Practice Performance Consultant in Healthcare

2 weeks ago


Costa Mesa, California, United States Optum Full time
About Optum:
Optum is a worldwide organization dedicated to enhancing healthcare delivery through innovative technology, positively impacting the lives of millions. Our commitment to diversity and inclusion fosters a collaborative environment where talented individuals can thrive, offering extensive benefits and opportunities for professional growth.

Role Overview:
This position focuses on strengthening clinical relationships and engagement with healthcare providers and members. Collaborating with internal teams, including Network Contract Managers, Analytics, Medical Directors, and Health Plan leaders, the aim is to enhance practice performance.

Key Responsibilities:
1. Drive efficient office workflows and coordinate programs alongside Practice Relationship Managers (PRMs).
2. Conduct in-office assessments and provide guidance on developing actionable plans.
3. Maintain the office action plan in partnership with accountable teammates and stakeholders.
4. Facilitate regular meetings and engagement with the office in collaboration with IPA staff.
5. Provide training, system support, and education to enhance operational efficiency.
6. Address system challenges and escalate issues to Optum resources as needed.
7. Organize training sessions with Medical Directors to ensure comprehensive understanding.
8. Support quality and risk documentation through detailed chart reviews.
9. Plan and manage events to promote regional health initiatives.
10. Assist in workflows related to high-volume offices to ensure completeness and accuracy.

Collaboration with PRMs:
Support PRMs in generating pursuit lists and reinforce their messaging within the IPA office.

Qualifications:
- High School Diploma/GED or equivalent experience.
- Minimum age of 18 years.
- Experience in a healthcare setting, medical office, or insurance company.
- Proficiency in Microsoft Office Suite.
- Familiarity with medical terminology.
- Ability to travel up to 75% to local practitioners' offices.
- Must maintain a secure and private work environment.

Preferred Qualifications:
- Experience in Quality Performance or Risk Adjustment.
- Bilingual in Spanish or Vietnamese is a plus.

Compensation:
The hourly rate for this position is competitive and based on various factors, including local labor markets and individual qualifications. Optum offers a comprehensive benefits package, including incentives and retirement contributions, subject to eligibility requirements.

Commitment to Diversity:
Optum is an Equal Employment Opportunity/Affirmative Action employer, ensuring that all qualified applicants receive consideration 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.

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