Practice Performance Consultant

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

Positions in this function drive clinical relationships and engagement with physician practices, members, and pharmacies while partnering internally (with areas such as Network contract ACO mgrs., Health Care Economics and Analytics, Medical Directors, Reporting, Health Plan market leaders) with a goal of improving health, well-being, quality, and practice performance while reducing medical costs.  Positions are accountable for the full range of clinical practice performance which may include but is not limited to improvement on HEDIS, Risk Adjustment and STARs gap closure, coding accuracy, facilitating effective education and reporting, effective super utilizer engagement (e.g., members with complex and/or chronic conditions), and proactively identifying performance improvement opportunities through the use of data analytics, technology, workflow changes and clinical support.  These roles develop comprehensive, provider-specific plans to increase their physician practice performance, reduce readmissions and improve their outcomes.

Primary Responsibilities: 

• Advance high volume office workflow and programmatic coordination in collaboration with the PRMs
• Complete in office assessment and advise on the development of supportive action plans
• Maintain the office action plan (in partnership with other accountable teammates and stakeholders)
• Host regular meetings / engagement cadence with office in collab with IPA staff
• Training / System Support / Education
• Coordinate with accountable teams for at the elbow training and system support (Cozeva, Datacore)
• Liaises on system challenges (Datacore, Cozeva, etc.) and escalates challenges to Optum resources – at the elbow
• Coordinate education sessions with medical directors to complete
• Clinical Support
• Chart dives to support quality and risk documentation
• Enter supplemental data on behalf of the office
• Determine quarterly event planning, coordination, and management for Saturday clinics and health fairs to support regional advancement of goals
• Support incomplete / amend / lookback workflows for high volume offices
• PRM Collaboration: Support PRMs in questions on pursuit list generation and reinforce PRM messages in the IPA office

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: 

• High school education or equivalent experience
• 1+ years of medical background or customer service
• Intermediate level of experience with Microsoft Suite
• Reliable transportation

Preferred Qualifications: 

• 2+ years of healthcare or corporate level
• Bilingual in Spanish or Cantonese or Mandarin

California Residents Only: The hourly range for this role is $19.47 to $38.08 per hour. 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. 

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment