Provider Performance & STARs Optimization Lead

UnitedHealthcare; Huntsville (AL); Hybrid; USD 60,000 - 107,000; Full time

Job summary

UnitedHealthcare is seeking an Associate Practice Performance Manager for Northeast Alabama to implement provider performance programs and close STAR gaps. You will work with physicians and medical groups, educate providers, and coordinate data-driven improvement plans while traveling up to 75% across Northeast Alabama.

Remote work flexibility is available for commutable distances. The role emphasizes education, reporting, and collaboration with care teams to enhance Medicare Advantage outcomes

Qualifications

• 3+ years of healthcare industry experience.
• 1+ years of experience working for a health plan or provider's office.
• Advanced Excel, Outlook, and PowerPoint skills.
• Proven excellent communication and presentation skills.
• Proven solid relationship building with clinical and non-clinical personnel.

Responsibilities

• Travel across assigned territory to meet with providers to discuss Optum tools and programs focused on improving quality of care for Medicare Advantage Members.
• Execute applicable provider incentive programs for health plan.
• Assist in the review of medical records to highlight Star opportunities for the medical staff.
• Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities.
• 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 outcomes.
• Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution.
• 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.
• Facilitate/lead monthly or quarterly meetings, as required by plan leader, including report and material preparation.

Skills

Healthcare experience

Communication skills

Relationship building

Advanced Excel

Outlook

PowerPoint

Tools

Microsoft Office Suite

Excel

Outlook

PowerPoint

Job description

UnitedHealthcare is seeking an Associate Practice Performance Manager for Northeast Alabama to implement provider performance programs and close STAR gaps. You will work with physicians and medical groups, educate providers, and coordinate data-driven improvement plans while traveling up to 75% across Northeast Alabama.

Remote work flexibility is available for commutable distances. The role emphasizes education, reporting, and collaboration with care teams to enhance Medicare Advantage outcomes