Director, HEDIS and Stars - Atlanta, GA(Job Number:695061)
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)
Optum delivers Intelligence for Health Care. A UnitedHealth Group company, Optum unites the brightest minds to transform organizations and improve health care through information and technology.
The Director, HEDIS and Stars will be accountable for achieving assigned targets for Government Programs and Medicare Advantage/Medicaid providers in their assigned Market(s). You will be responsible for developing and deploying business plans at the market level with a strong focus on managing CMS HEDIS and Stars initiatives and building relationships across Market(s) (provider and medical management community partners) to develop and optimize business opportunities and brand strength. You will be responsible for driving market-level H contracts to 4 stars or greater. You will present to executive level with clear communication and manage client relationships and expectations. You will serve as the local Market expert, work with central function leads to target local strategies that will result in optimal Market(s) effectiveness. Directors rely on a number of individuals outside their direct organization to deliver services in support of their Market(s). This includes central functions (e.g. finance, analytics and administration), Enterprise Services (e.g. Plan Management, Health Care Economics, Clinical, Billing and Enrollment, Claims, Member Services) and other services network management. In addition, there will be some Risk Adjustment responsibility.
Job Quality Management
Primary Location US-GA-Atlanta
Organization RQNS Strategy
Number of Openings 1