Clinical Practice Performance Consultant - Dallas/Ft Worth, TX Markets

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Practice Performance Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. ***For consideration, you must reside within a commutable distance of Dallas/Ft Worth, TX as this is a field based role*** If you are located in Dallas/Ft Worth, TX, you will have the flexibility to work remotely*, as well as work in the field as you take on some tough challenges.

The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to achieve needed results Functioning independently, travel across assigned territory to meet with providers to discuss UHG tools and programs focused on improving the quality of care for Medicare Advantage Members Execute applicable provider incentive programs for health plan Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and ACOs Develop comprehensive, provider-specific plans to increase their HEDIS performance and improve their outcomes Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution Act as lead to pull necessary internal resources together in order to provide appropriate, effective provider education, coaching and consultation. Training will include Stars measures (HEDIS/CAHPS/HOS/med adherence), and Optum program administration, use of plan tools, reports and systems Coordinate and lead Stars-specific JOC meetings with provider groups with regular frequency to drive continual process improvement and achieve goals Provide reporting to health plan leadership on progress of overall performance, gap closure, and use of virtual administrative resource Facilitate/lead monthly or quarterly meetings, as required by plan leader, including report and material preparation Provide suggestions and feedback to Optum and health plan Work collaboratively with health plan market leads to make providers aware of Plan-sponsored initiatives designed to assist and empower members in closing gaps Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts Work internally with leadership on adhoc projects, initiatives, and sprints to address measure star ratings and increase overall measure performance Create strategy and action plans for targeted provider groups to increase healthcare delivery, star ratings, and maximize on gap closures Includes up to 75% local travel 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.

5+ years of healthcare industry experience 3+ years of experience working for a health plan and/or for a provider's office 1+ years of STARs experience Solid knowledge of electronic medical record systems Solid knowledge of the Medicare market Knowledge base of clinical standards of care, preventive health, and Stars measures Experience in managed care working with network and provider relations/contracting Solid financial analytical background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models) Microsoft