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Clinical Transformation Consultant - Overland Park, Kansas

UnitedHealth Group

Overland Park, KS
Job Code:
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Job Details

Clinical Transformation Consultant - Overland Park, Kansas(Job Number:689232)

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 Accountable Care Practice Transformation Consultant works directly with leadership of assigned hospitals and physician practices in each Community, supporting practice transformation from a reactive model of patient care to a proactive Accountable Care, analyzing population data to effectively measure, monitor and manage care of patients and present results and outcomes to executive leadership.


The Practice Transformation Consultant is responsible for supporting assigned Practice clinical teams in implementing the UnitedHealthcare Accountable Care Communities / Medicaid ACO program.


Primary Responsibilities:

  • Improve access to care - use practice level population data to analyze overall capacity/demand for appointments and visit patterns by clinic & overall and assist the Practice leadership to implement process improvements to reach mutual goals and improve patient access

  • Reduce inappropriate ER use - use hospital ADT and daily ER data to analyze trends and work with all Community stakeholders to agree on and implement proactive strategies to address issues, and measure impact using a PDSA rapid cycle improvement approach

  • Reduce avoidable admissions and readmissions - support practices in the effective use of the UHC Transitions and Accountable Care Population Registry to track and manage care transitions of all discharges and ensure follow up with PCP or Specialist within 7 days, helping practice teams engage and coordinate with UnitedHealthcare clinical and hospital teams.  Measure and monitor success of outreach and develop strategies to simplify processes and ensure optimal care for patients

  • Improve care of high risk patients - complete predictive modeling analysis of practice population risk and assist practices in identifying cohorts of high risk/health home patients for focused improvement initiatives. Collaboratively establish with practice clinical leadership measurable goals for each cohort to increase access, address current care opportunities and reduce adverse events.  Analyze and report measurable progress against goals at monthly JOC meetings with practices and hospitals

  • Collaborate with UnitedHealthcare teams including the practice Care Coordinators, quality management teams, hospital clinical teams, behavioral health teams to support integrated PCP driven care for our members with practices and hospitals

  • Support practice in implementing process improvements to assist the practice in becoming a certified Patient Centered Medical Home (PCMH), if desired by practice leaders

  • Assist practices in creating work flows to optimize care delivery, introduce best practices improvements, and evaluate outcomes using rapid cycle improvements PDSA methods.  Meet with practice staff at least weekly, to facilitate progress and address barriers

  • Prepare and present progress against goals monthly at on site JOCs with UnitedHealthcare / Practice / Hospital executive teams

Job Clinical Program Management
Primary Location US-KS-Overland Park
Other Location 
Organization Population Health Management
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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