Optum ยท 1 day ago
Associate Director, Quality Field Operations - Travel
Maryland Heights, MO
Full-time
Hybrid
Lead/Staff, Director/Executive
$110K/yr - $189K/yr
5+ years expOptum is focused on simplifying the health care experience and creating healthier communities. The Associate Director will be responsible for achieving targets for Medicare Advantage providers, developing business plans, and managing quality initiatives while building relationships within the market.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Ensure targets are met or exceeded for assigned Market(s)
Development and execution of clinical, RAF and quality strategy related HEDIS and Part D Stars Improvements in partnership with Medicare Market CEO, Executive Director, Data Support, and other Optum and UHC parties as appropriate
Regular reporting and updates to senior leadership, including Health Plan CEO, CMO, and market leads, this requires development of PowerPoint and Excel data packages
Leadership and support of achieving a minimum of 4 Star rating for assigned H contracts and for achieving 80% of our members in 4 Star or better plans
Solid focus on employee development and employee experience
Monitor Market level trends, risk and opportunities to continually evaluate ability to achieve established targets
Create provider targets for direct reports and assist in territory management penetration
Actively participate in the development and execution of site Coding Accuracy, HEDIS, (prospective and retrospective), Patient Experience and Stars strategic/business plans
Influence the development and improvement of operations/service processes
Drive the development and implementation of short-and-long range plans
Continually assess market competitiveness, opportunities, and risks
Drive initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities
Build and maintain collaborative relationships with Corporate, Business units within UHG and other Medicare Advantage Plans, Provider relations/Network Development, Marketing and Sales, Clinical Operations, Senior Director leadership in each market
The Director will be accountable to ensure direct reports that oversee the field staff are performing at a high standard of performance
Be the primary go to person for all Risk/STARS related activities within their assigned market(s) working within a matrix relationship which includes Network, Market Leads, Health Plan Medical Directors, and other Health Plan and Optum team members to assure that all STARS activities are planned and executed
Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work
Qualification
Required
5+ years of experience in a high impact role as a leader in the managed health care industry
5+ years of Medicare Stars experience and HEDIS experience
Experience in the development and execution of Coding Accuracy, HEDIS (prospective and retrospective), Patient Experience and Stars strategic/business plans
Experience developing and improving operations / service processes including short and long range plans
Demonstrated experience on driving initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities
A broad base of experience across management care operations, extensive knowledge of health care industry, provider and insurance industry is required to be successful in this role
Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work
Preferred
Reside in the upper Midwest (Missouri / Nebraska / Iowa / Illinois)
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
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