Optum Logo

Optum

Director of Population Health Operations

Posted 4 Hours Ago
Be an Early Applicant
In-Office
Irvine, CA
113K-193K Annually
Mid level
In-Office
Irvine, CA
113K-193K Annually
Mid level
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.
The summary above was generated by AI
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.

Similar Jobs at Optum

Yesterday
In-Office
16-29 Hourly
Junior
16-29 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provides direct patient care in a clinical setting by collecting health information, documenting assessments, assisting with injections and EKGs, coordinating care, handling patient communications, and preparing examination rooms and equipment. Maintains accurate EMR and paper documentation while following infection-control protocols. Requires completion of a Medical Assistant program, BLS certification, and at least one year of Medical Assistant experience.
Top Skills: EkgElectronic Medical Records (Emr)
Yesterday
In-Office or Remote
Concord, CA, USA
92K-164K Annually
Senior level
92K-164K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Leads revenue cycle management operations, denial prevention and recovery, accounts receivable analysis, performance improvement, and operational transformation for a health system partnership. Partners with cross-functional teams to improve reimbursement, cash collections, productivity, cost efficiency, client satisfaction, and financial performance. Develops corrective action plans, standardizes processes, supports technology adoption, and monitors KPIs, P&L performance, and sustainable implementation across front-, middle-, and back-end revenue cycle functions.
Top Skills: Artificial Intelligence Tools
Yesterday
In-Office
16-29 Hourly
Junior
16-29 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provides direct patient care in a clinical setting, including collecting and documenting patient information, taking vital signs, reviewing medications and allergies, assisting with injections and EKGs, coordinating care, documenting in EMR systems, and preparing examination rooms and equipment while following infection-control protocols.
Top Skills: EkgElectronic Medical Records (Emr)

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account