Clinical Practice Performance Coordinator - Hybrid in Colorado

UnitedHealth Group•Colorado Springs, CO

4d•$24 - $43•Hybrid

About The Position

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 to start Caring. Connecting. Growing together. If you are located within a commutable distance to Denver, Colorado Springs and Pueblo CO, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

High school education or equivalent experience
2+ years Healthcare/Health Plan experience
2+ years HEDIS experience and/or knowledge
Solid knowledge of managed care requirements related to clinical quality
Solid proficiency with Microsoft Office applications, including: Word, Excel and PowerPoint
Demonstrated solid data management and/or project management skills
Demonstrated ability to assist with focusing activities toward a strategic direction and achieve targets
Demonstrated excellent team development skills
Demonstrated solid interpersonal skills
Demonstrated excellent time management and prioritization skills
Demonstrated excellent written and verbal communications skills
Valid driver license and reliable transportation

Nice To Haves

Significant Clinical and/or Health Education experience
Experience working with HEDIS software vendors (management, building relationships, issue resolution etc.)
Experienced in medical record review
Basic statistical knowledge and application of continuous quality improvement concepts, such as Six Sigma, Lean, and/or PDSA
Proficiency with Microsoft Windows Suite (PPT, Excel, Word, Visio)

Responsibilities

Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher
Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups
Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations
Lead or participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider group performance and market performance as requested by or required by Quality or Regional leadership
Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies
Identify and assess decision makers and other key provider group personnel with a focus on identifying barriers to achieving targeted outcomes
Focus communications and efforts accordingly
Develop solution-based, user-friendly initiatives to support practice success
Performs all other related duties as assigned
Required to travel to assigned clinics for monthly presentation to practice team
Data abstraction and gap closure through EMR and various portals
Weekly travel is required for this position to various Optum locations within Colorado.