[Hiring] Practice Performance Manager @UnitedHealth Group

Role Description

The Practice Performance Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy.

The person in this role is expected to:

• Work directly with care providers to build relationships.
• Ensure effective education and reporting.
• Proactively identify performance improvement opportunities through analysis and discussion with subject matter experts.
• Influence provider behavior to achieve needed results.

Positions in this function drive clinical relationships and engagement with:

• Physician practices
• Members
• Pharmacies

They partner internally with areas such as:

• Network contract ACO managers
• Health Care Economics and Analytics
• Medical Directors
• Reporting
• Health Plan market leaders

The goal is to improve health, well-being, quality, and practice performance while reducing medical costs. Responsibilities include:

• Improvement on HEDIS and STARs gap closure.
• Coding accuracy.
• Facilitating effective education and reporting.
• Effective super utilizer engagement (e.g., members with complex and/or chronic conditions).
• Developing comprehensive, provider-specific plans to increase physician practice performance.
• Reducing readmissions and improving outcomes.

Generally, work is self-directed and not prescribed. If you are located in Hawaii, you will have the flexibility to work remotely, as well as work in the office.

Qualifications

• 5+ years of healthcare industry experience.
• 3+ years of experience working for a health plan and/or for a provider's office.
• 1+ year of STARs experience.
• Proven solid communication and presentation skills.
• Proven solid relationship building skills with clinical and non-clinical personnel.

Requirements

• Weekly commitment of 60% travel for business meetings (including client/health plan partners and provider meetings) and 40% remote work.

Preferred Qualifications

• Consulting experience.
• Experience in managed care working with network and provider relations/contracting.
• Solid knowledge of electronic medical record systems.
• Solid knowledge of the Medicare market.
• Knowledge base of clinical standards of care, preventive health, and Stars measures.
• Proven solid problem-solving skills.
• Proven medical/clinical background.
• Proven solid financial analytical background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models).
• Microsoft Office specialist with exceptional analytical and data representation expertise; Advanced Excel, Outlook, and PowerPoint skills.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).

Salary Information

The salary for this role will range from $72,800 - $130,000 annually based on full-time employment.

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life.

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

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.

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