Lead enterprise specialty pharmacy accreditation and quality programs, oversee regulatory compliance and readiness, manage accreditation maintenance, staff education, auditing, reporting, policy review, and system-level pharmacy strategy, financial performance, and leadership development across multiple hospitals. Requires significant travel.
Requisition Number: 2378910
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together.
As a Director of Accreditation with CPS Solutions, LLC (CPS) Specialty and Ambulatory team, you will work under the direction of and in collaboration with the Senior Director, Accreditation Specialty and Ambulatory Services. You will be responsible for overseeing the quality control of the organization's specialty pharmacy operations to include accreditation management/maintenance, staff education, auditing, reporting management, compliance, policy review/management, etc., and ultimately impacting the quality of service that we provide to our customers and their patients.
This is a 60%+ travel position, home-based.
You'll enjoy the flexibility to work remotely * from anywhere within the North Eastern United States as you take on some tough challenges.
Primary Responsibilities:
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:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together.
As a Director of Accreditation with CPS Solutions, LLC (CPS) Specialty and Ambulatory team, you will work under the direction of and in collaboration with the Senior Director, Accreditation Specialty and Ambulatory Services. You will be responsible for overseeing the quality control of the organization's specialty pharmacy operations to include accreditation management/maintenance, staff education, auditing, reporting management, compliance, policy review/management, etc., and ultimately impacting the quality of service that we provide to our customers and their patients.
This is a 60%+ travel position, home-based.
You'll enjoy the flexibility to work remotely * from anywhere within the North Eastern United States as you take on some tough challenges.
Primary Responsibilities:
- Provide system-wide strategic leadership for pharmacy services across multiple hospitals and care settings, ensuring alignment with organizational goals.
- Lead and develop pharmacy leadership teams, including hospital pharmacy directors and managers, ensuring consistency and accountability
- Ensure enterprise-wide regulatory and accreditation compliance, overseeing readiness for audits and inspections across all sites
- Oversee system-level financial performance, including contracting, purchasing strategies, and cost-reduction initiatives
- Drive innovation, scalability and growth of pharmacy services, advancing technology, analytics and new models of care across the health system
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:
- 5+ years of pharmacy or healthcare experience in a Quality of Accreditation role
- Deep understanding or the ability to learn specialty pharmacy accreditation standards, with emphasis on URAC and ACHC accreditation
- Willingness and/or ability to travel for varying lengths of time away from home by plane or car
- Active driver's license and access to reliable transportation
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Similar Jobs at Optum
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Senior Director of Benefit Innovation leads the enhancement and optimization of health plan designs, overseeing performance strategy, financial adjustments, and collaboration with sales and product leaders for new offerings.
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Perform non-MD clinical peer reviews for outpatient mental health and substance use services across Commercial, Medicaid, and Medicare lines. Apply clinical criteria and benefit plan rules to determine coverage, review testing and treatment plans, handle appeals, document determinations, and participate in consultations and trainings. Remote for NY/NJ/CT residents.
Top Skills:
AccessExcelOutlookWindowsWord
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Develop and manage provider networks by negotiating contracts, managing unit cost budgets and financial models, ensuring network adequacy, maintaining contracts, implementing regulatory changes, and resolving contract administration issues with providers and internal stakeholders.
What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering

