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Senior Clinical Practice Consultant - Ohio

UnitedHealth Group


Location:
Columbus, OH
Date:
05/26/2017
Job Code:
1736186
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Job Details


Senior Clinical Practice Consultant - Ohio(Job Number:709319)
Description

The Senior Clinical Program Consultant (SR CPC) is responsible for the ongoing clinical management of physician practices participating in UnitedHealthcare’s (UHC) Accountable Care Organizations (ACO), Value Based Programs, Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The SR CPC will lead multi-disciplined practice transformation and practice performance improvement initiatives.  The selected candidate will guide practices in achieving targeted goals that include improved quality, efficiency and utilization. The SR CPC is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.

 

The SR CPC reports directly to the Regional Director. The SR CPC will act as a mentor to other CPCs on the team and in some cases may have CPCs reporting directly to them.  As the single point of contact for a practice, the SR CPC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within UnitedHealthcare and at the practice.

 

Primary Responsibilities:

  • Accountable for successful deployment of UHC’s Clinical Support program at the practice level, including but not limited to, introducing and educating practices on the value/use of reporting tools and delivery of reports via UHC’s Physician Portal
  • Supporting the practice in ensuring accurate attribution and provider rosters
  • Understanding and providing performance and clinical reporting, provide assistance with HIT, EMR, disease registries and other technology
  • Using results of practice readiness assessments and other collected information, design practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestones
  • Monitor and review the progress of the practice in milestone achievement and insure the practice is accountability for successful completion
  • Regularly facilitate efficient, effective practice improvement meetings with the practice to monitor, present, and discuss progress on the transformation action plan and achievement in milestones
  • Consults and partners with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomes
  • Consults with and guides the practice on developing innovative solutions, including bringing best practice experience and connecting practices with other high performing practices to spur innovation
  • Helps practice meet and exceed expectations / milestones for achieving success
  • Monitors monthly and quarterly performance reports of assigned practices
  • Analyzes key cost, utilization and quality data and interprets results to assess the performance of the practice
  • Based from performance analysis, develops strategies for improvement that includes specific outcomes and metrics to monitor progress to a goal; provides feedback and makes recommendations for improvement
  • Work 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
  • Serve as a single point of contact to assigned practices for program and operational issues
  • Establish and maintain a supportive, collegial role with assigned practices
  • Build and effectively maintain relationships with team members in the UHC Clinical organization as well Medical Directors, local Network leads, Health Care Economic Analysts and Clinical Analysts in support of the program
  • Assist and support department leaders in summarizing and disseminating experience - related learning's by way of team updates, written reports / articles, and / or presentations as called for by directors

 


Job Clinical Program Management
Primary Location US-OH-Columbus
Other Location US-OH-Canton, US-OH-Akron, US-OH-Cincinnati
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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