Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Director, Quality Education and Training provides leadership, strategic direction, and oversight for a team of trainers, and quality education staff that supports care delivery organizations within OptumCare, as well as responsibility for onboarding all associates in the Clinical Performance Quality organization. This role is responsible for the structure of quality education materials, inclusive of performance measures within NCQA HEDIS and CMS Medicare Stars; best practice documents that support quality improvement strategies for these measures; and training materials that support quality processes and systems integral to quality functions such as provider point of care quality tools and supplemental data management systems.

The ideal candidate has deep expertise in quality measures and quality rating systems, a solid operational and process-minded skillset to drive organization and efficiency in all education and training structures and processes, and the leadership and relational skillsets that will enable them to navigate successfully within a cross-matrixed work environment through multiple layers of management and senior level professional staff. Provides both shortterm and long-term planning and oversight to ensure educational and training activities are appropriately integrated into strategic direction and operations, as well as the mission and values of the company.

You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Provides leadership and strategic direction for all quality education and training needs across OptumCare care delivery organizations (CDO) nationally
• Responsible for onboarding all associates in the Clinical Performance (CP) Quality organization, inclusive of developing and continual enhancements to the onboarding program
• Leads a team of 4 associates responsible for training on quality systems, and developing and training of quality education materials
• Ensuring the structure and processes for all quality educational and training materials are well organized, coordinated with other CP departments and UHC, and meet the needs of stakeholders
• Ensuring quality education materials are up-to-date, professionally created, and optimize learning for CDOs and CP Quality organization
• Development, planning, and implementation of the training program on quality point of care tools for providers in partnership with the vendor
• Transition and training new staff on quality supplemental data and primary source verification systems for CP Quality teams providing central services to our CDO
• Drives the development of best practice documents that support quality improvement strategies for data, analytics, provider and member initiatives
• Accountable for summarizing annual changes to CMS Stars and NCQA HEDIS quality measures and providing informed recommendations to our CDOs and CP Quality organization during public comment periods through written and webinar sessions that culminate in representing OptumCare in UHC and
• Builds key relationships with CP Quality leaders that support performance management for our OptumCare CDOs, and manages through multiple layers of management and senior level staff to articulate priorities, goals, and be responsive to emerging needs
• Based on experience in quality performance measures, quality rating systems, and quality improvement, provides expertise not only through the development of quality materials, but as a subject matter expert and consultant within CP Quality, with key partners to the overall CP organization, and to our OptumCare CDOs
• Participates in various teams, committees and meetings at any level required to meet key business goals
  

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 working with quality performance measures, quality rating systems, and quality improvement programs
• 3+ years of experience working with CMS Medicare Stars quality programs, inclusive of CAHPS, HOS, and NCQA HEDIS measures
• 2+ years of supervisory or management experience
• 2+ years of experience presenting to executive teams and other layers of leadership within an organization
• Experience setting the strategy and developing policies, procedures and resources
• Experience with quality improvement efforts focused on provider and member strategies, and data and analytic strategies
• Experience and familiarity with quality point of care tools and systems supporting gap closure
• Experience and understanding of non-standard and standard supplemental data, as it applies to quality gap closure for hybrid and administrative quality performance measures
• Experience and knowledge of at least one other managed care population such as Medicaid or Commercial Risk
• Expertise in NCQA HEDIS measures, including understanding of technical specifications for at least a subset of measures, and experience participating in annual review of changes
• Proven excellent verbal, written communication, presentation, and facilitation skills
• Demonstrated ability and willingness to travel both locally and non-locally up to 25%
  

Preferred Qualifications:

• Bachelor’s Degree
• 2+ years of experience working in a quality department in a managed care organization, or in the quality department of a care delivery organization
• Working experience in quality improvement strategy development and implementation focused on provider and member strategies
• Experience establishing and maintaining effective working relationships with employees, managers, healthcare professionals, physicians and other members of senior administration and the general public
• Demonstrate knowledge of the business environment and business requirements (e.g., strategy changes, emerging business needs)
  

Careers with Optum . Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $101,200 to $184,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.




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.