Senior Clinical Transformation Manager – Remote – working MDT or CDT hours

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Senior Clinical Transformation Manager (Senior CTM) 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 CTM 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 CTM is accountable for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice.

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

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Working MDT/CDT hours

Primary Responsibilities:

• Accountable for 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 ensure the practice is accountable for successful completion
• Use data to analyze key costs, utilize 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 workflows 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 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:

• 5+ combined 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 
• 2+ years of experience interpreting and utilizing clinical data analytics, outcomes measurement in healthcare and use of that data to drive change
• Demonstrated experience leading groups and presenting
• Population health management experience within an accountable care organization or health system setting
• Proficient in Microsoft Office Word, Excel, Outlook and PowerPoint
• Access to high-speed internet for home office set up
• Willingness to travel up to 10% of the time for face-to-face meetings
• Willing and able to work MDT or CDT hours
• 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)

Preferred Qualifications:

• Active, unrestricted RN license in the State of Residence
• Physician practice experience
• Medicare and/or Commercial experience
• Experience with clinical quality, efficiency or utilization
• Experience using a PDSA rapid cycle improvement approach
• Experience building relationships, presenting to, and collaborating successfully with senior level clinical and/or executive leadership on internal and/or external teams to drive goal alignment
• Demonstrated experience implementing clinical practice transformation initiatives designed to help providers or hospital groups achieve large-scale health transformation goals

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group 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.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.