Sign In
 [New User? Sign Up]
Mobile Version

Manager, Practice Performance Management - Augusta, GA

UnitedHealth Group

Augusta, GA
Job Code:
Apply on the Company Site
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

Manager, Practice Performance Management - Augusta, GA(Job Number:727799)

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 Manager, Medicare Practice Performance is responsible for provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, and to proactively identify performance improvement opportunities through analysis and discussion with subject matter experts.
This is a field based role with frequent on-site visits and meetings with providers, which includes up to 75% travel.
Primary Responsibilities:
  • Leadership and supervisory responsibility for multiple markets and Practice Performance Team (10 - 12 team members) located within those markets
  • Lead external relationships with targeted larger physician groups / Tier 1 provider accounts (multiple high volume Star providers with over 2,000 members). Drive Star performance and gap closure
  • Ensure providers understand incentive opportunities and receive ongoing feedback and report cards designed to motivate and optimize provider incentive payouts. Lead coordination of onsite training focusing on STARs measures. (HEDIS / CAHPS / HOS / med adherence), Optum Programs (HQPAF, Chart Audits)
  • Act as lead to pull necessary internal resources together including Advocates, Physician service, Clinical & Optum, M&R local leadership,  in order to provide appropriate level of provider education and consultation
  • Support larger regional and market team by sharing expertise and serving as a touch point/SME for contracting and account management questions. Act as coach, supervisor and mentor to regional provider consultants
  • Evaluate and provide feedback to improve performance of provider support personnel, inclusive of clinical and non-clinical personnel
  • Coordinate and lead JOC meetings with provider groups with regular frequency to drive continual process improvement to achieve above mentioned targeted goals

Job Quality Management
Primary Location US-GA-Augusta
Other Location US-GA-Savannah
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.

Powered By

Featured Jobs[ View All ]

Featured Employers [ View All ]