Practice Performance Consultant

Irvine, CA, United States

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.

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 (e.g. with DataCORE, Pursuit Lists, Cozeva data). The PPC may also perform chart abstraction, enter supplemental data or arrange events to support gap closure. The guidance and support provided to our IPA providers to independently address care gaps is crucial, particularly as the value of a wraparound visit decreases with V28 implementation.

Primary 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

Training / System Support / Education:

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

Clinical Support:

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

PRM Collaboration: 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

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:

High school education or equivalent

Healthcare setting experience

Ability to use computer and multi-systems

Preferred Qualifications:

Quality Performance or Quality Risk Adjustment experience

Bilingual: Spanish or Vietnamese

California Residents Only: The hourly range for this role is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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 .

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

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