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Clinical Practice Consultant - Jacksonville or Tampa Florida

UnitedHealth Group

Tampa, FL
Job Code:
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Job Details

Clinical Practice Consultant - Jacksonville or Tampa Florida(Job Number:709285)

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 and help people live healthier lives.  This is the place to do your life's best work.(sm)
The Clinical Practice Consultant will position responsible for strategically developing clinically oriented provider and community based partnerships in order to increase quality scores based on state specific quality measures.  The incumbent will position responsible for ongoing management of provider practice and community education on state specific quality measures.  The position is responsible for direction and guidance on provider-focused, clinical quality improvement and management programs. The role assists contracted providers with analyzing member care, trending quality compliance at the provider level, and developing action plans and programs to support provider practices in continuous quality improvement using approved clinical practice guidelines, HEDIS, CMS, NCQA and other tools. Position reports to the Quality Leadership of the Health Plan.
*This is a home based position with visits to providers’ offices in the Tampa and Jacksonville Florida area*
Primary Responsibilities:
  • Visit providers’ offices to educate them on clinical measures
  • Provide providers with list of gaps in member services / screenings
  • Work directly with members to educate them about managing their healthcare
  • Perform chart reviews for HEDIS
  • Assist with performance improvement projects
  • Special projects as assigned

Job Clinical Quality Management
Primary Location US-FL-Tampa
Other Location US-FL-Jacksonville, US-FL-Miramar
Organization C&S Quality Management
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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