Clinical Healthcare Advisor - Des Moines, IA

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)
 
Primary Responsibilities:The Consultant Analyst is responsible for supporting assigned Practice clinical teams in implementing the United Accountable Care Communities program in the following key areas:


Improve access to care; use practice level population data to analyze overall capacity/demand for appointments and visit patterns by clinic/overall and assist the Practice leadership to implement process improvements to reach mutual goals and improve patient access

Reduce inappropriate ER use; use hospital ADT and daily ER data to analyze trends and work with all Community stakeholders to agree on and implement proactive strategies to address issues, and measure impact using a PDSA rapid cycle improvement approach

Reduce avoidable admissions and readmissions; support practices in the effective use of the Accountable Care Population Registry to track and manage care transitions of all discharges and ensure follow up with PCP within 7 days, helping practice teams engage and coordinate with United clinical and hospital teams

Measure and monitor success of outreach and develop strategies to simplify processes and ensure optimal care for patients

Improve care of high risk patients; complete predictive modeling analyses of practice population risk and assist practices in identifying cohorts of high risk/health home patients for focused improvement initiatives

Collaboratively establish with practice clinical leadership measurable goals for each cohort to increase access, address current care opportunities and reduce adverse events

Analyze and report measurable progress against goals at monthly JOC meetings with practices and hospitals

Collaborate with United teams including the practice Care Coordinator/s, quality management teams, hospital clinical teams, behavioral health teams to support integrated PCP driven care for our members in the Community

Support practice in implementing process improvements to assist the practice in becoming an certified Medical Home, if desired by practice leaders

Assist practices in creating work flows to optimize care delivery, introduce best practices improvements, and evaluate outcomes using rapid cycle improvements PDSA methods

Meet with practice staff at least weekly, to facilitate progress and address barriers

Prepare and present progress against goals monthly

Required Qualifications:


Undergraduate degree
At least 5 years of experience working in the healthcare industry
Clinical data analytic skills
Experience managing change initiatives for health care teams
Strong skills presenting complex data and outcomes to executive teams
Strong process improvement skills/experience
Ability to organize and thrive in a fast-paced environment
Access and excel database technical skills
Strong interpersonal skills that enable relationship building
Effective oral and written communication skills
Ability to analyze and monitor results of outcome measures and assist physician practice in creating solutions
 
Preferred Qualifications:

Master's Degree 
RN licensure
5 years or more experience in Practice management / operations, and/or Medicaid managed care experience
CPHQ certification
Six Sigma / Lean certification
Strong persuasion skills and demonstrated evidence of innovative thinking and program development to make the health care system work better
High level of computer literacy with clinical documentation system experience and strong ability to navigate without assistance in multiple computer applications and systems
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: clinical quality consultant, clinical quality analyst, clinical quality coordinator, nurse practice manager, six sigma, lean certification, CPHQ, RN, registered nurse, change agent, transformation, Health Informatics, Medicaid, managed care, clinical quality, primary care, Des Moines, IA, Iowa, Iowa2015