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Senior Clinical Transformation Consultant ACO

2 months ago

Spokane, United States UnitedHealth Group Full time

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. Considering making an application for this job Check all the details in this job description, and then click on Apply. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The Senior Clinical Transformation Consultant (Senior CTC) is responsible for the ongoing clinical management of physician practices participating in UnitedHealthcare’s (UHC) Accountable Care Organizations (ACO), Value Based Programs, Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The Senior CTC will lead multi-disciplined practice transformation and practice performance improvement initiatives. The selected candidate will guide practices in achieving targeted goals that include improved quality, efficiency and utilization. The Senior CTC is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.The Senior CTC reports directly to the Regional Director. The Senior CTC will act as a mentor to other Transformation Consultants on the team. As the single clinical point of contact for a practice, the Senior CTC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within UnitedHealthcare and at the practice.If you are located in Oregon or Washington, you will have the flexibility to work remotely * as you take on some tough challenges.Primary Responsibilities: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 PortalBuild and effectively maintain relationship with the practice leadership and key clinical influencers actively involved in practice transformationRegularly facilitate efficient, effective practice improvement meetings with the practice to monitor, present, and discuss progress on the transformation action plan and achievement in milestonesDevelop strategies; based on performance analysis, for improvement that includes specific outcomes and metrics to monitor progress to a goal and make recommendations for improvementDesign practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestonesMonitor and review the progress of the practice in milestone achievement and ensure the practice is accountable for successful completionUse data to analyze key cost, utilization and quality data and interpret results to assess the performance of the practiceUse 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 dataAssist 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 goalsEducate & Deploy technology tools to support Practice TransformationIntegrate technology tools into practice workflowsBuild 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 programConsult and partners with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomesCollaborate 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 hospitalsConsult and guide the practice on developing innovative solutions, including bringing best practice experience and connecting practices with other high performing practices to spur innovationWork 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 experienceAssist 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 directorsYou’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: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 Organizations2+ years of experience interpreting and utilizing clinical data analytics, outcomes measurement in healthcare and use of that data to drive changeExperience working with and collaborating successfully with senior level leadershipDemonstrated experience leading groups and solid presentation skillsSolid Microsoft Office Skills with Word, Excel (Intermediate +), Outlook and PowerPointProven solid Relationship building skills with internal and practice teams to drive goal alignmentAccess to high speed internet for home office set upWillingness to travel between 25% for face to face meetings 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)Preferred Qualifications:Active, unrestricted RN or LPN licensure in the State of ResidenceMedicare Advantage experienceMedicaid experienceCommercial experiencePopulation health management experience within an ambulatory settingDemonstrated experience implementing Clinical Practice Transformation initiatives designed to help provider or hospital groups achieve large-scale health transformation goalsExperience preparing and presenting information to clinical and executive level leadershipPhysician practice experienceSales experience (Business to Business or Business to Consumer)Knowledge and/or experience with HEDIS measuresKnowledge and/or experience with risk adjustmentsKnowledge and/or experience with STARS *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyWashington 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.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.Brand: UHC Clinical ServicesJob ID: 2230230Employment Type: Full-timeJob Area: ClinicalPosted Date: 06/06/2024 Remote working/work at home options are available for this role.