Senior Clinical Transformation Lead (Remote Impact)

Sustainable World, Inc.; Maryland Heights (MO); Hybrid; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group is seeking a Senior Clinical Transformation Consultant to lead multi-disciplinary practice transformation within UHC's care programs. You will guide physician practices toward quality, efficiency, and cost improvements, acting as a clinical point of contact and mentoring teammates.

This role requires strong leadership, data-driven strategy, and the ability to travel 10–15%. Remote work is available within commutable MO areas, with collaboration across regional leadership and

Qualifications

• Bachelor's degree or 9+ years of experience with improving clinical quality, health care analytics, or driving clinical transformation initiatives with population health programs, Patient Center Medical Homes or in Accountable Care Organizations
• 5+ years of combined experience with improving clinical quality, health care analytics, or driving clinical transformation initiatives with population health programs, Patient Center Medical Homes or in Accountable Care Organizations
• 2+ years of experience interpreting and utilizing clinical data analytics, outcomes measurement in healthcare and use of that data to drive change
• Experience working with and collaborating successfully with senior level leadership
• Demonstrated experience leading groups and solid presentation skills
• Solid Microsoft Office Skills with Word, Excel (Intermediate +), Outlook and PowerPoint
• Access to high speed internet for home office set up
• Willingness to travel between 10-15% for face to face meetings
• Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area (markets may require valid driver's license)

Responsibilities

• Successful deployment of UHC's Clinical Support program at the practice level, including but not limited to, introducing and educating practices on the value/use of reporting tools, patient registries and delivery of reports via UHC's Physician Portal
• Build and effectively maintain relationship with the practice leadership and key clinical influencers actively involved in practice transformation
• Regularly facilitate efficient, effective practice improvement meetings with the practice to monitor, present, and discuss progress on the transformation action plan and achievement in milestones
• Develop strategies; based on performance analysis, for improvement that includes specific outcomes and metrics to monitor progress to a goal and make recommendations for improvement
• Design practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestones
• Monitor and review the progress of the practice in milestone achievement and insure the practice is accountable for successful completion
• Use data to analyze key cost, utilization and quality data and interpret results to assess the performance of the practice
• Use data to analyze trends and work with stakeholders to agree on and implement proactive strategies to address issues, and measure impact using a PDSA rapid cycle improvement approach; including external practice data
• Assist practices in creating work flows to optimize care delivery, introduce best practices improvements, and evaluate outcomes using rapid cycle improvements PDSA methods to reach mutual goals
• Educate & Deploy technology tools to support Practice Transformation
• Integrate technology tools into practice workflows
• Build and effectively maintain relationships with team members in the UHC Clinical organization as well Medical Directors, local Network leads, Health Care Economic Analysts and Clinical Analysts in support of the program
• Consult and partners with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program outcomes
• Collaborate with UnitedHealthcare teams including the practice Care Coordinators, quality management teams, hospital clinical teams, behavioral health teams to support integrated PCP driven care for our members with practices and hospitals
• Consult and guide the practice on developing innovative solutions, including bringing best practice experience and connecting practices with other high performing practices to spur innovation
• Work with the practice and Optum to align and integrate Optum care/disease management programs and population health services to augment the practice's capabilities, support their care management efforts and add value to the patient care experience
• Assist and support department leaders in summarizing and disseminating experience - related learning's by way of team updates, written reports / articles, and / or presentations as called for by directors

Skills

Leadership

Presentation skills

Relationship building

Data-driven decision making

Travel flexibility

Communication

Internet access

Education

Bachelor's degree

Master's degree

Tools

Microsoft Office

Job description

UnitedHealth Group is seeking a Senior Clinical Transformation Consultant to lead multi-disciplinary practice transformation within UHC's care programs. You will guide physician practices toward quality, efficiency, and cost improvements, acting as a clinical point of contact and mentoring teammates.

This role requires strong leadership, data-driven strategy, and the ability to travel 10–15%. Remote work is available within commutable MO areas, with collaboration across regional leadership and