26 days old

Clinical Practice Performance Manager - Telecommuter Traveler for Cleveland, OH - 897100

Cleveland, OH 44114 Work Remotely
  • Job Code
    897100

Combine two of the fastest-growing fields on the planet with a"culture of performance, collaboration and opportunity and this is what you get."Leading edge technology in an industry that's improving the lives of millions."Here, innovation isn't about another gadget, it's about making health care data"available wherever and whenever people need it, safely and reliably. There's no"room for error. Join us and start doing your life's best work.(sm)

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The Practice"Performance Manager is responsible for program implementation and provider"performance management which is tracked by designated provider metrics,"inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work"directly with care providers to build relationships, ensure effective education"and reporting, proactively identify performance improvement opportunities"through analysis and discussion with subject matter experts; and influence"provider behavior to achieve needed results."Functioning independently, travel across assigned territory to meet with"providers to discuss UHG tools and programs focused on improving the quality of"care for Medicare Advantage Members. Positions"in this function drive clinical relationships and engagement with physician"practices, members, and pharmacies while partnering internally (with areas such"as Network contract ACO managers, Health Care Economics and Analytics, Medical"Directors, Reporting, Health Plan market leaders) with a goal of improving"health, well-being, quality and practice performance while reducing medical"costs. Positions are accountable for the full range of clinical practice"performance which may include but is not limited to improvement on HEDIS and"STARs gap closure, coding accuracy, facilitating effective education and"reporting, effective super utilizer engagement (e.g., members with complex"and/or chronic conditions), and proactively identifying performance improvement"opportunities through the use of data analytics, technology, workflow changes"and clinical support. These roles develop comprehensive, provider-specific"plans to increase their physician practice performance, reduce readmissions and"improve their outcomes.
"- Generally work is self-directed and not prescribed.
"- Works with less structured, more complex issues.
"- Serves as a resource to others.
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If you are located in the Cleveland, OH area, you"will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:"

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  • Includes up to 75% local travel
  • Functioning independently, travel across"assigned territory to meet with providers to discuss UHG tools and programs"focused on improving the quality of care for Medicare Advantage Members
  • Execute applicable provider incentive"programs for health plan
  • Establish positive, long-term, consultative"relationships with physicians, medical groups, IPAs and ACOs
  • Develop comprehensive, provider-specific"plans to increase their HEDIS performance and improve their outcomes
  • Provide strategic recommendations/training/coaching"to provider groups on program implementation and barrier resolution
  • Act as lead to pull necessary internal"resources together in order to provide appropriate, effective provider"education, coaching and consultation. Training will include Stars measures"(HEDIS/CAHPS/HOS/med adherence), and Optum program administration, use of plan"tools, reports and systems
  • Coordinate and lead Stars-specific JOC"meetings with provider groups with regular frequency to drive continual process"improvement and achieve goals
  • Provide reporting to health plan leadership"on progress of overall performance, gap closure, and use of virtual admin resource
  • Facilitate/lead monthly or quarterly meetings,"as required by plan leader, including report and material preparation
  • Provide suggestions and feedback to Optum and"health plan
  • Work collaboratively with health plan market"leads to make providers aware of Plan-sponsored initiatives designed to assist"and empower members in closing gaps
  • Participate within department campaigns to"improve overall quality improvements within measure star ratings or contracts
  • Work internally with leadership on ad-hoc"projects, initiatives, and sprints to address measure star ratings and increase"overall measure performance
  • Create strategy and action plans for targeted"provider groups to increase healthcare delivery, star ratings, and maximize on"gap closures
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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:
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  • Ability to"accommodate up to 75% local travel
  • 1+ year of"experience in the Medicare market
  • 1+ years' experience"in clinical standards of care, preventive health, and Stars measures
  • Strong knowledge of"electronic medical record systems
  • HEDIS knowledge
  • Experience in"managed care working with network and provider relations/contracting
  • Strong financial"analytical background within Medicare Advantage plans (Risk Adjustment/STARS"Calculation models)
  • Exceptional"analytical and data representation expertise
  • Microsoft Office"specialist: Advanced Excel, Outlook, and"PowerPoint skills
  • If you need to"enter a work site for any reason, you will be required to screen for symptoms"using the ProtectWell mobile app, Interactive Voice Response (i.e., entering"your symptoms via phone system) or similar UnitedHealth Group-approved symptom"screener. When in a UnitedHealth Group building, employees are required to wear"a mask in common areas. In addition, employees must comply with any state and"local masking orders
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Preferred Qualifications:
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  • Undergraduate degree
  • Consulting"experience
  • Medical/clinical"background
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Careers with Optum. Here's the idea. We built an entire"organization around one giant objective; make health care work better for"everyone. So when it comes to how we use the world's large accumulation of"health-related information, or guide health and lifestyle choices or manage"pharmacy benefits for millions, our first goal is to leap beyond the status quo"and uncover new ways to serve. Optum, part of the UnitedHealth Group family of"businesses, brings together some of the greatest minds and most advanced ideas"on where health care has to go in order to reach its fullest potential. For"you, that means working on high performance teams against sophisticated"challenges that matter. Optum, incredible ideas in one incredible company and a"singular opportunity to do your life's best work.(sm)

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*All Telecommuters will be required to adhere to"UnitedHealth Group's Telecommuter Policy

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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.

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UnitedHealth Group"is a drug-free workplace. Candidates are required to pass a drug test before"beginning employment.

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Job Keywords:"Clinical, Consultant, Manager, HEDIS, STAR, Cleveland, OH, Ohio, Telecommute

Categories

Posted: 2020-11-05 Expires: 2020-12-25

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Clinical Practice Performance Manager - Telecommuter Traveler for Cleveland, OH - 897100

UnitedHealth Group
Cleveland, OH 44114

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