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Job Details

UnitedHealth Group

Clinical Practice Performance Consultant - Greensboro, NC




Greensboro, North Carolina, United States

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

If you are located in Region 2, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

  • Provide oversight and performance evaluation through continuous monitoring and analysis of CMARC/CMHRP program requirements and development of strategies based on performance analysis
  • Regularly facilitate efficient, effective meetings with the program to monitor, present, and discuss progress towards program requirements
  • Provide ongoing support and develop recommended actions and best practices to assist LHD providers and CMARC/CMHRP in achieving contractual requirements
  • Build and effectively maintain relationships with program and LHD practice leadership and key clinical influencers actively involved in practice transformation through strategic partnerships
  • Serve as liaison and clinical resource using proven interpersonal and collaboration skills to foster relationships and maintain communication with multiple disciplines (e.g. Clinically Integrated Networks (CINs), internal UHC teams, external stakeholders, and other partners as appropriate)
  • Collaborate with DHHS and DPH leadership for CMARC/CMHRP programs to ensure appropriate policies, processes, oversight and outcomes
  • Consult and partner with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomes
  • Provide education to promote quality and cost-effective outcomes around: pregnancy medical program (PMP), dissemination of the latest information on effective practices, and utilization of tools and resources to meet needs of the population (e.g. best practice guidelines, practice management support, population health program implementation, and/or with other appropriate resources)
  • Implement basic quality improvement principles to provide technical assistance and support to LHD and OB providers while assessing trends in quality measures and identifying opportunities for quality improvement (e.g. AMH identified quality measures, pay for performance measures)
  • Uses a systematic approach to identify CMARC/CMHRP program and LHD practice needs, perform data analysis, and develops actionable solutions to improve quality outcomes
  • Assist practices with analyzing and interpreting data to quickly identify problems, patterns, and high-risk activities
  • Facilitate discussions around different data visualization strategies, including differences in databases, and basic data sharing and management of resources
  • Cross-collaborate with the quality, AMH, or provider relation teams for any identified or ongoing practice needs that require the involvement of a subject matter expert
  • Facilitates and participates in Joint Operational Committee with external care management partners
  • Participates, coordinates, and/or represents the Health Plan at community based organization events, clinic days, health department meetings, and other outreach events as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Bachelor’s Degree in healthcare related field or business
  • 3+ years of experience working with maternity populations and local health departments
  • 2+ years of experience with responsibilities in the following areas: data analysis and interpretation, systems analysis, graphical display of data/information, public speaking, group leadership and facilitation, and demonstrated problem solving and critical thinking skills
  • 2+ years of experience working with the Medicaid population
  • 2+ years of experience in creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners, engaging different types of learners in various settings (e.g. practice offices, CIN/other partner offices, community settings)
  • Intermediate experience in software applications skills that include, Microsoft Word, Excel, PowerPoint
  • This role requires travel to locally up to 75% of the time and may require travel up to 2 hours away from your residence on occasion
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Graduate degree
  • Program oversight experience
  • Knowledge of one or more of: clinical standards of care, HEDIS, NCQA PCMH, and governing and regulatory agency requirements

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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.