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Sr Clinical Excellence Performance Consultant

3 months ago

Eden Prairie, United States Optum Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Senior Consultant of Clinical Risk Strategy is at the forefront of healthcare transformation. This position is responsible for creating and operationalizing strategic efforts to support all facets of value-based care across the enterprise. The individual will collaborate with market educators, operators, and clinicians across Optum Health to improve collaboration, drive clinical performance improvement, and documentation and coding accuracy.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Schedule: Monday through Friday from 8:00 AM - 5:00 PM within your local time zone

Primary Responsibilities:

  • Work independently on complex, significant strategic and operational assignments
  • Provide strategic vision around national approach to delivery of value-based care education
  • Develop and operationalize national clinical programs to support Optum Health
  • Collaborate with other strategy leaders to ensure clinical risk related content and messaging is aligned, compliant, and accurate across the organization
  • Recommend process improvements
  • Assess program effectiveness (including education), gather performance metrics, and develop targeted solutions to improve outcomes
  • Lead multiple programs and projects simultaneously, ensuring timely completion of deliverables
  • Presentations to senior leadership
  • Build relationships and collaborates with vendors and internal subject matter experts

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:

  • Advanced clinical degree with active/unrestricted MD/DO or NP/PA license
  • 5+ years of clinical experience 3+ years in risk adjustment experience
  • Subject matter expert in documentation and coding related in CMS guidance in risk adjustment
  • Knowledge of CMS value-based programs, HEDIS, and STARS requirements
  • Proven excellent verbal, written communication, presentation, and facilitation skills
  • Proven solid collaborative, relationship building, and trust building skills
  • Proven solid transformational and change management skills
  • Proven advanced skills required with multi-training delivery methods (MS Powerpoint, Teams, Word, etc.)
  • Proven ability to bring large groups together, creating innovative efficiencies
  • Willing or ability to travel as needed up to 10% nationwide

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.