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Healthcare Market Advocate - Denver, CO

UnitedHealth Group

Englewood, CO
Job Code:
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Job Details

Healthcare Market Advocate - Denver, CO(Job Number:712620)

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

OptumInsight is searching for a motivated, skilled Healthcare Advocate to join our team. As a member of the Payer & Government Health Management Solutions team within OptumInsight, you will consult with physicians throughout a predetermined set of Provider Groups in State of CO. This specific position will be assigned to the metro Denver area.

Primary Responsibilities: 

  • Functioning independently, travel throughout a defined territory in the state of CO to meet with medical groups and providers to discuss OptumInsight tools and programs focused on improving the quality of care for Medicare Advantage
  • Utilizing data analysis, identify and target medical groups, providers and staff who will benefit from our Medicare Risk Adjustment training and documentation / coding resources
  • Utilizing data analysis and consulting skills, identify deficiencies in physician encounter submission processes and develop comprehensive, provider - specific plans to increase encounter submission rates and accuracy resulting in improved outcomes and RAF performance
  • Educate providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status
  • Reach out to physicians, medical groups, IPAs and hospitals, to build positive, long-term, consultative relationships
  • Develop comprehensive, Group and Provider specific work plans to increase their RAF performance and Quality Programs to ensure members are being seen, receiving preventative care and screenings for chronic conditions
  • Train providers on our Clinical Initiatives and Risk Adjustment programs and tools, and work toward the adoption of these programs in to their practices
  • Collaborate with medical groups, doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Quality and Risk Adjustment education efforts
  • Individual will maintain an office in the home, and will travel regularly to provider offices 


Job Network Program Mgmt
Primary Location US-CO-Englewood
Other Location US-CO-Denver
Organization RQNS Ops
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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