Sr. Director of Clinical Quality - Remote

Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We’re looking for driven people like you because changing the status quo takes dedication. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life’s best work.(sm)

As part of the National Health Services (NHS) Leadership team, the Senior Director of Clinical Quality Management role reports to the NVP, Health Services. This role will be responsible for leading efforts in creating and maintaining a quality management infrastructure to ensure continuous improvement, organizational excellence, and adherence to regulations. This role will lead efforts in development and implementation of policies and procedures, reporting tools and will oversee internal and external audits and satisfaction surveys.

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

Primary Responsibilities:

• Development, management and coordination of Performance Improvement Programs designed to improve clinical outcomes and the patient experience
• Analyze KPI and other appropriate dashboards, identifying trends and significant variances and recommending opportunities to improve
• Requires cross-functional collaboration to derive continuous quality improvement which promotes quality of care and improves health disparities
• Works closely with NHS leaders to develop and monitor quality improvement and measurement strategies and maintaining compliance with CMS regulations, CLIA standards, NCQA and HIPPA standards
• Partner with Market Quality Councils to identify performance improvement opportunities and assist in implementing strategies to improve, monitor and report outcomes
• Develops, plans, and conducts audits of Health Services documentation and quality of care
• Generates audit reports to summarize results and provides audit related feedback to Market and National Leadership
• Lead key activities during external audits as directed related to Health Services
• Lead the development and maintenance of departmental policies, standard operating procedures, and other standards. Represent Health Services in the Landmark Policy and Procedure Committee
• Serve as the regulatory requirement/compliance SME and provide advice to Business Development, Health Services and other departments as needed
• Other responsibilities as assigned

Supervisory Responsibility:

• Direct reports may include Manager, nurse, social worker and non-clinical auditors, Quality Specialists, Policy and Procedure Specialists

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:

• BSN
• Unrestricted RN License
• Experience leading cross-functional teams to execute on complex projects

Preferred Qualifications:

• Master’s in business and/or Health Care
• Knowledge of Landmark’s networks, clinical and business analytics, and policy levers
• Strategy development and implementation for healthcare-related organizations
• Solid communication skills both verbal and written, proven presentation skills and ability to communicate to all levels of the organization
• Ability to build solid relationships, influence, establish and drive improved business outcomes
• Ability to motivate and engage a diverse group of people toward a common vision with proven results
• Demonstrated experience leading large scale initiatives requiring transformation and change management
• Solid knowledge and experience with quality and process improvement
• Solid business and/or consulting experience
• Experience with analytics and use of data

Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We’re looking for driven people like you because changing the status quo takes dedication. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life’s best work.(sm)

Colorado, Connecticut, Nevada, or New York City Residents Only: The salary range for Colorado residents is $113,500 to $218,100. The salary range for Connecticut/Nevada/New York City residents is $113,500 to $218,100. 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.