Senior Practice Performance Coordinator

Optum; Cypress (CA); Hybrid; USD 54,000 - 89,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Job summary

OptumCare is seeking a Senior Practice Performance Coordinator to drive provider performance and quality improvement initiatives across the organization. This senior role leads advanced data analysis, mentors junior coordinators, and partners with Quality, Compliance, and IT to enhance HEDIS, STAR, and Risk Adjustment outcomes.

This office-based role requires 2 days in the office and 3 days in the field or at home, offering a comprehensive benefits package and opportunities for professional

Qualifications

• 1+ years of experience in healthcare administration, quality improvement, or medical office operations.
• Proven experience conducting chart reviews and interpreting healthcare data.
• Advanced knowledge of HEDIS, STAR, and Risk Adjustment programs.
• Proficiency in Microsoft Office Suite, population health platforms, and data visualization tools.
• Driver's License and access to a reliable transportation.

Responsibilities

• Conduct advanced chart reviews to identify documentation gaps, coding accuracy, and opportunities for quality measure improvement.
• Analyze provider performance data from platforms such as Cozeva and DataCore to identify trends and recommend targeted interventions.
• Coordinate and lead logistics for high-impact provider training sessions, including curriculum development and post-training evaluations.
• Maintain and enhance internal dashboards and databases used for performance tracking and reporting.
• Mentor Practice Performance Coordinators and guide best practices in quality standards.
• Lead projects to improve HEDIS, STAR, and Risk Adjustment performance and ensure data integrity.

Skills

HEDIS, STAR, Risk Adjustment programs

Data analysis

Cross-functional collaboration

Microsoft Office Suite

Population health platforms

Data visualization tools

Tools

Microsoft Office Suite

Population health platforms

Data visualization tools

Job description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

The Senior Practice Performance Coordinator plays a pivotal role in driving provider performance and quality improvement initiatives across the organization. This senior-level position provides advanced support to the Practice Performance Consulting team, leads complex data analysis efforts, mentors junior coordinators, and contributes to strategic planning and execution. The ideal candidate is a proactive problem-solver with solid analytical skills, healthcare experience, and the ability to lead cross-functional initiatives that enhance provider engagement and outcomes.

This will be a Office-Based role working 2 days a week in the office and 3 days out in the field or home.

Primary Responsibilities:

• Core Duties:
  • Conduct advanced chart reviews to identify documentation gaps, coding accuracy, and opportunities for quality measure improvement
  • Analyze provider performance data from platforms such as Cozeva and DataCore to identify trends and recommend targeted interventions
  • Coordinate and lead logistics for high-impact provider training sessions, including curriculum development and post-training evaluations
  • Maintain and enhance internal dashboards and databases used for performance tracking and reporting
• Senior-Level Duties:
  • Mentor and train Practice Performance Coordinators, providing guidance on best practices and quality standards
  • Collaborate with leadership to develop and refine workflows, action plans, and strategic initiatives aimed at improving HEDIS, STAR, and Risk Adjustment performance
  • Serve as a liaison between Practice Performance Consultants and other departments (e.g., Quality, Compliance, IT) to ensure alignment and data integrity
  • Lead special projects focused on provider engagement, performance optimization, and regulatory compliance
  • Present performance insights and recommendations to internal stakeholders and leadership teams
  • Monitor regulatory changes and industry trends to inform internal practices and training content

You’ll 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:

• 1+ years of experience in healthcare administration, quality improvement, or medical office operations
• Proven experience conducting chart reviews and interpreting healthcare data
• Advanced knowledge of HEDIS, STAR, and Risk Adjustment programs
• Proficiency in Microsoft Office Suite, population health platforms, and data visualization tools
• Driver's License and access to a reliable transportation

Preferred Qualifications:

• Proven solid leadership and mentoring skills
• Proven excellent communication, presentation, and interpersonal skills
• Proven ability to manage multiple priorities and lead cross-functional initiatives in a fast-paced environment

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 hourly pay for this role will range from $24 - $43 per hour 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.

OptumCare 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.

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