Optum-posted about 20 hours ago
Full-time • Mid Level
Albuquerque, NM
501-1,000 employees

Optum NM is seeking a an NP or PA – Clinician Educator for Quality and Clinical Documentation to join our team in Albuquerque, NM. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

  • Full-time Advance Practice Clinician (APC): Nurse Practitioner or Physician Assistant
  • Face-to-face and virtual education of Network Physicians and APCs about value-based care, Hierarchical Category Codes (HCCs) and Medicare HEDIS measures, patient experience and Stars ratings
  • Partnering with physicians and APCs on reimbursement models focusing on improving care quality, efficiency and experience by closing quality gaps in care, documenting accurately and taking a patient-centric approach to preventative care
  • Meeting and developing relationships with physicians, APCs and clinic administrators, understanding, adapting and responding to their questions, concerns and perspectives
  • New Mexico Nurse Practitioner or Physician Assistant license (or ability to obtain prior to start) and national certification (Family Medicine, Adult Medicine, or Geriatrics preferred)
  • 2+ years of clinical experience working as a Nurse Practitioner or Physician Assistant
  • New Mexico Driver’s License and Auto Insurance in accordance with the state of New Mexico (or will be licensed and insured by employed date)
  • Ability to work autonomously, and travel locally
  • Experience with Medicare Advantage – Risk Adjustment CMS Documentation & Coding Guidelines
  • Public speaking experience
  • Experience with quality improvement reports and HEDIS measures
  • Familiarity with Data RAP, Alliance, DataCore, Facets systems, and other EMRs
  • Experience in developing and delivering coding education to non-coder professionals
  • Knowledge of government rules and regulations regarding coding and documentation
  • Guaranteed base salary, annual wage increase eligibility, and incentive pay potential
  • Signing bonus avilable for qualifying applicants
  • Financial stability and support of a Fortune 5 Company
  • Robust retirement offerings including employer funded contributions and Employee Stock Purchase Plan (ESPP for UHG Stock)
  • Comprehensive benefits plan inclusive of medical, dental, vision, STD/LTD, CME
  • Robust clinician learning and development programs
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