Jobs at United Healthcare – Transformation Manager

Job Description:

The Clinical Transformation Consultant (CTC) is responsible for the ongoing clinical management of physician practices participating in UnitedHealthcare’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 UnitedHealthcare and at the practice.

Job Responsibilities:

• Use data to analyze key cost, utilization and quality data and interpret results to assess the performance of the practice
• 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
• 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 care experience
• 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
• 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
• 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
• 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
• Monitor and review the progress of the practice in milestone achievement and insure the practice is accountable for successful completion
• Collaborate with UnitedHealthcare 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
• Design practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestones
• Build and effectively maintain relationship with the practice leadership and key clinical influencers actively involved in practice transformation
• Assist and support department leaders in summarizing and disseminating experience – related learning’s by way of team updates, written reports / articles, and / or presentations as called for by directors
• Educate & Deploy technology tools to support Practice Transformation
• 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

Job Requirements:

• Solid Microsoft Office Skills with Word, Excel, Outlook and PowerPoint
• Willingness to travel for face to face meetings up to 25% of the time (varies by market)
• Full COVID-19 vaccination is an essential job function of this role.
• Solid Relationship building skills with internal and practice teams to drive goal alignment
• Active, unrestricted RN license in the State of Residence
• Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area (markets may require valid driver’s license)

Qualification & Experience:

• Experience implementing Clinical Practice Transformation initiatives designed to help provider or hospital groups achieve large-scale health transformation goals
• Bachelor’s degree or equivalent relevant experience
• Physician practice experience
• Must have access to high speed internet for home office set up
• Experience preparing and presenting information to clinical and executive level leadership
• 4+ combined experience with improving clinical quality, health care analytics, or driving clinical transformation initiatives with population health programs, Patient Center Medical Homes or in Accountable Care Organizations
• Experience in interpreting and utilizing clinical data analytics, outcomes measurement in healthcare and use of that data to drive change
• Master’s Degree
• Experience working with and collaborating successfully with senior level leadership
• Experience leading groups and strong presentation skills

Job Details:

Company: United HealthCare

Vacancy Type: Full Time

Job Location: Atlanta, GA, US

Application Deadline: N/A

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