12 days old

Practice Management Specialist (Behavioral Health) - Tennessee Telecommute

Memphis, TN 38103
Apply Now
Apply on the Company Site
  • Job Code
    866655

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)

 

The Behavioral Health Practice Management Specialist must demonstrate strong clinical and analytic skills, strong oral and written communication skills and must be comfortable working closely with senior leaders at high volume providers/groups/facilities. They will be responsible for the development of relationships with Community Mental Health Centers (CMHCs), groups, and facilities as well as other outpatient behavioral health entities. They will monitor their clinical effectiveness and efficiency, as well as compliance with contractual obligations. This Practice Specialist will work closely with Care Advocacy Operations, Affordability and Network Management teams to affect desired outcomes with facilities / programs as it relates primarily to treatment for our public sector membership.    

 

The Practice Specialist will partner with outpatient providers/groups/facilities that operate outside of typical practice or billing patterns which will be subject to a specific set of interventions.  The Practice Specialist's role with these providers / groups / facilities will be to coordinate a strategic effort that includes Clinical Operations, Network Services, Program and Network Integrity, and Affordability with the goal of designing and delivering interventions aimed at addressing outlier practice patterns, while improving provider performance, quality and clinical outcomes.   These interventions may include, but are not limited to, clinical audits and the development of performance improvement plans.              

 

If you live in Tennessee, you will have the flexibility to telecommute* as you take on some tough challenges.

             

Primary Responsibilities:

  • Interface with senior leaders (e.g., CEO) at high volume facilities / providers/ groups
  • Communicate with facilities / providers / groups to initiate appropriate interventions focused on improvement of clinical outcomes and efficiency, improved quality of care, and appropriate billing and practice patterns
  • Support those high performing providers / groups / facilities such that performance remains at a high level
  • Identify outliers through analysis of clinical outcomes data, utilization / claims data
  • Conduct program audits and provide feedback results
  • Measure improvement of program performance over time
  • Modify interventions as appropriate
  • Initiate and monitor Performance Improvement Plans (PIPs) as appropriate to affect performance
  • Interface with other Optum departments including Care Advocacy, Affordability, Clinical Network Services, Program and Network Integrity, Legal, and Quality Improvement

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: 2020-03-18 Expires: 2020-04-18

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.

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Practice Management Specialist (Behavioral Health) - Tennessee Telecommute

UnitedHealth Group
Memphis, TN 38103

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast