Clinical Practice Performance Consultant Senior - Remote
Company: UnitedHealth Group
Location: Indianapolis
Posted on: June 25, 2022
Job Description:
You'll enjoy the flexibility to telecommute* from anywhere
within the U.S. as you take on some tough challenges. This position
has responsibilities for Quality Performance Improvement and Market
activities for Optum at Home across multiple geographies.
Collaborates with Leadership to review performance, develop key
strategy and initiatives to improve Star Outcomes, and supports
clinical programs in each region to drive quality clinical
outcomes. The Clinical Practice Performance Consultant Senior
provides strategic direction, leadership and oversight for
performance. This role is responsible for planning, organizing, and
directing the administration of all Quality Programs / Strategies.
Provides leadership to and is accountable for the performance and
direction through multiple layers of management and senior level
professional staff. Responsible for coordinating with appropriate
personnel to develop and meet operational goals, ensures compliance
with state / federal health plan requirements, Medicare guidelines,
NCQA and health plan requirements. Provides long - term planning
and oversight to ensure activities are appropriately integrated
into strategic direction and operations, as well as the mission and
values of the company. This position is full - time. Employees are
required to work our normal business hours of 8:00 AM - 5:00 PM.
-Training will be conducted virtually from your home. *All
Telecommuters will be required to adhere to UnitedHealth Group's
Telecommuter Policy. Primary Responsibilities:
- Responsible for analyzing data and determining outcomes for new
Optum at Home markets
- Provides leadership and support in establishing and directing
the Stars Program for specific regions within Optum at Home
- Develops and prepares for monthly leadership, JOC, and market
level meetings to discuss Star performance and review opportunities
for improvement
- Collaborates with the market executives to execute the
implementation of the Star initiatives -
- Provides expertise to the market on Star measures and tools
that support collection of and communication about HEDIS / STARS to
the Optum at Home markets
- Working in collaboration with the Clinical Training team to
develop required educational materials and / or support for
increased Star acumen.
- Develops HEDIS / STAR member and provider engagement
strategies
- Works with the Star Analytics team to develop needed reporting
to fully develop the strategic direction of the market
- Facilitates, integrates, and / or coordinates the
implementation and evaluation of identified quality improvement /
HEDIS / STAR activities as requested by market and/or clinical
leadership
- Promotes understanding, communication and coordination of all
quality initiatives
- Coordinates reporting on quality initiatives to all appropriate
markets and leaders
- Participates in various teams, committees and meetings at any
level required to maintain business necessity
- Maintains Star program documents, reports, and meeting minutes
and follows all internal privacy and confidentiality policies and
procedures
- Leads the coordination and completion of projects with cross -
functional teams and senior leaders across medical/nursing /
clinical functional areas to achieve targeted clinical strategic
performance goals 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 (or higher)
- 5+ years of experience in Quality operations with Clinical and
/ OR Operational background in Medicare Advantage
- 3+ years of Star Rating program management experience
- Experience with developing strong strategic initiatives to
drive clinical performance
- Experience with developing training materials for clinical
teams
- Ability to travel up to 25% of the time
- Ability to work any 8-hour shift between the hours of 8:00 AM -
5:00 PM
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation Preferred
Qualifications:
- HEDIS MRR background
- Project Management experience Telecommuting Requirements:
- Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy
- Ability to keep all company sensitive documents secure (if
applicable)
- Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet service Soft Skills:
- Ability to collaborated with high level executive and strong
executive presence and ability to present to large groups
UnitedHealth Group requires all new hires and employees to report
their COVID-19 vaccination status. Military & Veterans find your
next mission: We know your background and experience is different
and we like that. UnitedHealth Group values the skills, experience
and dedication that serving in the military demands. In fact, many
of the values defined in the service mirror what the UnitedHealth
Group culture holds true: Integrity, Compassion, Relationships,
Innovation and Performance. Whether you are looking to transition
from active duty to a civilian career, or are an experienced
veteran or spouse, we want to help guide your career journey. Learn
more at Learn how Teresa, a Senior Quality Analyst, -works with
-military veterans and ensures they receive the best benefits and
experience possible. - Careers with Optum. Here's the idea. We
built an entire organization around one giant objective; make the
health system 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 Colorado, Connecticut or
Nevada Residents Only: The salary range for Colorado residents is
$82,100 - $146,900. The salary range for Connecticut / Nevada
residents is $90,500 - $161,600. Pay is based on several factors
including but not limited to education, work experience,
certifications, etc. In addition to your salary, UnitedHealth Group
offers 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
UnitedHealth Group, you'll find a far-reaching choice of benefits
and incentives 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. Keywords: #RPO, #YELLOW
Keywords: UnitedHealth Group, Indianapolis , Clinical Practice Performance Consultant Senior - Remote, Professions , Indianapolis, Indiana
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