Provider Performance & STARs Coach

ISHE; Honolulu, Northern (HI, KY); Hybrid; USD 73,000 - 130,000; Full time

Job summary

UnitedHealthcare is seeking a Practice Performance Manager to drive program implementation and provider performance management, focusing on STARs gap closure and coding accuracy. You will engage care providers, educate, report, and identify improvement opportunities through data analytics and collaboration with subject matter experts.

The role involves collaboration with internal teams to improve care quality while balancing costs, and requires strong communication, relationship-building, and

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.
• Weekly commitment of 60% travel for business meetings and 40% remote work.

Responsibilities

• Functioning independently, travel across assigned territory to meet with providers to discuss UHG tools and programs focused on improving the quality of care for Medicare Advantage Members.
• Execute applicable provider incentive programs for health plan.
• Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and ACOs.
• Develop comprehensive, provider-specific plans to increase their HEDIS performance and improve their outcomes.
• Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution.
• Act as lead to pull necessary internal resources together in order to provide appropriate, effective provider education, coaching and consultation.
• Coordinate and lead Stars-specific JOC meetings with provider groups with regular frequency to drive continual process improvement and achieve goals.
• Provide reporting to health plan leadership on progress of overall performance, gap closure, and use of virtual administrative resource.

Job description

UnitedHealthcare is seeking a Practice Performance Manager to drive program implementation and provider performance management, focusing on STARs gap closure and coding accuracy. You will engage care providers, educate, report, and identify improvement opportunities through data analytics and collaboration with subject matter experts.

The role involves collaboration with internal teams to improve care quality while balancing costs, and requires strong communication, relationship-building, and