Practice Performance Manager

Provider Performance ManagementOptum 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.This role is responsible for 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, and to proactively identify performance improvement opportunities through analysis and discussion with subject matter experts. This position does not entail any direct member care nor does any case management occur (with the exception of participating in health fairs and/or health screenings where member contact could occur). You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.Primary ResponsibilitiesProgram implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracyWork 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 resultsFunctioning 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 MembersExecute applicable provider incentive programs for health planEstablish positive, long-term, consultative relationships with physicians, medical groups, IPAs and ACOsDevelop comprehensive, provider-specific plans to increase their HEDIS performance and improve their outcomesProvide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolutionAct as lead to pull necessary internal resources together in order to provide appropriate, effective provider education, coaching and consultationCoordinate and lead Stars-specific JOC meetings with provider groups with regular frequency to drive continual process improvement and achieve goalsProvide reporting to health plan leadership on progress of overall performance, gap closure, and use of virtual administrative resourceFacilitate/lead monthly or quarterly meetings, as required by plan leader, including report and material preparationProvide suggestions and feedback to Optum and health planWork collaboratively with health plan market leads to make providers aware of Plan-sponsored initiatives designed to assist and empower members in closing gapsParticipate within department campaigns to improve overall quality improvements within measure star ratings or contractsWork internally with leadership on adhoc projects, initiatives, and sprints to address measure star ratings and increase overall measure performanceCreate strategy and action plans for targeted provider groups to increase healthcare delivery, star ratings, and maximize on gap closuresWeekly commitment of 60% travel for business meetings (including client/health plan partners and provider meetings) and 40% remote workRequired Qualifications5+ years of healthcare industry experience3+ years of experience working for a health plan and/or for a provider's office1+ years of STARs experienceSolid communication and presentation skillsSolid relationship building skills with clinical and non-clinical personnelMicrosoft Office Suite skills: Outlook, PowerPoint and advanced Excel skillsWeekly commitment of 80% travel for business meetings (including client/health plan partners and provider meetings) and 20% remote workDriver's license and access to reliable transportationPreferred QualificationsConsulting experienceExperience in managed care working with network and provider relations/contractingMedical/clinical backgroundSolid knowledge of electronic medical record systemsSolid knowledge of the Medicare marketExceptional analytical and data representation expertiseKnowledge base of clinical standards of care, preventive health, and Stars measuresSolid problem-solving skillsSolid financial analytical background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models)Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.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 deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.