If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) The Director, Stars HEDIS Operations will serve as the leader for all M&R HEDIS-related activities throughout the year, including coordination with other parts of the organization for the year-end CMS submissionOverall Strategic direction and recommendations for HEDIS strategy, data collection, improvement and compliance to assure improved HEDIS scores to meet the business goals of M&R business This includes reporting and improvement of HEDIS and HEDIS-like state specific measures This includes: identification and development of operational quality improvements, strategic planning Direct management oversight for business process initiatives that support compliance, data collection, customer focus, external advocacy, optimizing quality and efficiency in support of organization objectives Coordinate all elements of the quality initiatives including cross functional coordination and cooperation to ensure timely and effective decision making on key issues Develop organizational structure and resource allocation between geographical locations to assure the most efficient and successful operational results Builds and maintains alliances with customers, business partners, consultants, vendors, providers to meet / exceed business objectives Develops and maintains superior communication strategies Directs resources in the most efficient manner to meet organizational objectives Plays leadership role in various aspects of key assignments
Required Qualifications:10+ years experience in leading significant and diverse operations in the healthcare services industry7+ years experience and knowledge of HEDIS quality process, audit readiness, chase operations, data submission to CMS and MRRV10+ years of significant leadership and managerial experience10+ years experience, with demonstrated functional knowledge, process improvement initiatives, and organizational behaviorComprehensive understanding of functional areas and the impact in performance and performance measurement of qualityExcellent written and oral communication skills with internal and external business partners and employeesPreferred QualificationsUndergraduate degree or equivalent experienceCertified Professional in Healthcare Quality (CPHQ) certificationExpert knowledge of the managed care/health insurance industry, products and servicesCareers 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)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.
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.