UnitedHealth Group Senior Clinical Practice Consultant - Austin, San Antonio, TX in Austin, Texas
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 and help people live healthier lives while doing your life's best work.(sm) The Senior Clinical Program Consultant (SR CPC) is responsible for the ongoing clinical management of physician practices participating in UnitedHealthcare’s (UHC) Accountable Care Organizations (ACO), Value Based Programs, Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The SR CPC will lead multi-disciplined practice transformation and practice performance improvement initiatives. The selected candidate will guide practices in achieving targeted goals that include improved quality, efficiency and utilization. The SR CPC is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice. The SR CPC reports directly to the Regional Director. The SR CPC will act as a mentor to other CPCs on the team and in some cases may have CPCs reporting directly to them. As the single point of contact for a practice, the SR CPC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within UnitedHealthcare and at the practice. Position requires flexibility to work remotely and to travel in Austin and San Antonio with 25% travel to practice locations; travel could be more or less at times based on providers "going live." You must reside within a reasonable commute to be eligible for this position.
This is not a virtual position. Primary Responsibilities: Accountable for successful deployment of UHC’s Clinical Support program at the practice level, including but not limited to, introducing and educating practices on the value/use of reporting tools and delivery of reports via UHC’s Physician Portal Supporting the practice in ensuring accurate attribution and provider rosters Understanding and providing performance and clinical reporting, provide assistance with HIT, EMR, disease registries and other technology Using results of practice readiness assessments and other collected information, design practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestones Monitor and review the progress of the practice in milestone achievement and insure the practice is accountability for successful completion Regularly facilitate efficient, effective practice improvement meetings with the practice to monitor, present, and discuss progress on the transformation action plan and achievement in milestones Consults and partners with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomes Consults with and guides the practice on developing innovative solutions, including bringing best practice experience and connecting practices with other high performing practices to spur innovation Helps practice meet and exceed expectations / milestones for achieving success Monitors monthly and quarterly performance reports of assigned practices Analyzes key cost, utilization and quality data and interprets results to assess the performance of the practice Based from performance analysis, develops strategies for improvement that includes specific outcomes and metrics to monitor progress to a goal; provides feedback and makes recommendations for improvement Work with the practice and Optum to align and integrate Optum care/disease management programs and population health services to augment the practice’s capabilities, support their care management efforts and add value to the patient care experience Serve as a single point of contact to assigned practices for program and operational issues Establish and maintain a supportive, collegial role with assigned practices Build and effectively maintain relationships with team members in the UHC Clinical organization as well Medical Directors, local Network leads, Health Care Economic Analysts and Clinical Analysts in support of the program Assist and support department leaders in summarizing and disseminating experience - related learning's by way of team updates, written reports / articles, and / or presentations as called for by directors Required Qualifications: Bachelor's Degree Demonstrated experience in analyzing health care practice performance data and identifying opportunities for improvement 5+ years of experience in at least one of the following: quality improvement, practice management, medical management, health care analytics, managed care contracting OR experience in a primary care or multi-specialty practice that has successfully implemented PCMH or ACO programs for quality improvement initiatives Experience working with and collaborating successfully with senior level leadership Strong Microsoft Office Skills Must have access to high speed internet for home office set up Preferred Qualifications: Master's Degree Active, unrestricted RN license in the State of Residence Demonstrated experience implementing Clinical Practice Transformation initiatives designed to help provider or hospital groups achieve large-scale health transformation goals Experience preparing and presenting information to clinical and executive level leadership Clinical process improvement experience Clinical quality improvement experience Population Health (PCMH) experience Ambulatory Care experience Careers with UnitedHealthcare.
Let's talk about opportunity.
Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution.
Now, add your energy, your passion for excellence, your near-obsession with driving change for the better.
Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe.
We bring them the resources of an industry leader and a commitment to improve their lives that's second to none.
This is no small opportunity.
It's where you can do your life's best work.(sm) 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. Job Keywords: RN, registered nurse, ACO, PCMH, provider relations, clinical practice transformation, implementation, quality improvement, performance improvement, health care analytics, managed care, healthcare, Austin, San Antonio, TX, Texas 735f5549-2bc4-4c5f-987c-b67db9494023
Senior Clinical Practice Consultant - Austin, San Antonio, TX Texas-Austin 677828