Accountable for successful deployment of UH - Cs 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 UH - Cs Physician Portal Build and effectively maintain relationship with the practice leadership and key clinical influencers actively involved in practice transformation Regularly facilitate efficient, effective practice improvement meetings with the... more details
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The Clinical Transformation Manager (CTM) is responsible for the ongoing clinical management of physician practices participating in UnitedHealthcares (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 CTM 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 CTM 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 CTM will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within UnitedHealthcare and at the practice.
If you reside in TN, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Accountable for successful deployment of UHCs 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 UHCs Physician Portal
- Build and effectively maintain relationship with the practice leadership and key clinical influencers actively involved in practice transformation
- 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
- Develop strategies; based on performance analysis, for improvement that includes specific outcomes and metrics to monitor progress to a goal and make recommendations for improvement
- Design practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestones
- Monitor and review the progress of the practice in milestone achievement and insure the practice is accountable for successful completion
- Use data to analyze key cost, utilization and quality data and interpret results to assess the performance of the practice
- 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
- 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
- Educate & Deploy technology tools to support Practice Transformation
- Integrate technology tools into practice workflows
- 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
- Consult and partners with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomes
- 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
- 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
- Work with the practice and Optum to align and integrate Optum care/disease management programs and population health services to augment the practices capabilities, support their care management efforts and add value to the patient care experience
- Assist and support department leaders in summarizing and disseminating experience - related learnings by way of team updates, written reports / articles, and / or presentations as called for by directors
Youll 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:
- 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
- Experience working with and collaborating successfully with senior level leadership
- Experience leading groups and solid presentation skills
- Solid Microsoft Office Skills with Word, Excel, Outlook, and PowerPoint
- Proven solid Relationship building skills with internal and practice teams to drive goal alignment
- Willingness to travel between 25% for face-to-face meetings
- Access to high-speed internet for home office set up
- Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area (markets may require valid drivers license)
Preferred Qualifications:
- Experience implementing Clinical Practice Transformation initiatives designed to help provider or hospital groups achieve large-scale health transformation goals
- Experience preparing and presenting information to clinical and executive level leadership
- Physician practice experience
*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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: 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.
