Field Clinical Practice Performance Consultant - Buncombe Co, NC and Surrounding Areas

UnitedHealthcare; Nashville (NC); Hybrid; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase program

401k contribution

Job summary

UnitedHealthcare in North Carolina seeks a seasoned professional to oversee CMARC/CMHRP programs supporting maternity care improvements. You will monitor performance, analyze data, and collaborate with OB providers, health departments, and CIN partners to drive high-quality, cost-effective outcomes.

The role requires travel up to 75%, strong data presentation skills, and experience with Medicaid populations.

Qualifications

• 3+ years of experience working with maternity populations.
• Experience in data analysis, systems analysis, and presenting data to leaders.
• Experience working with the Medicaid population.
• Experience presenting data to physicians, administrators and partners.
• Intermediate MS Word/Excel/PowerPoint skills.
• Willingness to travel locally up to 75%.

Responsibilities

• Oversight and monitoring of CMARC/CMHRP program requirements and performance strategies.
• Lead meetings to track progress toward program goals.
• Provide support and best practices for OB providers and CMARC/CMHRP programs.
• Build relationships with OB providers, program leadership and clinicians.
• Serve as liaison across CINs, UHC teams and external partners.
• Collaborate with DHHS/DPH leadership on CMARC/CMHRP programs.
• Consult with internal partners to identify organizational challenges.
• Educate on PMP practices and tools to improve outcomes.
• Apply quality improvement to assist LHD/OB providers.
• Analyze data to identify problems and opportunities.
• Facilitate data visualization discussions and data sharing.
• Coordinate with quality/AMH/provider relations on needs.
• Participate in Joint Operational Committee with external care management partners.
• Represent Health Plan at community events and clinics.

Skills

Data analysis

Public speaking

Group leadership

Facilitation

Problem solving

Critical thinking

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

If you reside within a reasonable commute in the Buncombe County and 18 surrounding counties (Avery, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey), you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

• Provide oversight and performance evaluation through continuous monitoring and analysis of CMARC/CMHRP program requirements and development of strategies based on performance analysis
• Regularly facilitate efficient, effective meetings with the CMARC/CMHRP programs to monitor, present, and discuss progress towards program requirements
• Provide ongoing support, develop recommended actions, and best practices to assist OB providers and LHD CMARC/CMHRP Programs in achieving contractual requirements
• Build and effectively maintain relationships with OB Providers, CMARC/CMHRP programs, LHD practice leadership and key clinical influencers actively involved in practice transformation through strategic partnerships
• Serve as liaison and clinical resource using proven interpersonal and collaboration skills to foster relationships and maintain communication with multiple disciplines (e.g. Clinically Integrated Networks (CINs), internal UHC teams, external stakeholders, and other partners as appropriate)
• Collaborate with DHHS and DPH leadership for CMARC/CMHRP programs to ensure appropriate policies, processes, oversight and outcomes
• Consult and partner with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program performance and quality outcomes
• Provide education to promote quality and cost-effective outcomes around pregnancy medical program (PMP), dissemination of the latest information on effective practices, and utilization of tools and resources to meet needs of the population (e.g. best practice guidelines, practice management support, population health program implementation, and/or with other appropriate resources)
• Implement basic quality improvement principles to provide technical assistance and support to LHD and OB providers while assessing trends in quality measures and identifying opportunities for quality improvement (e.g. AMH identified quality measures, pay for performance measures)
• Uses a systematic approach to identify CMARC/CMHRP program and LHD practice needs, perform data analysis, and develops actionable solutions to improve quality outcomes
• Assist practices with analyzing and interpreting data to quickly identify problems, patterns, and high-risk activities
• Facilitate discussions around different data visualization strategies, including differences in databases, and basic data sharing and management of resources
• Cross-collaborate with the quality, AMH, or provider relation teams for any identified or ongoing practice needs that require the involvement of a subject matter expert
• Facilitates and participates in Joint Operational Committee with external care management partners
• Participates, coordinates, and/or represents the Health Plan at community based organization events, clinic days, health department meetings, and other outreach events as assigned

You will 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

• 3+ years of experience working with maternity populations (OB provider, OB clinic setting OR local health departments)
• 2+ years of experience with responsibilities in the following areas: data analysis and interpretation, systems analysis, graphical display of data/information, public speaking, group leadership and facilitation, and demonstrated problem solving and critical thinking skills
• 2+ years of experience working with the Medicaid population
• 2+ years of experience in creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners, engaging different types of learners in various settings (e.g. practice offices, CIN/other partner offices, community settings)
• Intermediate experience in software applications skills that include, Microsoft Word, Excel, PowerPoint
• This role requires travel to locally up to 75% of the time and may require travel up to 2 hours away from your residence on occasion

Preferred Qualifications

• Program oversight experience
• Resides in North Carolina, specifically Region 1 (which encompasses one of the 18 counties surrounding Asheville, NC)
• Maternity experience in OB Provider or Clinic Setting
• Knowledge of one or more of: clinical standards of care, HEDIS, NCQA PCMH, and governing and regulatory agency requirements
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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