Clinical Practice Performance Consultant - Remote in Wilmington, NC and Surrounding Areas

Join UnitedHealthcare

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference?

If you reside within a reasonable commute to New Hanover County and 14 surrounding counties, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• Provide oversight and performance evaluation through continuous monitoring and analysis of program requirements and development of strategies based on performance analysis
• Regularly facilitate meetings to monitor, present, and discuss progress towards program requirements
• Provide ongoing support, develop recommended actions, and best practices to assist providers and programs in achieving contractual requirements
• Build and maintain relationships with providers, programs, practice leadership and key clinical influencers actively involved in practice transformation through strategic partnerships
• Serve as liaison and clinical resource to foster relationships and maintain communication with multiple disciplines
• Collaborate with leadership to ensure appropriate policies, processes, oversight and outcomes
• Consult and partner with internal partners and the practice to identify challenges hindering achievement of desired program performance and quality outcomes
• Provide education to promote quality and cost-effective outcomes around pregnancy medical program, dissemination of effective practices, and utilization of tools and resources to meet needs of the population
• Implement quality improvement principles to provide technical assistance and support to providers while assessing trends in quality measures and identifying opportunities for quality improvement
• Use a systematic approach to identify program and practice needs, perform data analysis, and develop actionable solutions to improve quality outcomes
• Assist practices with analyzing and interpreting data to quickly identify problems, patterns, and high-risk activities
• Facilitate discussions around data visualization strategies, including differences in databases, and basic data sharing and management of resources
• Cross-collaborate with quality, AMH, or provider relation teams for any identified or ongoing practice needs that require the involvement of a subject matter expert
• Facilitates and participates in Joint Operational Committee with external care management partners
• Participates, coordinates, and/or represents the Health Plan at community based organization events, clinic days, health department meetings, and other outreach events as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 3+ years of experience working with maternity populations OR local health departments
• 2+ years of experience with responsibilities in the following areas: data analysis and interpretation, systems analysis, graphical display of data/information, public speaking, group leadership and facilitation, and demonstrated problem solving and critical thinking skills
• 2+ years of experience working with the Medicaid population
• 2+ years of experience in creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners, engaging different types of learners in various settings
• Intermediate experience in software applications skills that include, Microsoft Word, Excel, PowerPoint
• This role requires travel to locally up to 75% of the time and may require travel up to 2 hours away from your residence on occasion

Preferred Qualifications:

• Program oversight experience
• Maternity experience in OB Provider or Clinic Setting
• Knowledge of one or more of: clinical standards of care, HEDIS, NCQA PCMH, and governing and regulatory agency requirements
• Resides in North Carolina, specifically Region 5

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

UnitedHealth Group is an Equal Employment Opportunity employer and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.