Talent.com
Clinical Practice Performance Consultant - Greensboro, NC and Surrounding Areas
Clinical Practice Performance Consultant - Greensboro, NC and Surrounding AreasUnitedHealthcare • Winston-Salem, NC, United States
Clinical Practice Performance Consultant - Greensboro, NC and Surrounding Areas

Clinical Practice Performance Consultant - Greensboro, NC and Surrounding Areas

UnitedHealthcare • Winston-Salem, NC, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

At UnitedHealthcare, 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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

If you reside within a reasonable commute in the Gilford County and 14 surrounding counties (Ashe, Alleghany, Davidson, Davie, Forsyth, Randolph, Rockingham, Stokes. Surry, Watauga, Wilkes, Yadkin, you will have the flexibility to work remotely

  • as you take on some tough challenges.

Primary Responsibilities :

  • Provide oversight and performance evaluation through continuous monitoring and analysis of CMARC / CMHRP program requirements and development of strategies based on performance analysis
  • Regularly facilitate efficient, effective meetings with the CMARC / CMHRP programs to monitor, present, and discuss progress towards program requirements
  • Provide ongoing support, develop recommended actions, and best practices to assist OB providers and LHD CMARC / CMHRP Programs in achieving contractual requirements
  • Build and effectively maintain relationships with OB Providers, CMARC / CMHRP programs, LHD practice leadership and key clinical influencers actively involved in practice transformation through strategic partnerships
  • Serve as liaison and clinical resource using proven interpersonal and collaboration skills to foster relationships and maintain communication with multiple disciplines (e.g. Clinically Integrated Networks (CINs), internal UHC teams, external stakeholders, and other partners as appropriate)
  • Collaborate with DHHS and DPH leadership for CMARC / CMHRP programs to ensure appropriate policies, processes, oversight and outcomes
  • Consult and partner with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program performance and quality outcomes
  • Provide education to promote quality and cost-effective outcomes around : pregnancy medical program (PMP), dissemination of the latest information on effective practices, and utilization of tools and resources to meet needs of the population (e.g. best practice guidelines, practice management support, population health program implementation, and / or with other appropriate resources)
  • Implement basic quality improvement principles to provide technical assistance and support to LHD and OB providers while assessing trends in quality measures and identifying opportunities for quality improvement (e.g. AMH identified quality measures, pay for performance measures)
  • Uses a systematic approach to identify CMARC / CMHRP program and LHD practice needs, perform data analysis, and develops actionable solutions to improve quality outcomes
  • Assist practices with analyzing and interpreting data to quickly identify problems, patterns, and high-risk activities
  • Facilitate discussions around different data visualization strategies, including differences in databases, and basic data sharing and management of resources
  • Cross-collaborate with the quality, AMH, or provider relation teams for any identified or ongoing practice needs that require the involvement of a subject matter expert
  • Facilitates and participates in Joint Operational Committee with external care management partners
  • Participates, coordinates, and / or represents the Health Plan at community based organization events, clinic days, health department meetings, and other outreach events as assigned
  • You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications :

  • 3+ years of experience working with maternity populations (OB provider or OB clinic setting) OR local health departments
  • 2+ years of experience with responsibilities in the following areas : data analysis and interpretation, systems analysis, graphical display of data / information, public speaking, group leadership and facilitation, and demonstrated problem solving and critical thinking skills
  • 2+ years of experience working with the Medicaid population
  • 2+ years of experience in creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners, engaging different types of learners in various settings (e.g. practice offices, CIN / other partner offices, community settings)
  • Intermediate experience in software applications skills that include, Microsoft Word, Excel, PowerPoint
  • This role requires travel to locally up to 75% of the time and may require travel up to 2 hours away from your residence on occasion
  • Preferred Qualifications :

  • Program oversight experience
  • Resides in North Carolina, specifically Region 2 (which encompasses one of the 13 counties surrounding Greensboro, NC)
  • Maternity experience in OB Provider or Clinic Setting
  • Knowledge of one or more of : clinical standards of care, HEDIS, NCQA PCMH, and governing and regulatory agency requirements
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    #UHCPJ

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    serp_jobs.job_alerts.create_a_job

    Practice Performance • Winston-Salem, NC, United States

    Job_description.internal_linking.related_jobs
    Arizona Licensed Clinical Systems Director

    Arizona Licensed Clinical Systems Director

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director, Clinical Systems.Key Responsibilities Lead and direct a team supporting clinical systems and oversee the system development lifecycle (SDLC) Manage the creat...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Florida Licensed Behavioral Health Director

