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Optum Clinical Practice Performance Specialist

2 months ago

Earth City, Missouri, United States Optum Full time
About the Role

At Optum, we're dedicated to delivering care and improving health outcomes for millions of people around the world. As a Clinical Practice Performance Coordinator - Field Based, you'll play a critical role in driving clinical relationships and engagement with physician practices, members, and pharmacies. Your goal will be to improve health, well-being, quality, and practice performance while reducing medical costs.

Key Responsibilities
  • Develop and implement comprehensive, provider-specific plans to increase physician practice performance, reduce readmissions, and improve outcomes.
  • Collaborate with internal teams, including Network contract ACO managers, Health Care Economics and Analytics, Medical Directors, Reporting, and Health Plan market leaders, to drive clinical relationships and engagement.
  • Utilize data analytics, technology, workflow changes, and clinical support to identify performance improvement opportunities and drive results.
  • Facilitate effective education and reporting to improve clinical practice performance and reduce medical costs.
  • Proactively engage with members with complex and/or chronic conditions to improve health outcomes.
Requirements
  • High School Diploma / GED
  • Must be 18 years or older
  • 2+ years experience as a pharmacy technician
  • 2+ years of telephonic customer service experience
  • 1+ year of a healthcare background with medical terminology familiarity of clinical issues
  • 1+ year of working experience with ICD- 9/10 and CPT Codes
  • 1+ year of working experience with Microsoft Tools: Word
  • 1+ year of working experience with Microsoft Tools: Outlook
  • Ability to travel 60% of the time for business meetings and 40% remote work
  • Pharmacy Tech License
Preferred Qualifications
  • Experience working in a physician, provider, and/or medical office
  • Medical Assistant
  • LPN
  • EMR and HEDIS knowledge and experience
About Optum

At Optum, 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, regardless of their background or circumstances. We're committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

We're 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.