Director of Population Health Operations

Posted Yesterday
Be an Early Applicant
Irvine, CA, USA
In-Office
113K-193K Annually
Mid level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Leads regional population health operations, including patient engagement, provider education, documentation integrity, preventive care, and quality performance initiatives. Manages teams, develops operational strategy, oversees projects, resolves organizational issues, and ensures accurate HEDIS, STAR, and risk-adjustment reporting. Partners with clinical and regional leaders to improve Medicare Advantage outcomes, establish performance metrics, and deliver program results.
Summary Generated by Built In
Requisition Number: 2394724
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Provides leadership to and is accountable for the performance and direction of operational programs that support quality patient care and accurate documentation. Supports teams engaged in patient engagement, documentation integrity, clinician education and point of care tools. Accountability for Population Health teammates within assigned region including hiring, coaching, and performance management.
Position in this function is responsible for the ongoing development, implementation, and facilitation of processes to assure that needed preventive care is provided and all pertinent clinical information impacting HEDIS/STAR performance and risk adjustment of patients is captured and transmitted to health plans.
Primary Responsibilities:
  • Strategic, financial, and operations management
  • Develops regional strategy, plans, production and/or organizational priorities
  • Identifies and resolves technical, operational and organizational problems across Pop Health
  • Partners with regional leaders to design and operationalize population health initiatives
  • Subject matter expertise across quality, risk adjustment and operations management

ESSENTIAL FUNCTIONS:
  • Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with every customer
  • Project management of multiple programmatic initiatives and activities
  • Oversee market patient engagement, outreach, provider education programs to facilitate comprehensive health assessment for Medicare Advantage patient population, and other managed or risk-based populations
  • Defines, implements, leads and measures processes from start to finish
  • Ensures project deliverables, metrics measurement, and success criteria achieved
  • Organizes and provide executive, management and front-line initiatives and performance reporting and communication
  • Prepares timely and accurate monthly and annual reporting as required

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:
  • Bachelor's degree from a four-year college and/or a professional certification requiring formal education beyond a two-year college
  • 3+ years of management experience
  • 1+ years in a healthcare setting
  • Demonstrated success working in dynamic, fast-paced environment
  • Demonstrated success leading projects from ideation to closure
  • Proven excellent verbal and written communication skills
  • Proven ability to effectively foster collaboration with teammates, clinicians, and management

Preferred Qualifications:
  • 3+ years of program management and process improvement
  • Knowledge of Medicare Advantage and population health activities
  • Accountability for operational improvement of KPI

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Skills Required

  • Bachelor's degree from a four-year college or professional certification requiring formal education beyond a two-year college
  • 3+ years of management experience
  • 1+ years of experience in a healthcare setting
  • Success working in a dynamic, fast-paced environment
  • Success leading projects from ideation to closure
  • Excellent verbal and written communication skills
  • Ability to foster collaboration with teammates, clinicians, and management
  • 3+ years of program management and process improvement experience
  • Knowledge of Medicare Advantage and population health activities
  • Accountability for operational improvement of KPIs

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
  • Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
  • Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.

Optum Insights

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

Gallery

Gallery
Gallery
Gallery

Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
Cebu, Philippines
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
Detroit, MI
Dublin, Ireland
Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
Learn more

Similar Jobs

Optum Logo Optum

Medical Assistant

Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
In-Office
Huntington Beach, CA, USA
160000 Employees
16-29 Hourly

Optum Logo Optum

Sr Manager, Revenue Cycle Management Business Support - PST - Remote

Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
In-Office or Remote
Concord, CA, USA
160000 Employees
92K-164K Annually

Optum Logo Optum

Medical Assistant

Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
In-Office
Irvine, CA, USA
160000 Employees
16-29 Hourly

Optum Logo Optum

Director, AI/ML Engineering

Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
In-Office
Irvine, CA, USA
160000 Employees
177K-303K Annually

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account