VP, Quality Performance and Risk Adjustment - Remote

Optum NY, is seeking a Vice President of Quality Performance & Risk Adjustment to join our team. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while  Caring. Connecting. Growing together. The Vice President of Quality Performance & Risk Adjustment, Optum Health East is a senior executive responsible for the strategic design, execution, and continuous improvement of enterprise-wide quality, risk adjustment, and value-based performance initiatives across a large multi-state, risk-bearing healthcare organization. This role oversees performance for both employed and contracted provider networks and plays a critical role in building, strengthening, and sustaining trusted business partnerships with provider groups and key internal and external stakeholders. The VP serves as a connector between clinical operations, provider organizations, health plans, and enterprise leaders-ensuring alignment between quality outcomes, accurate risk capture, regulatory compliance, and financial performance under all payer value-based contracts including Medicare Advantage, Commercial, Medicaid, etc. This role is pivotal in aligning providers, health plans, and enterprise stakeholders around shared accountability for outcomes. By building strong business partnerships, integrating quality and risk operations, and translating strategy into measurable results, the VP ensures sustainable success in value-based, risk-bearing models across diverse markets. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Provider Partnership & Stakeholder Engagement Serve as a senior relationship leader for multiple Optum East employed provider organizations, fostering collaborative, trust-based partnerships focused on shared outcomes Act as a strategic advisor to physician leaders, medical directors, and practice executives on quality, risk adjustment, and value-based performance for both employed and contracted networks Co-develop performance improvement plans with provider groups that balance quality outcomes, financial sustainability, and provider experience Partner with network management and contracting teams to align quality and risk expectations within participation agreements and value-based contracts Lead joint operating forums, governance committees, and performance reviews with provider partners Build strong cross-functional partnerships with population health, care management, network operations, finance, actuarial, compliance, IT, and health plan stakeholders Enterprise Quality Strategy & Performance Develop and execute a comprehensive, multi-year quality strategy aligned with organizational growth, provider network strategy, and value-based care objectives across all value-based contracts Drive performance improvement across HEDIS, CMS Star Ratings, clinical outcomes, patient experience (CAHPS), and state-specific quality measures across multiple payers Establish standardized yet flexible quality frameworks that can be adopted across diverse, multi-state provider groups Partner with provider leadership to translate quality goals into practical, operational workflows Partner with relevant national teams