Clinical Practice Consultant - South Central, VA Markets

About this role

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

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The Clinical Practice Consultant is a direct, provider-facing role and is responsible for ongoing clinical management of physician practices in the Health Plan. This position focuses on clinical quality by designing and leading measure-specific initiatives and supporting providers in continuous quality improvement to meet contractual performance requirements. Duties involve developing and managing partnerships with providers, educating providers on quality measures and best practices, analyzing and reporting quality outcomes, medical record review and retrieval, and collaborating with multidisciplinary teams internally and externally to enhance provider performance

This role reports directly to the Associate Director of Clinical Quality within the Health Plan. If you reside within a commutable distance of the South Central VA area, you will have the flexibility to work remotely* as you take on some tough challenges. 75% in market same day travel to visit providers

This is a Field Based position with a Home-Based Office. Primary Responsibilities: Operational Team Support Function as a subject matter expert (SME) for quality measures and preventive health topics for Health Plan staff Support state-specific medical record retrieval as directed by the Quality Leadership Assist in the development of Standard Operating Procedures, Job Aids, and educational materials for internal training as needed Serve as a subject matter expert (SME) for assigned HEDIS/State Measures and preventive health topics Support quality program with tasks including, but not limited to, reviewing medical

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