Clinical Program Consultant (90-100% travel to Puerto Rico) - Full-time / Part-time

This Clinical Program Consultant will function as part of a project and operations team. They will assist in the development of robust operational framework focused on scalable and repeatable best practices and simplification/automation to improve the Primary Care Provider (PCP) market and ultimately, the member experience.

***This position requires 90-100% travel to Puerto Rico!!***

Primary Responsibilities:

• Create, develop and execute processes for coding and documentation guidelines 


• Provide guidance and coaching to local coding educators and physicians 


• Able to put presentations together to present to leadership, medical directors and local PCP's 


• Will be responsible for training the Coding Educators and Providers for the client 


• Delivering value primarily by being deployed to markets immediately for short term implementations until locally recruited practitioners fulfill market need 


• Train locally recruited practitioners and provide ongoing clinical guidance 


• Partner with leadership to identify the most beneficial options and assist in drive the completion of the selected option 


• Partner with business owners to identify methods to execute upon the key strategic visions and then lead the initiative to completion 


• Work with operations to develop program success metrics and ongoing performance metrics Provides strong leadership and judgment; effectively build and deepen relationships across business
  

Required Qualifications:

• 3+ years experience in coding 


• Certified Professional Coder (CPC) 


• Bilingual skills (fluency in Spanish/English) 


• Ability to travel 90-100% of the time to Puerto Rico 


• Proficiency in MS Office Suite, including Word, Excel, and PowerPoint

Additional Preferred Assets:

• Active, unrestricted RN license in your state of residence


• Previous risk adjustment experience 


• Able to multitask thoroughly in high stress, and fast moving environment 


• Effectively communicates complex ideas clearly and concisely to both internally and externally 


• Ability to create, build and maintain relationships in order to improve performance and establish trust and maintain creditability throughout the organization 


• Demonstrated effective interpersonal, influence, collaboration and listening skills to address complex situations or issues 


• Experience in leading and directing teams to deliver within constraints 


• Proven history of leading and possessing a high tolerance to stress and the ability to handle difficult situations in a confident and diplomatic manner 


• Experience providing leadership, organization and methodology to a project/operations team 


• Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities and make changes to work as the project needs dictate 


• Ability to work autonomously
  

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)