and interpretation of data, and presenting recommendations for business solutions.
 
We have made a promise that we will transform how our members experience Medicare. Together we can deliver better health and financial peace of mind for them by supporting more effective care, providing products that consumers want and need and leading in Medicare.  
 
The Associate Director of Stars and Quality will research, develop and present  new or existing strategies to improve STAR quality performance for contracts within the Central Region; review plan performance against expectations and facilitate or influence changes to campaign or targeting portfolio to improve  performance; will work extensively with internal and external business constituents; may involve implementing contract specific projects requiring project management; and requires extensive monitoring of activities and effectiveness for immediate modification. This role will serve as a key contributor in the Central Region Stars and Quality performance.  

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:
Serve as Central Region resource for all Stars and Quality Initiatives Collaborate with all Health Plan CEOs and Executive Directors to support region-wide tactical plans to improve Stars and quality Develop innovative solutions to address Star and Quality opportunities and challenges Support deployment of local markets Stars and Quality strategies.  Collaborate with other regions and internal partners to deploy new solutions Support short and long term operational/strategic business activities through analysis Develop recommended business solutions through research and analysis of data and business process and implement when appropriate Build relationships with market leadership, shared service partners, Optum and UCS to achieve all business objectives Proactively develop solutions to improve contract performance that fit the unique needs of the market Serve as region SME to campaign leaders ensuring campaigns meet local market requirements and nuances Serve as a key resource on complex and/or critical issues Leads key business initiatives aligned to strategic priorities Lead functional or segment teams or projects Provide explanations and information to others on the most complex issues/ quality technical standards Analyzes and identifies "pain points"; facilitates and participates in cross functional problem solving efforts to understand, document, and design improvements Analyze, review, forecast, and trend complex data Builds business cases and supports CBA development as needed for initiatives aligned to the regional strategic priorities Develop recommended business solutions through research and analysis of data and business process and implement when appropriate Present analysis and interpretation for operational and business review and planning Exemplify and model Our United Culture and live our values with conviction Motivate and inspire other team members Analyzes and identifies "pain points"; facilitates and participates in cross functional problem solving efforts to understand, document, and design improvements

Required Qualifications:
  • Bachelor’s degree in Business, Finance, Health Administration, related field or other field with equivalent work experience
  • 5+ years of experience in healthcare business/finance analysis
  • Experience with process improvement, workflow, benchmarking, project management and / or evaluation of business processes required
  • Intermediate level of proficiency with PC based software programs and automated database management systems required (Excel, Access, PowerPoint)
  • Working knowledge of relational databases and database structures
  • Experience in managed care working with product, network, distribution and provider relations/contracting, distribution and community relations
  • Strong working knowledge of UnitedHealth Care operations, structure and data sources
  • Working knowledge of available resources and tools (e.g., MML, CMS Competitive Database, KMI Database, others)
  • Excellent analytical, data modeling and quantitative skills with a natural tendency to use data in decision-making and prioritization; develops analytical models with multiple inputs/variables, scenarios and sensitivity modeling
Preferred Qualifications: 
  • Master’s degree
  • Previous Stars or HEDIS experience
  • Experience utilizing SQL and/or SAS
  • Clinical background/training (RN, NP, Pharm.D, etc) or ability to absorb clinical quality specifications and speak with confidence
  • Ability to work in high pace, complex organization
  • Ability to effectively communicate analysis verbally and in writing to clients and business partners
  • Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data
  • Ability to communicate complex issues simply and concisely; excellent verbal and written communication skills; advanced presentation skills; ability to adapt style, approach and level of detail according to the audience
  • Strong ability to solve complex process problems spanning multiple functional areas and business units; managing through direct and indirect reporting relationships is a key function of this role 
  • Self-motivated, takes initiative and able to work with little direct supervision and drive results with disciplined follow-through
  • Proven ability to quickly gain credibility, influence and partner with business leaders and cross functional teams
  • Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities

At UnitedHealthcare, we're addressing the social drivers of health ? and helping to change the broader circumstances of members' lives ? providing greater stability, access, and wellbeing that can allow members to rise out of poverty. What's more important than that? So join us and lead initiatives to influence state or national policy and do your life's best work.(sm)
Careers at UnitedHealthcare Medicare & Retirement.

 

The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.SM

 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


 

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: Manage, manager, business, finance, clinical, process, data, analysis, analyze, metrics, quality, forecast, STARS, director, HEDIS, Minnetonka, MN, Minnesota, Telecommute, Telecommuter

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