Sr. Clinical Transformation Manager - Remote

Texas Health Institute; Maryland Heights (MO); Hybrid; USD 110,000 - 140,000; Full time

Job summary

UnitedHealthcare is seeking a Senior Clinical Transformation Consultant to lead multi-disciplinary practice transformation within ACO/Population Health programs. You will guide physician practices toward quality, efficiency, and cost goals with data-driven strategies.

You will mentor Transformation Consultants, communicate progress to regional leadership, and align care delivery with reporting tools, registries, and the Physician Portal.

Qualifications

• Bachelor's degree or 9+ years of experience in clinical quality, analytics, or transformation.
• Experience driving population health and care transformation initiatives.

Responsibilities

• Deploy and manage clinical transformation programs across practices.
• Lead multidisciplinary teams to meet quality, utilization and savings goals.
• Mentor other Transformation Consultants and report progress to leadership.
• Use data and reporting tools to monitor milestones and outcomes.
• Collaborate with care teams to integrate technology into workflows.
• Support practice performance improvement using rapid-cycle methods (PDSA).

Skills

Clinical transformation

Data analysis

Stakeholder management

Mentorship

Communication

Education

Bachelor's degree or 9+ years of experience

Tools

Physician Portal

Data analytics tools

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Senior Clinical Transformation Consultant (Senior CTC) is responsible for the ongoing clinical management of physician practices participating in UnitedHealthcare's (UHC) Accountable Care Organizations (ACO), Value Based Programs, Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The Senior CTC will lead multi-disciplined practice transformation and practice performance improvement initiatives. The selected candidate will guide practices in achieving targeted goals that include improved quality, efficiency and utilization. The Senior CTC is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.

The Senior CTC reports directly to the Regional Director. The Senior CTC will act as a mentor to other Transformation Consultants on the team. As the single clinical point of contact for a practice, the Senior CTC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within UnitedHealthcare and at the practice.

If you are located within a commutable distance of St. Louis and Springfield, MO area, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary 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

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:

• 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 MedicalHomes or in Accountable Care Organizations
• 5+ years of combined experience with improving clinical quality