Health Plan Quality Director - Hybrid - Washington, DC

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The UnitedHealthcare Community Plan of DC proudly serves the Dual Eligible Special Needs (D-SNP) population in the District of Columbia and is excited to recruit for our Clinical Quality Director

The Quality Director of the DC Health Plan is responsible for overseeing all Quality strategies, initiatives and requirements for the District of Columbia Community Plan, as well as for Maryland D-SNP Program, that positively impact the health outcomes for our populations as measured by HEDIS, STARS and other key quality metrics. This individual will serve on the Health Plan Leadership Team, as well as serve as a clinical subject matter expert to the health plan, external partners (including providers) and other key stakeholders.

If you are located or near the District of Columbia, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges. Commute to the office 2-3 times per week.

Primary Responsibilities:
• Quality Strategy & Oversight, including Maryland & DC STARS Strategy and MA Incentive Programs & Implementation, as well as DC Quality Strategy & Implementation in areas such as NCQA Accreditation, PIPs, Health Education, DC Quality Programmatic Requirements, Patient & Provider Experience and more
• Quality Reporting, Audits and Committees, including contractual reporting / audits oversight & coordination, client-facing presentations, quality and provider-related committees oversight & coordination and more
• People Management & Development

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:
• 5+ years of experience in managed care, clinical quality management, healthcare administration and/or public health
• 3+ years of experience in NCQA, HEDIS and/or STARS measures
• 2+ years of experience in project and/or program management
• 2+ years of experience in reporting and/or data analysis
• 2+ years of experience in managing people
• 2+ Intermediate level of proficiency with MS Excel
• 2+ Intermediate level of proficiency with MS PowerPoint and developing client-facing presentations and reports
• Ability to Commute to the DC Office (655 New York Avenue NW, Washington, DC 20001)
• Ability to travel 10%

Preferred Qualifications:
• Experience in Medicaid Managed Care Organizations
• Experience in Medicaid Quality: NCQA, HEDIS, etc.
• Experience in D-SNP Quality: STARS
• Demonstrated ability to proactively problem-solve and resolve issues timely in a fast-paced, changing environment
• Demonstrated ability to navigate and build relationships within a matrixed, large organization
• Demonstrated ability to communicate (verbally/written) effectively with different stakeholders, both internal and external
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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