    Florida Licensed Behavioral Health Director

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Director, Behavioral Health Utilization Management.Key Responsibilities Leads and directs the behavioral health utilization management team to ensure appropriate...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Healthcare Consultant

    Healthcare Consultant

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Staff II Consultant to join their team of healthcare consulting professionals.Key Responsibilities Assess client organizations and strategic goals to facilitate contrac...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Licensed Clinical Consultant - PA

    Licensed Clinical Consultant - PA

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Consultant - Physician Assistant - Remote.Key Responsibilities Conduct clinical review and adjudication of appeals and grievances cases Collaborate with medic...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    A Locum Tenens Family Practice Physician Is Wanted in NC

    A Locum Tenens Family Practice Physician Is Wanted in NC

    HealthEcareers - Client • Winston Salem, NC, USA
    serp_jobs.job_card.full_time
    Weatherby can help you build a custom career plan, with multiple positions available for you today.Call us for specific details on your future job today. Monday - Friday schedule, flexible 3 - 5 day...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Licensed Utilization Review Clinician

    Licensed Utilization Review Clinician

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services Performs prior ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    LICENSED PRACTICAL NURSE - YADKIN NURSING CARE CENTER

    LICENSED PRACTICAL NURSE - YADKIN NURSING CARE CENTER

    Liberty Health • Yadkinville, NC, US
    serp_jobs.job_card.full_time
    LICENSED PRACTICAL NURSE - YADKIN NURSING CARE CENTER.Yadkinville-NC-27055-United States.Liberty Healthcare and Rehabilitation Services. We are currently seeking an experienced : .LICENSED PRACTICAL N...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    North Carolina Licensed Behavioral Health Consultant

    North Carolina Licensed Behavioral Health Consultant

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Behavioral Health Consultant I.Key Responsibilities Collaborates with healthcare providers and claims professionals to assess and review mental health disability claims...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    LICENSED PRACTICAL NURSE - YADKIN NURSING CARE CENTER

    LICENSED PRACTICAL NURSE - YADKIN NURSING CARE CENTER

    Liberty Healthcare Management • Yadkinville, NC, US
    serp_jobs.job_card.full_time
    Liberty Healthcare and Rehabilitation Services.We are currently seeking an experienced : .LICENSED PRACTICAL NURSE (LPN). Assists in direction of nursing services for unit / hall, in accordance with the...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Licensed Behavioral Health Clinician

    Licensed Behavioral Health Clinician

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates member's treatment for mental health and substance abuse to ensure medical appropriatene...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Licensed Clinical Consultant

    Licensed Clinical Consultant

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Consultant to provide leadership and support to clinical therapists and coaches.Key Responsibilities Identify and participate in the interview process for qual...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Clinical Contracts Associate

    Clinical Contracts Associate

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Sr Associate Clinical Contracts & Budgets.Key Responsibilities Own end-to-end contract processes including CDAs, FFS, and POs, ensuring timely execution and serving as ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Clinical Nurse- PRN

    Clinical Nurse- PRN

    Duke Health • Mooresville, North Carolina, United States
    serp_jobs.job_card.full_time
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Physical Therapist Sports Medicine

    Physical Therapist Sports Medicine

    Novant Health • Lexington, NC, US
    serp_jobs.job_card.full_time
    SIGN ON BONUS ELIGIBLE POSITION.Novant Health Lexington Physical Therapy.This clinic was established in the last five years in has a beautiful open gym setup with floor to ceiling windows and a div...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    North Carolina Licensed Intake Clinician

    North Carolina Licensed Intake Clinician

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for an Intake Clinician to join their team remotely in Asheville, NC.Key Responsibilities Conduct screenings and level of care assessments utilizing clinical expertise Facil...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Physical Therapist, PRN

    Physical Therapist, PRN

    Duke Health • Mooresville, North Carolina, United States
    serp_jobs.job_card.full_time
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Certified CMMC Assessor Consultant

    Certified CMMC Assessor Consultant

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a CMMC CA Lead - 1099, Contractor-Consultant.Key Responsibilities Conduct and lead CMMC Level 1-3 readiness and certification assessments Advise clients on certification...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Arizona Licensed Behavioral Health Clinician

    Arizona Licensed Behavioral Health Clinician

    VirtualVocations • Winston Salem, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for an AZ Licensed Clinician : LCSW in Behavioral Health and Family Medicine.Key Responsibilities Provide customized care and treatment plans for patients in assigned Care Pod...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted