Clinical Program Consultant - Telecommute - 2285446

Primary Care Plus; San Antonio (TX); Remote; USD 89,000 - 177,000; Full time

Job summary

A leading healthcare organization seeks a Clinical Program Consultant to develop educational programs and support quality improvement initiatives. This remote role requires expertise in quality measures and strong communication skills. Join a diverse team committed to advancing health equity.

Benefits

Comprehensive Health Coverage

Incentives

Stock Options

401k

Qualifications

• 5 years of experience with quality performance measures.
• Active RN license in any U.S. state.
• Experience presenting to executive leadership.

Responsibilities

• Develop quality education content for staff and providers.
• Manage document repositories and maintain cloud-based sites.
• Support quality training and onboarding.

Skills

Quality Performance Measures

Data Analysis

Communication

Relationship-Building

Education

Bachelor’s Degree

Tools

MS Office

Teams

Job description

Clinical Program Consultant - Telecommute - 2285446

Join us as a Clinical Program Consultant - Telecommute - 2285446 at Primary Care Plus.

Optum is a global organization committed to delivering care supported by technology, helping millions live healthier lives. Our work directly impacts health outcomes by connecting people with essential care, pharmacy benefits, data, and resources. We foster a culture of diversity and inclusion, offer talented peers, comprehensive benefits, and career development opportunities. Join us to make an impact on communities worldwide and help advance health equity. Our motto: Caring. Connecting. Growing together.

The Clinical Program Consultant develops education and training programs for staff supporting care delivery organizations within OptumCare. This role involves creating quality education materials, including performance measures related to NCQA HEDIS and CMS Medicare Stars, and supporting quality improvement strategies through best practice documents and training materials. The candidate should have strong expertise in quality measures, be detail-oriented, and capable of translating complex information into understandable content for diverse audiences. Experience in creating provider and member-facing materials, working in cross-functional teams, and presenting to various audiences is essential.

This remote position requires working in the Central time zone (CST). Flexibility to work from anywhere within the U.S. is provided.

Primary Responsibilities

• Develop quality education content for internal staff, providers, and members, ensuring materials are current, professional, and educationally effective.
• Research and develop best practice documents to support quality improvement initiatives.
• Manage document repositories, handle requests, and maintain cloud-based sites.
• Evaluate and update SOPs, workflows, and job aids.
• Manage NCQA PCS Q&A and conduct ad-hoc trainings related to CMS Stars and NCQA HEDIS measures.
• Support quality training and onboarding, including systems related to data and provider verification.
• Assist the director with HEDIS and Stars training and serve as a subject matter expert within the organization.
• Participate in cross-functional teams, committees, and meetings to meet business goals.

Required Qualifications

• At least 5 years of experience with quality performance measures and improvement programs.
• Minimum of 2 years working with CMS Medicare Stars, CAHPS, HOS, and NCQA HEDIS measures.
• Experience with provider and member quality strategies and data analysis.
• At least 2 years of experience in learner-centric education approaches.
• Expertise in NCQA HEDIS measures and familiarity with annual updates.
• Experience presenting to executive leadership.
• Active, unrestricted RN license in any U.S. state.
• Proficiency with MS Office, Teams, and other educational technology tools.
• Willingness to travel up to 25%.

Preferred Qualifications

• Bachelor’s Degree.
• Experience in a managed care or care delivery organization’s quality department.
• HEDIS chart abstraction experience.
• Provider-facing experience.
• Strong relationship-building skills with healthcare professionals and leadership.
• Knowledge of other managed care populations like Medicaid or Commercial.
• Highly organized with excellent communication and facilitation skills.
• Adherence to telecommuting policies.

The salary range is $89,800 to $176,700 annually, based on various factors including experience, education, and location. Benefits include comprehensive health coverage, incentives, stock options, and 401k. We are committed to diversity, equity, and inclusion, and to providing equitable care and addressing health disparities.