Field Based Clinical Practice Performance Coordinator

This position is Field Based and requires regular travel to various locations as part of your daily responsibilities.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. 

The Clinical Practice Performance Coordinator manages quality improvement initiatives under the supervision of team leadership using internal and external data extracted from multiple sources to create a plan to close quality gaps via contact with patients, providers, health care teams and clients. Interactive engagement with these stakeholders allows this role to assist the CIN Team in meeting all key performance indicators, plan based metrics and performance guarantees.

This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime. 

This will be paid on the job training and the hours during training will be during normal business hours of 8:00 am - 5:00 pm CST, Monday - Friday.  

Primary Responsibilities: 

• Primary role (75% of the time) is to work off internal and external daily reports from the CIN software, EMRs and/or plan specific sites to extract and identify gaps in care in order to meet plan based metrics and performance guarantees
• Visit specified clinics in person in order to review and close quality gaps in care, answer questions and provide training as needed
• Call patients, and/or providers of care who have current quality gaps in care. Ensure all conversations are accurately documented in the flow sheets
• Patient calls focus on gathering information about visits that may have already occurred with external providers, education about gap closures, and assist in scheduling required appointments for gap closure
• Provider calls focus on requesting records from an external provider that would close the quality measure (i.e. mammogram), as well as with any providers who can meet quality gaps within the PCP clinical setting (i.e. A1C testing)
• Prioritize patient-facing outreach on the contractual quality gaps in care by region and plan type
• Create actionable quality initiative gap closure plans and timelines to address gaps in care by plan with management guidance
• Demonstrate required goals of progression of quality gap closures by weekly reporting
• Report on gap closure plan metrics including successes and opportunities for improvement
• Validate patient reported gap closure metrics by requesting records
• Identify and share with leadership any team workflow process improvement opportunities to improve quality metrics
• Attend required meetings, participate in team activities and professional development activities 
• Treat all customers, internal and external, in a courteous and cooperative manner
• Perform other duties as assigned  

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 Diploma / GED 
• Must be 18 years of age OR older
• 1+ years of healthcare customer service experience  
• Experience working with EMR (electronic medical records)
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)
• Ability to travel up to 75% to provider offices, including both local travel and travel exceeding two hours based on business needs
• Valid driver's license and proof of insurance
• Reside within an hour from Dallas, TX
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to work full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime. 

Preferred Qualifications:

• Medical Assistant certification

Soft Skills:

• Demonstrated flexibility and results in a dynamic work environment 
• Solutions oriented problem solver with initiative towards process improvement
• Sound telephonic engagement and customer service skills
• Professional oral and written communication with both internal and external audiences, which may include leadership, colleagues and patients
• Ability to execute on quality initiatives and independently drive results in the health care space 
• Ability to work in a fast paced and dynamic team environment
• Ability to coordinate, prioritize and execute across multiples systems and platforms 

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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 - $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law 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, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

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