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Clinical Practice Consultant - Sarasota, FL

UnitedHealth Group

Sarasota, FL
Job Code:
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Job Details

Clinical Practice Consultant - Sarasota, FL(Job Number:705317)

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 while doing your life's best work.(sm)


The Clinical Practice Consultant (CPC) is responsible for ongoing management of practices participating in UnitedHealthcare’s Value Based Programs such as Accountable Care Organizations (ACO), Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The CPC will work closely with our Sr. CPCs to facilitate multi-disciplined practice transformation and practice performance improvement initiatives. He/she will assist practices in achieving targeted goals that include improved quality, efficiency and utilization. The CPC is responsible for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.

Primary Responsibilities:

  • Assist in successful deployment of program at the practice level, including, attribution, membership rosters and performance and clinical reporting
  • Introduces and educates practice on the value/use of reporting tools and delivery of reports via online portal; provides assistance with HIT, EMR, disease registries and other technology
  • Using results of practice readiness assessment, designs practice transformation plan and implements appropriate training modules designed to assist practice in achieving contractually required transformation milestones
  • Consults with and guides practice on developing innovative solutions to practice organization and structural challenges in order to achieve desired program outcomes. Brings best practice experience and connects practices with other high performing practices to spur innovation. Helps practice meet and exceed expectations/milestones for achieving success
  • Monitors monthly and quarterly performance of assigned practices. Analyzes key cost, utilization and quality data and interprets results to assess the performance of the practice; identifies strategies for improvement to include specific outcomes and metrics to monitor progress to a goal; provides feedback and makes recommendations for improvement
  • Reviews Clinical Action report results to guide practice in identifying care management opportunities and adjust processes to prioritize interventions to achieve clinical and cost outcomes
  • Meets regularly with assigned practices to review available practice reports, present practice performance synopsis and identify opportunities for improvement
    Utilizing the results of the practice performance analysis and input from the practice, develop/update performance improvement action plans; monitor practice efforts to address performance and care management opportunities
  • Works with the practice and Optum to align and integrate Optum care/disease management programs and population health services to augment the practice’s capabilities, support their care management efforts and add value to the patient care experience
  • Serves as a single point of contact to practices for program and operational issues
  • Establish and maintain a supportive, collegial role with assigned PCMH practices
  • Facilitate efficient, effective practice improvement meetings
  • Maintain databases directly associated with role
  • Effectively collaborate with team members in the Clinical organization as well Medical Directors, local Network leads, HCE Analysts and Clinical Analysts in support of the program
  • Assist and support leaders in summarizing and disseminating experience-related learning by way of team updates, written reports/articles, and/or presentations as called for by directors

Job Clinical Program Management
Primary Location US-FL-Sarasota
Other Location 
Organization Population Health 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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