Friday , February 3 2023

United Healthcare Jobs – Clinical Practice Consultant

Website United HealthCare

Job Description:

  • This position is responsible for strategically developing and managing clinically oriented provider and community-based partnerships in order to meet requirements of the Advanced Medical Home (AMH) program based on state specific guidelines. This role will be responsible for monitoring and providing ongoing oversight of the: AMH Tier 3 program requirements of provider practices and AMH quality improvement support activities with all AMH providers. This role will work in concert with the Local Health Department (LHD) Clinical Practice Consultants.
  • The Clinical Practice Consultant will work closely with the Health Plan Clinical Leadership to coordinate an interdisciplinary approach to increase provider and program performance. This position will guide practices in achieving AMH quality improvement support activities and AMH Tier 3 program requirements through: oversight, performance monitoring and support; relationship management & engagement; education; and quality improvement. This position is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting AMH program expectations outlined by the state. Position reports to the AMH Transformation Director.

Job Responsibilities:

  • Cross-collaborate on any identified or ongoing practice needs that require the involvement of a subject matter expert
  • Facilitates and participates in multi-disciplinary Joint Operational Committee meetings with external care management partners
  • Serve as liaison and clinical resource using proven interpersonal and collaboration skills to foster relationships and maintain communication with multiple disciplines (e.g. Clinically Integrated Networks (CINs), internal UHC teams, external stakeholders, and other partners as appropriate)
  • Consult and partner with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomes
  • Provide ongoing support and develop recommended actions and best practices to assist the practice in achieving contractual requirements
  • Regularly facilitate efficient, effective meetings with the practice to monitor, present, and discuss progress towards program requirements
  • Build and effectively maintain relationships with the practice leadership and key clinical influencers actively involved in practice transformation through strategic partnerships
  • Drives execution of clinical practice transformation by overseeing timely and successful deployment of AMH program
  • Provide oversight and performance evaluation through continuous monitoring and analysis of AMH Program and Quality Program requirements and development of strategies based on performance analysis
  • Utilize monitoring, trending and performance improvement strategies to review progress of AMH providers, including specific Tier 3 requirements as defined by the
  • State, and ensure the practice is accountable for successful implementation

Job Requirements:

  • Intermediate experience in software applications skills that include, Microsoft Word, Excel, PowerPoint
  • Comfortable with creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners,
  • engaging different types of learners in various settings (e.g. practice offices, CIN/other partner offices, community settings
  • This role requires travel to locally up to 75% of the time and may require travel up to 2 hours away from your residence on occasion
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering
  • your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear
  • a mask in common areas. In addition, employees must comply with any state and local masking orders

Qualification & Experience:

  • Bachelor’s Degree in healthcare related field or business combined with two years of equivalent work experience
  • 5+ years clinical experience working with primary care practices, providing provider and liason support
  • 3+ years experience working with population health, patient centered medical homes (PCMH) and/or practice transformation efforts
  • 2+ years of quality improvement experience with responsibilities in the following areas rapid cycle change, data analysis and interpretation, systems analysis, graphical display of data/information, public speaking, group leadership and facilitation, and demonstrated problem solving and critical thinking skills
  • 2+ years of experience working in Medicaid and/or Medicare or the managed care industry
  • Experience in Health care and/or insurance industry experience, including regulatory and compliance

Job Details:

Company: United HealthCare

Vacancy Type:  Full Time

Job Functions: Research

Job Location: Greensboro, NC, US

Application Deadline: N/A

Apply Here