Practice Performance Consultant

UnitedHealth Group • Arcadia, CA

100d • $20 - $35 • Onsite

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. Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions. Position in this function practice Performance Consultants support provider performance across risk adjustment and quality key performance indicators in collaboration with PRM. They complete in office assessments, develop and maintain action plans that supplement PCP work in engaging patients, provide additional training or at the elbow support or liaise to resolve system challenges. The PPC may also perform chart abstraction, enter supplemental data or arrange events to support gap closure.

Requirements

• High school education or equivalent
• Healthcare setting experience
• Proven ability to use computer and multiple systems
• Ability to travel 75% of time
• Driver's License and access to reliable transportation

Nice To Haves

• Quality Performance or Quality Risk Adjustment experience
• Bilingual: Spanish or Vietnamese

Responsibilities

• Advance high volume provider office workflow and programmatic coordination in collaboration with the PRMs
• Complete In office assessment and advise on the development of supportive action plans
• Maintain the office action plan (in partnership with other accountable teammates and stakeholders)
• Host regular meetings / engagement cadence with office in collab with IPA staff
• Coordinate with accountable teams for at the elbow training and system support (Cozeva, DataCore)
• Liaises on system challenges (DataCore, Cozeva, etc.) and escalates challenges to Optum resources - at the elbow
• Coordinate education sessions with medical directors to complete
• Chart dives to support quality and risk documentation
• Enter supplemental data on behalf of the office
• Determine quarterly event planning, coordination, and management for Saturday clinics and health fairs to support regional advancement of goals
• Support incomplete / amend / lookback workflows for high volume offices
• Support PRMs in questions on pursuit list generation and reinforce PRM messages in the IPA office
• Applies knowledge/skills to activities that often vary day to day
• Requires little assistance with standard and non standard requests
• Solves routine problems on own
• Prioritizes and organizes own work to meet agreed upon deadlines
• Commuting to different locations

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED