Regional Associate Director - Clinical Performance - Telecommute - West Coast
April 30, 2018
Eden Prairie, Minnesota
Clinical Performance (CP) Team is responsible for effectively implementing, monitoring as well as executing on clinical documentation and quality programs that enhance patient health while improving the provider practice experience with a special focus on Medicare Risk Adjustment, Quality/STAR and Clinical Performance. The RAD is a liaison between CP and their assigned local care delivery organization to support the national efforts and projects for all markets served by OptumCare Delivery. The RAD is responsible for developing a strong, professional relationship with the market leadership to ensure timely and effective execution of CP initiatives to maximize operational performance in order to deliver the highest quality, cost and outcomes performance. The Regional Associate Director is responsible for managing the Market Relations program in new and existing markets. This requires providing individualized market-focused support and value to the assigned regional care delivery organizations. This includes building relationships, monitoring and providing transparency to results, developing market strategies based on results, informing of other available best practices as well as assisting in issue resolution/escalation. Effective facilitation and communication with market leadership, CP internal teams, other Optum Care teams and external business partners is critical to the success of the position. If you are located in the Central, Mountain or Pacific Time Zones, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:Medicare Risk AdjustmentBest practices for Provider engagement, incentives, and workflowMember engagement and growthScreening equipment coordination, migration, and deploymentSupplemental embedded clinical model options / opportunitiesIdentify initiatives that support market specific development needsQuality initiatives:Best practices for HEDIS / STAR programs; tool deployment / coordinationGaps in careTraining & Compliance programsClinical Performance / Affordability
Required Qualifications:Bachelor's Degree3+ years of experience in Medicare Risk Adjustment5+ years of combined experience within managed care / health care provider setting such as network management, and/or physician practice5+ years of experience in client facing role in health care related program delivery / program managementLead a complex or multifunctional / multi-location team / organizationWell-honed communication and presentation skills (written & verbal)5+ years of previous data analysis, process documentation, and process improvement experience5+ years of previous experience interacting with senior business leadership50% travel Preferred Qualifications:Experience in Quality with a working knowledge of STAR / HEDISStrong knowledge of CMS Risk AdjustmentFamiliarity with ICD-10 coding requirements and regulationsProven experience managing organizational growth and changeStrong execution and accountability across multiple projects and programs; independent deliveryDesire and ability to build strong relationships across a variety of stakeholdersDemonstrate visionary thinking and emotional intelligenceProficiency with Microsoft OfficeWork in a matrix environment to drive efficiencies through influenceSeek ways to improve job and operational efficiency and makes suggestions as appropriate Take ownership of the total CP process and provides constructive information to minimize problems and increase provider and market satisfactionPartner with Care Delivery leadership teams and Optum management across markets to coordinate execution and implementationEnsure activities are appropriately integrated into the strategic direction, as well as the mission and values of the companyPartner with Clinical intelligence and other SMEs to develop market specific plans Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Internal Number: 748261
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.