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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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