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Senior Clinical Practice Consultant - Telecommute - New York
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | New York, NY New York, New York |
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)
As a member of the Clinical Analytics Team, the Senior Clinical Practice Consultant 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. This position will act independently in leading multi-disciplined practice transformation and practice performance improvement initiatives. He/she will guide practices in achieving targeted goals that include improved quality, efficiency and utilization. The Senior Clinical Practice Consultant is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.
The Senior Clinical Practice Consultant will act as a mentor to CPCs on the team and in some cases may have CPCs reporting directly to them. This position will be the single point of contact with a practice will be responsible for communicating practice progress to Sr. Leadership both within UnitedHealthcare and at the practice. This position reports to the Clinical Program Director.
Position requires flexibility to work remotely in New York with 25% travel to practices locations; travel could be more or less at times based on providers "going live" on the program.
Primary Responsibilities:
Accountable for 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 as a PCMH or ACO
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, develops/updates performance improvement action plans; monitors 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
Establish and maintain a supportive, collegial role with assigned ACO and PCMH practices
Facilitates efficient, effective practice improvement meetings
Maintains databases directly associated with role
Effectively collaborates with HLM, PCMH and ACO team members including assigned PMOs, ECMs; CRS's, Medical Directors, local Network leads, HCE Analysts and Clinical Analysts in support of the program
Assists and supports HLM, PCMH and ACO leaders in summarizing and disseminating experience-related learning by way of team updates, written reports/articles, and/or presentations as called for by directors
As a member of the Clinical Analytics Team, the Senior Clinical Practice Consultant 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. This position will act independently in leading multi-disciplined practice transformation and practice performance improvement initiatives. He/she will guide practices in achieving targeted goals that include improved quality, efficiency and utilization. The Senior Clinical Practice Consultant is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.
The Senior Clinical Practice Consultant will act as a mentor to CPCs on the team and in some cases may have CPCs reporting directly to them. This position will be the single point of contact with a practice will be responsible for communicating practice progress to Sr. Leadership both within UnitedHealthcare and at the practice. This position reports to the Clinical Program Director.
Position requires flexibility to work remotely in New York with 25% travel to practices locations; travel could be more or less at times based on providers "going live" on the program.
Primary Responsibilities:
Accountable for 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 as a PCMH or ACO
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, develops/updates performance improvement action plans; monitors 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
Establish and maintain a supportive, collegial role with assigned ACO and PCMH practices
Facilitates efficient, effective practice improvement meetings
Maintains databases directly associated with role
Effectively collaborates with HLM, PCMH and ACO team members including assigned PMOs, ECMs; CRS's, Medical Directors, local Network leads, HCE Analysts and Clinical Analysts in support of the program
Assists and supports HLM, PCMH and ACO 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
Required Qualifications:
BS/BA
Demonstrated experience in analyzing health care 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 enterprise
Health care quality improvement, practice management experience
Preferred Qualifications:
Masters
5+ years of experience in either practice or medical management, health care analytics, managed care contracting or experience in a primary care or multi-specialty practice that has successfully implemented PCMH or ACO programs or quality improvement initiatives
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant, performance improvement, analyze, strategies, operational, New York, NY, Long Island, Manhattan, Brooklyn, Gloversville