Senior Clinical Practice Performance Consultant

The Senior Clinical Practice Performance Consultant is a senior clinical subject matter expert within Optum Serve Health Services' Clinical Quality & Patient Safety function. The position provides enterprise-level consultation across clinical strategy, quality, regulatory alignment, policy and document governance, clinical business development, workforce and care-delivery model design, operational readiness, technology enablement, and continuous improvement. The consultant translates federal and state requirements, contract obligations, accreditation standards, evidence-based practices, and clinical operations into practical, scalable, and audit-ready solutions.

The role develops and maintains multi-state clinical regulatory infrastructure; evaluates telehealth, telepresenter, mobile, home-based, occupational-health, readiness, and evaluative examination models; and supports collaborative-practice and supervisory governance for regulated clinical professionals. The role partners across Business Development, Capture and Proposal teams, Care Delivery, Program Operations, Quality, Compliance, Legal, Credentialing, Medical Directors, Clinical Enablement, Product, Technology, Privacy, Finance, Human Capital, Environmental and Occupational Health, and other enterprise functions.

The Senior Clinical Practice Performance Consultant supports established programs and new initiatives by defining clinical service models, evaluating scope of practice and licensure requirements, developing and maintaining clinical policies, internal standards, identifying clinical and operational risk, supporting quality and surveillance activities, reviewing training and competency requirements, and advising on implementation and performance improvement.

• Serves as a senior enterprise individual contributor and clinical advisor across multiple programs, functions, and strategic initiatives
• Leads complex clinical analyses and cross-functional work streams without relying on direct supervisory authority
• Influences enterprise and program decisions through evidence, clinical judgment, structured analysis, and stakeholder engagement
• Provides recommendations and escalates material risks while partnering with the accountable functions responsible for final legal, compliance, credentialing, medical, policy, and operational determinations
• May mentor peers, guide project teams, facilitate governance activities, and provide functional leadership for assigned initiatives

You’llenjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

• Clinical Strategy and Performance
  • Provide senior-level clinical consultation for OSHS programs, enterprise initiatives, new service lines, and strategic growth opportunities
  • Evaluate clinical models for safety, quality, regulatory alignment, contractual compliance, operational feasibility, scalability, and workforce readiness
  • Develop and maintain enterprise clinical governance architecture, including governance charters, internal clinical standards, regulatory crosswalks, gap-assessment frameworks, evidence and artifact requirements, decision pathways, accountability structures, and implementation guidance
  • Translate complex clinical and regulatory requirements into practical standards for program leadership, operations, and frontline implementation
  • Identify enterprise-level clinical gaps, inconsistencies, and opportunities for standardization across programs
  • Apply High Reliability Organization principles to clinical decision-making, risk identification, and continuous improvement
• Clinical Business Development and Solutioning
  • Serve as the clinical SME for RFIs, RFPs, contract modifications, capture activities, solutioning sessions, and new-business development
  • Interpret solicitation and contract requirements to define clinical services, care modalities, workflows, staffing models,…