1+ months

Manager, Medicare Practice Performance - Field Based in Arizona

Phoenix, AZ 85003
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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)


The Manager, Medicare Practice Performance is responsible for provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, and to proactively identify performance improvement opportunities through analysis and discussion with subject matter experts.


This is a field-based role with frequent on-site visits and meetings with providers, which includes up to 75% travel.


Primary Responsibilities:

  • Leadership and supervisory responsibility for multiple markets and Practice Performance Team (10 - 12 team members) located within those markets
  • Lead external relationships with targeted larger physician groups / Tier 1 provider accounts (multiple high-volume Star providers with over 2,000 members). Drive Star performance and gap closure
  • Ensure providers understand incentive opportunities and receive ongoing feedback and report cards designed to motivate and optimize provider incentive payouts. Lead coordination of onsite training focusing on STARs measures. (HEDIS / CAHPS / HOS / med adherence), Optum Programs (Chart Audits)
  • Act as lead to pull necessary internal resources together including Advocates, Physician service, Clinical & Optum, M&R local leadership, in order to provide appropriate level of provider education and consultation
  • Support larger regional and market team by sharing expertise and serving as a touch point/SME for contracting and account management questions. Act as coach, supervisor and mentor to regional provider consultants
  • Evaluate and provide feedback to improve performance of provider support personnel, inclusive of clinical and non-clinical personnel
  • Coordinate and lead JOC meetings with provider groups with regular frequency to drive continual process improvement to achieve above mentioned targeted goals

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.

Posted: 2020-09-10 Expires: 2020-11-12

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Manager, Medicare Practice Performance - Field Based in Arizona

UnitedHealth Group
Phoenix, AZ 85003

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