UnitedHealth Group

Director of Product- Quality - HEDIS or Stars - Remote

UnitedHealth Group$134K — $230K *
US-AnywhereRemote in Eden Prairie, MN
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years in Product Management with a focus on strategy and execution
  • 7+ years of expertise in HEDIS measures
  • 7+ years of experience with the CMS Stars program
  • 5+ years managing people and teams
  • 5+ years of experience in Retrieval & Abstraction
  • 4+ years in MSSP/ACO REACH
  • 4+ years working with Value Based Care programs
  • Experience with NCQA Health Plan Ratings

Responsibilities

  • Drive the product vision and go-to-market strategy across teams
  • Manage product lifecycle including performance and enhancements
  • Evaluate enterprise assets for portfolio expansion
  • Identify downstream impacts of product decisions
  • Serve as product champion and subject matter expert
  • Lead and empower product teams to achieve goals
  • Make informed decisions to drive revenue and growth
  • Update go-to-market materials
  • Support compliance and product submissions with legal oversight
  • Contribute to client communication strategies

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase options
  • 401k contribution
  • Development opportunities for career advancement
  • Remote work flexibility for U.S.-based employees (with office requirements for some locations)
Full Job Description
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.

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.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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