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in Minnetonka, MN

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Hours Full-time, Part-time
Location Minnetonka, MN
Minnetonka, Minnesota

About this job

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 Clinical Practice Consultant (CPC) is responsible for ongoing management of practices participating in UnitedHealthcare's Value Based Programs such as Accountable Care Organizations (ACO), Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The CPC will work closely with our Sr. CPCs to facilitate multi-disciplined practice transformation and practice performance improvement initiatives. He/she will assist practices in achieving targeted goals that include improved quality, efficiency and utilization. The CPC is responsible for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.

The CPC will typically report to our Sr. CPC working as a team to engage practices.



  • Assist in successful deployment of program at the practice level, including, attribution, provider rosters and performance and clinical reporting; introduces and educates practice on the value/use of reporting tools and delivery of reports via Physician Portal; provides assistance with HIT, EMR, disease registries and other technology.

  • Using results of practice readiness assessment, designs practice transformation plan and implements appropriate training modules designed to assist practice in achieving contractually required transformation milestones; monitors progress of practice in milestone achievement and insures practice accountability for successful completion.

  • Consults with and guides practice on developing innovative solutions to practice organization and structural challenges in order to achieve desired program outcomes. Brings best practice experience and connects practices with other high performing practices to spur innovation. Helps practice meet and exceed expectations/milestones for achieving success.

  • Monitors monthly and quarterly performance of assigned practices. Analyzes key cost, utilization and quality data and interprets results to assess the performance of the practice; identifies strategies for improvement to include specific outcomes and metrics to monitor progress to a goal; provides feedback and makes recommendations for improvement.

  • Reviews Clinical Action report results to guide practice in identifying care management opportunities and adjust processes to prioritize interventions to achieve clinical and cost outcomes.

  • Meets regularly with assigned practices to review available practice reports, present practice performance synopsis and identify opportunities for improvement.

  • Utilizing the results of the practice performance analysis and input from the practice, develop/update performance improvement action plans; monitor practice efforts to address performance and care management opportunities.

  • Works with the practice and OptumHealth to align and integrate OptumHealth 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.

  • Serves as a single point of contact to practices for program and operational issues.

  • Establishes and maintains a supportive, collegial role with assigned PCMH practices.

  • Facilitates efficient, effective practice improvement meetings.

  • Maintains databases directly associated with role.

  • Effectively collaborates with team members in the Clinical organization as well as Medical Directors, local Network leads, HCE Analysts and Clinical Analysts in support of the program.

  • Assists and supports leaders in summarizing and disseminating experience-related learning by way of team updates, written reports/articles, and/or presentations as called for by directors.

Requirements


  • BS/BA required.

  • Demonstrated effectiveness in analyzing practice performance data and identifying opportunities for improvement and innovation.

  • Excellent verbal, written, presentation, and group facilitation skills required, with the ability to convey complex or technical information in a manner that others can understand.

  • Strong critical thinking skills necessary to evaluate and respond to practice challenges and related team dynamics.

  • Superior interpersonal skills with the ability to build positive relationships with key practice representatives and team members across the UnitedHealthcare enterprise.

  • Experience in Quality Improvement, practice management and facilitation skills are beneficial.

  • Clinical experience or background a plus.
     

Position requires flexibility to work remotely with travel to practice locations as needed with the ability to meet multiple deadlines and handle interruptions to on-going work activities.


 


Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM




Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.




UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.