Sr. Director, Clinical Quality and Standards - Remote

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.
The Senior Director of the Clinical Quality and Standards is responsible for supporting the development and execution of high priority clinical quality and standards initiatives. This position reports to the Medical Affairs Chief Quality and Patient Safety Officer and partners with multiple enterprise clinical leaders and matrix functional partners to advance strategic clinical quality and standards initiatives. Balanced with tactical execution and operating discipline, this leadership role will support the development and execution of clinical quality and standards initiatives that improve clinical outcomes, improve quality and patient safety and reduce total cost of care. In this role, you will serve as a trusted voice of the Medical Affairs quality and patient safety leadership team in driving efforts in advancing our mission to better serve our members and patients by eliminating harm and ensuring optimal clinical quality outcomes.
UHG Medical Affairs:
Our mission is to help people live healthier lives and make the health system work better for everyone.
UHG's Medical Affairs group supports health stewardship and clinical integrity across the enterprise. Through partnerships within the enterprise, we strive to

• Enable consistent excellence in health outcomes
• Develop an invigorated, distinctive health workforce
• Facilitate clinical transformation and innovation, and
• Advance external health advocacy efforts

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

• Lead the development and execution of high-level clinical quality, accreditation and standards strategies across UHG
• Lead the development of a comprehensive framework for identifying and monitoring clinical QPS accreditation and/or internal standards programs, including risk identification and mitigation of gaps and regulatory reporting in support of our goal to eliminate harm and ensure optimal clinical quality outcomes for our patients and members
• Lead all aspects of clinical quality, including support of measure identification, measure maintenance, monitoring, and performance improvement
• Support the development and execution of change management strategies to support the adoption and sustainability of high reliability organizing practices
• Partner with multiple enterprise business leaders, legal, regulatory and matrix functional partners to advance priority clinical quality and accreditation/standards initiatives that will shape and drive the overall QPS performance of UHG
• Effectively develops program scope documents, project plans, track and monitor program performance and update relevant stakeholders on status of initiatives
• Analyze quality and accreditation/standards metrics to identify key issues, trends, and effectively engage metric owners to drive improvement
• Partner with applicable stakeholders to identify the operational and clinical impact of defined solutions, mitigate applicable risks and establish change management processes to drive effective launch and deployment of strategic initiatives
• Supports the use of evidenced-based practices within quality and accreditation/standards programs
• Develops, supports and maintains ongoing communication with leaders and business partners to align enterprise-wide quality and accreditation/standards strategies
• Design, implement, evaluate and monitor programs in support of quality and accreditation/standards strategic priorities
• Prepare and present executive level presentations, reports and business reviews
• Drive accountability with all partners: establish and maintain effective accountability gates (check ins and reporting on progress and barriers) with local clinical teams and corporate clinical & functional partners
• Communicate with and provide guidance and expertise to stakeholders to ensure comprehensive, coordinated, strategies, solution development and execution
• Demonstrated ability to thrive in an environment of ambiguity and autonomy; demonstrating flexibility and ability to manage multiple projects, deadlines and multiple priorities in a fast-paced, changing and evolving work environment

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.
Years of post-high school education can be substituted/is equivalent to one year of experience.
Required Qualifications:

• 10+ years of management/leadership experience in complex health care operations, health insurance, healthcare delivery system, or other healthcare related business environments
• Experience working in evidenced-based medicine, clinical guidelines, and/or utilization management
• Experience working with little direct supervision and drive results with disciplined follow-through, and self-motivation
• Experience building relationships, gaining credibility, influence and partnering with key business leaders
• Experience building consensus and working as a trusted confidential advisor and partner
• Experience and ability to work across a large matrixed clinical organization, seek appropriate resources/tools and manage change, ambiguity and urgency
• Experience leading with aptitude for coaching, mentoring, training, and developing teammate performance and skills to foster a positive work environment
• Experience managing multiple projects, deadlines and multiple priorities in a fast-paced, changing and evolving work environment
• Experience working in past positions showing a proven track-record of success with change management and healthcare economics in a healthcare setting
• Sound knowledge of health, medical industry/insurance and benefits
• Intermediate to Advanced level of Microsoft office experience ( Word, Excel, and Power Point)

Preferred Qualifications:

• Licensed clinical credential (i.e. Nurse, Social Worker, Physician, etc)
• Experience with Quality dashboarding, leading corporate quality initiatives.
• Experience/Knowledge with accreditation, auditing, (NCQA, Joint Commissions, Internal Quality Standards, or URAC)
• Quality Management tools/experience (i.e Lean Six Sigma, FMEA)
• Excellent presentation skills for both clinical and non-clinical audiences
• Analytical thinker with ability to perform root cause analysis, prepare and implement action plans, and lead initiatives
• Proven leadership skills and the ability to collaborate across functions using highly persuasive/influential skills without authority with all levels of the organization, business units, clinical and non-clinical teams; proven skills in executive level reporting, business intelligence, analytics, clinical outcomes reporting, quality dashboarding
• Excellent presentation and communication skills (written and verbal)

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California/Colorado/Connecticut/Nevada/New Jersey/New York/Rhode Island/Washington residents is $142,300 to $273,200 annually. 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.
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.