Clinical Transformation Consultant - Remote in IL or WI

Job d:

Location:

Schaumburg, Illinois, United States Salary: $72,800 - $130,000/year

Job Area:
Medical & Clinical Operations Company:
United Health Group At United Healthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring.

Connecting. Growing together

The Clinical Transformation Consultant (CTC) is responsible for the ongoing clinical management of physician practices participating in United Healthcare's (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 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 CTC is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.

As the single point of clinical contact for a practice, the CTC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within United Healthcare and at the practice.

If you are located in IL or WI, you will have the flexibility to work remotely
* as you take on some tough challenges.

Primary Responsibilities:

Accountable for successful deployment of UHC's 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 UHC's Physician Portal Build and effectively maintain relationship with the practice leadership and key clinical influencers actively involved in practice transformation

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

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

Design practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestones

Monitor and review the progress of the practice in milestone achievement and insure the practice is accountable for successful completion

Use data to analyze key cost, utilization and quality data and interpret results to assess the performance of the practice

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 Assist practices in creating work flows to optimize care delivery, introduce best practices improvements, and evaluate outcomes using rapid cycle improvements PDSA methods to reach mutual goals

Educate & Deploy technology tools to support Practice Transformation Integrate technology tools into practice workflows

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

Consult and partners with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomes

Collaborate with United Healthcare 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

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

Work with the practice and Optum to align and integrate Optum care/disease management programs and population health services to augment the practice's capabilities, support their care management efforts and add value to the patient…