Clinical Performance Solutions Market Consultant - Southeast & Central GA - Full-time / Part-time

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)

If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to OptumInsight.

We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services. As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.

Functioning independently, travel across Georgia (out of the Southeast/Central GA area) to meet with providers to discuss OptumInsight tools and programs focused on improving the quality of care for Medicare Advantage Members.

Primary Responsibilities:

• Utilize data analysis, identify and target providers who would benefit from our Medicare Risk Adjustment training and documentation/coding resources


• 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, provider-specific plans for accurate reporting of chronic conditions


• Train providers on our Risk Adjustment programs and tools, and work toward the adoption of these programs in to their practices


• Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment education efforts

Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.

This role will be based in the Southeast, GA area, and will travel to the central part of the state as needed.

Required Qualifications:

• Intermediate knowledge of Managed Care and Medicare programs


• Ability to Develop Long Term Relationships


• Excellent Oral & Written Communication Skills


• Proficiency in Microsoft Word, Excel and PowerPoint


• Pharmaceutical Sales Experience and/or 1-3 years of experience Network Management, Contracting, Sales, Consulting, Clinical or Coding


• 1 - 3 years experience giving group presentations

Preferred Qualifications:

• Bachelor's degree

OptumInsight is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

OptumInsight is one of the largest and fastest growing health information companies. We specialize in improving the performance of the health system by providing analytics, technology and consulting services that enable better decisions and results. We integrate workflow solutions that deliver data in real-time, and create actionable insights - processing health information that relates directly to and affects one in four patients in the U.S, one in every three Medicaid dollars and one in every five emergency room visits. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. No matter what your role is at OptumInsight, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. And it's never been more important.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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.

Job Keywords: Provider Relations, Issue Resolution, Provider Education, Pharmaceutical Sales, HEDIS, CMS Stars, Savannah, Waycross, Douglas, Dublin, Lyons, GA, Georgia