Senior Clinical Practice Performance Consultant - Remote

UnitedHealth Group; La Crosse (WI); Hybrid; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group seeks a Senior Clinical Practice Performance Consultant to provide enterprise-level clinical guidance across strategy, quality, and regulatory alignment. You will help design scalable, audit-ready models and governance structures for diverse OSHS programs, collaborating with Legal, Compliance, and Operations.

The role supports telehealth, workforce design, and policy development while ensuring readiness, performance improvement, and risk mitigation across multiple states.

Qualifications

• Bachelor’s degree in nursing, healthcare, public health or healthcare administration.
• Active, unrestricted Registered Nurse license, MSN, BSN, RN, NP.
• 8+ years of progressive clinical, healthcare operations, quality, regulatory, program-development, or consulting experience.
• Experience interpreting federal and state healthcare requirements and accreditation standards.
• Experience developing or reviewing clinical policies, SOPs, workflows and quality-management documents.
• Experience evaluating scope of practice, licensure, delegation, supervision and credentialing.
• Ability to synthesize complex clinical, regulatory and operational information into practical recommendations.
• Ability to communicate with senior leaders, clinical SMEs and cross-functional teams.

Responsibilities

• Provide senior-level clinical consultation for OSHS programs and enterprise initiatives.
• Evaluate clinical models for safety, quality, regulatory alignment and operational feasibility.
• Develop and maintain enterprise clinical governance architecture and standards.
• Translate complex requirements into practical standards for leadership and frontline teams.
• Identify enterprise clinical gaps and opportunities for standardization across programs.
• Apply High Reliability Organization principles to risk identification and improvement.
• Lead clinical solutioning for RFIs/RFPs, contract modifications and new-business development.
• Support governance, documentation, and audit readiness across regulated activities.

Skills

Clinical consultation

Regulatory compliance

Quality improvement

Policy development

Education

Bachelor’s degree in nursing, healthcare, public health or healthcare administration

Tools

Microsoft Word

Excel

PowerPoint

Teams

SharePoint

Job description

UnitedHealth Group seeks a Senior Clinical Practice Performance Consultant to provide enterprise-level clinical guidance across strategy, quality, and regulatory alignment. You will help design scalable, audit-ready models and governance structures for diverse OSHS programs, collaborating with Legal, Compliance, and Operations.

The role supports telehealth, workforce design, and policy development while ensuring readiness, performance improvement, and risk mitigation across multiple states.