12 days old

Sr. Clinical Transformation Consultant, ACO - Telecommute in Milwaukee, WI - 931262

Milwaukee, WI 53202 Work Remotely
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  • Job Code
    931262

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)

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The Senior Clinical Transformation Consultant (Senior CTC) is responsible for the ongoing clinical management of physician practices participating in UnitedHealthcares (UHC) Accountable Care Organizations (ACO), Value Based Programs, Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The Senior CTC will lead multi-disciplined practice transformation and practice performance improvement initiatives. The selected candidate will guide practices in achieving targeted goals that include improved quality, efficiency and utilization. The Senior CTC is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.

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The Senior CTC reports directly to the Regional Director. The Senior CTC will act as a mentor to other Transformation Consultants on the team. As the single clinical point of contact for a practice, the Senior CTC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within UnitedHealthcare and at the practice.

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If you are located in or within commutable distance from Milwaukee, WI, you will have the flexibility to work from home* as you take on some tough challenges.

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Primary Responsibilities:

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  • Accountable for successful deployment of UHCs Clinical Support program at the practice level, including but not limited to, introducing and educating practices on the value/use of reporting tools, patient registries and delivery of reports via UHCs Physician Portal
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  • Build and effectively maintain relationship with the practice leadership and key clinical influencers actively involved in practice transformation
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  • Regularly facilitate efficient, effective practice improvement meetings with the practice to monitor, present, and discuss progress on the transformation action plan and achievement in milestones
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  • Develop strategies; based on performance analysis, for improvement that includes specific outcomes and metrics to monitor progress to a goal and make recommendations for improvement
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  • Design practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestones
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  • Monitor and review the progress of the practice in milestone achievement and insure the practice is accountable for successful completion
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  • Use data to analyze key cost, utilization and quality data and interpret results to assess the performance of the practice
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  • Use data to analyze trends and work with stakeholders to agree on and implement proactive strategies to address issues, and measure impact using a PDSA rapid cycle improvement approach; including external practice data
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  • Assist practices in creating workflows to optimize care delivery, introduce best practices improvements, and evaluate outcomes using rapid cycle improvements PDSA methods to reach mutual goals
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  • Educate & Deploy technology tools to support Practice Transformation
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  • Integrate technology tools into practice workflows
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  • Build and effectively maintain relationships with team members in the UHC Clinical organization as well Medical Directors, local Network leads, Health Care Economic Analysts and Clinical Analysts in support of the program
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  • Consult and partners with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomes
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  • Collaborate with UnitedHealthcare teams including the practice Care Coordinators, quality management teams, hospital clinical teams, behavioral health teams to support integrated PCP driven care for our members with practices and hospitals
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  • Consult and guide the practice on developing innovative solutions, including bringing best practice experience and connecting practices with other high performing practices to spur innovation
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  • Work with the practice and Optum to align and integrate Optum care/disease management programs and population health services to augment the practices capabilities, support their care management efforts and add value to the patient care experience
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  • Assist and support department leaders in summarizing and disseminating experience - related learning's by way of team updates, written reports / articles, and / or presentations as called for by directors
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Youll 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.

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Please review the required qualifications as posted below. To be eligible to apply and be reviewed for the position, the candidate must meet or exceed all posted required qualifications listed. Thank you for taking the time to review the job posting. We value your time and interest in the position.

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Required Qualifications:

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  • 5+ combined years of experience with improving clinical quality, health care analytics, or driving clinical transformation initiatives with population health programs, Patient Center Medical Homes or in Accountable Care Organizations OR 3+ years with a Master's Degree in Healthcare Administration, Business or other related field of study
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  • 2+ years of experience interpreting and utilizing clinical data analytics, outcomes measurement in healthcare and use of that data to drive change
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  • Demonstrated experience leading groups and presenting
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  • Population health management experience within an accountable care organization or health system setting
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  • Proficient in Microsoft Office Word, Excel, Outlook and PowerPoint
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  • Access to high speed internet for home office set up
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  • Willingness to travel up to 25% of the time for face to face meetings *Financial assistance for relocation will not be provided
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  • Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area (markets may require valid drivers license)
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  • Reside in or within commutable distance to Milwaukee, WI area to accommodate same day, in market travel requirements
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • Master's Degree
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  • Active, unrestricted RN license in the State of Residence
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  • Physician practice experience
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  • Medicare and/or Commercial experience
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  • Experience with clinical quality, efficiency or utilization
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  • Experience using a PDSA rapid cycle improvement approach
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  • Experience building relationships, presenting to, and collaborating successfully with senior level clinical and/or executive leadership on internal and/or external teams to drive goal alignment
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  • Demonstrated experience implementing clinical practice transformation initiatives designed to help provider or hospital groups achieve large-scale health transformation goals
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Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Healthcare, Clinical Transformation, ACO, Accountable Care Organization, Clinical Data Analytics, Medicare, Commercial, STARs, PDSA, MS Office, Excel, PowerPoint, Outlook, Word, HEDIS, Ambulatory, RN, Registered Nurse, PCMH, Provider Relations, Clinical Practice Transformation, Implementation, Quality Improvement, Process Improvement, Performance Improvement, Health Care Analytics, Managed Care, Healthcare, Medicare Advantage, Clinical Practice Consultant, Transformation Consultant, Registered Nurse, Population Health, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Milwaukee, WI, Wisconsin

Posted: 2021-05-31 Expires: 2021-06-30

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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Sr. Clinical Transformation Consultant, ACO - Telecommute in Milwaukee, WI - 931262

UnitedHealth Group
Milwaukee, WI 53202

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