Sr. Clinical Transformation Consultant - Telecommute in New England Region
Company: UnitedHealth Group
Location: Hartford
Posted on: May 12, 2022
Job Description:
UnitedHealthcare is a company that's on the rise. We're
expanding in multiple directions, across borders and, most of all,
in the way we think. Here, innovation isn't about another gadget,
it's about transforming the health care industry. Ready to make a
difference? Make yourself at home with us and start doing -your
life's best work.(sm)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 mgrs, 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.If you are located in the New England Region, -you
will have the flexibility to telecommute* as you take on some tough
challenges. -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, patient registries and delivery of reports via UHC's
Physician Portal
- Build and effectively maintain relationship with the practice
leadership and key clinical influencers actively involved in
practice transformation
- 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
- Develop strategies; based on performance analysis, for
improvement that includes specific outcomes and metrics to monitor
progress to a goal and make recommendations for improvement
- 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 accountable for successful
completion
- Use data to analyze key cost, utilization and quality data and
interpret results to assess the performance of the practice
- Use data to analyze trends and work with stakeholders to agree
on and implement proactive strategies to address issues, and
measure impact using a PDSA rapid cycle improvement approach;
including external practice data
- Assist practices in creating work flows to optimize care
delivery, introduce best practices improvements, and evaluate
outcomes using rapid cycle improvements PDSA methods to reach
mutual goals
- Educate & deploy technology tools to support Practice
-Transformation
- Integrate technology tools into practice workflows
- 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
- Consult and partners with internal UHC matrix partners and the
practice to identify organizational and structural challenges
hindering achievement of desired program outcomes
- Collaborate with UnitedHealthcare teams including the practice
Care Coordinators, quality management teams, hospital clinical
teams, behavioral health teams to support integrated PCP driven
care for our members with practices and hospitals
- Consult and guide the practice on developing innovative
solutions, including bringing best practice experience and
connecting practices with other high performing practices to spur
innovation
- 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
- 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
- Reviews the work of others
- Develops innovative approaches
- Sought out as expert
- Serves as a leader/ mentorYou'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 equivalent relevant experience -
- 5+ years of combined experience with improving clinical
quality, health care analytics, or driving clinical transformation
initiatives with population health programs, Patient Center Medical
Homes or in Accountable Care Organizations
- Experience in interpreting and utilizing clinical data
analytics, outcomes measurement in healthcare and use of that data
to drive change
- Experience working with and collaborating successfully with
senior level leadership
- Experience leading groups and strong presentation skills
- Excellent Microsoft Office Skills with Word, Excel, Outlook and
PowerPoint
- Experience with the Medicare Line of Business
- Value Based Care experience
- Access to high speed internet for home office set up
- Willingness to travel up to 50% for face to face meetings
throughout the New England Region
- Access to reliable transportation that will enable you to
travel to client and/or patient sites within a designated area
(markets may require valid driver's license)
- Full COVID-19 vaccination is an essential requirement 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 compliancePreferred Qualifications: -
- Master's Degree -
- Active, unrestricted RN license in the State of Residence
- Physician practice experience
- CRC or In the process of completing CRC; with 1+ years of
coding experience
- Demonstrated experience implementing Clinical Practice -
- Experience preparing and presenting information to clinical and
executive level leadershipTransformation initiatives designed to
help provider or hospital groups achieve large-scale health
transformation goals
- Excellent relationship building skills with internal and
practice teams to drive goal alignmentTo protect the health and
safety of our workforce, patients and communities we serve,
UnitedHealth Group and its affiliate companies require all
employees to disclose COVID-19 vaccination status prior to
beginning employment. In addition, some roles and locations require
full COVID-19 vaccination, including boosters, as an essential job
function. UnitedHealth Group adheres to all federal, state and
local COVID-19 vaccination regulations as well as all client
COVID-19 vaccination requirements and will obtain the necessary
information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment.Careers with
UnitedHealthcare. -Let's talk about opportunity. Start with a
Fortune 5 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)*All Telecommuters will
be required to adhere to UnitedHealth Group's Telecommuter
Policy.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: UnitedHealth Group, Hartford , Sr. Clinical Transformation Consultant - Telecommute in New England Region, Professions , Hartford, Connecticut
Didn't find what you're looking for? Search again!
Loading more jobs...