Practice Performance Consultant Sr

Caring. Connecting. Growing Together.

Practice Performance Consultants support provider performance across risk adjustment and quality key performance indicators in collaboration with PRM. They complete in office assessments, develop and maintain action plans that supplement PCP work in engaging patients, provide additional training or at the elbow support or liaise to resolve system challenges. The PPC may also perform chart abstraction, enter supplemental data or arrange events to support gap closure.

Primary Responsibilities:

• Advance high volume office workflow and programmatic coordination in collaboration with the PRMs
• Complete in office assessment and advise on the development of supportive action plans
• Maintain the office action plan (in partnership with other accountable teammates and stakeholders)
• Host regular meetings / engagement cadence with office in collab with IPA staff
• Determine the best strategies to support the practice and our members ensuring that recommended preventative health screenings are completed and HEDIS gaps in care are addressed
• Training / System Support / Education
• Coordinate with accountable teams for at the elbow training and system support (Practice Connect, Cozeva)
• Liaises on system challenges (Practice Connect, Cozeva, etc.) and escalates challenges to Optum resources - at the elbow
• Coordinate training and education sessions with Medical Directors
• Clinical Support
• Chart dives to support quality and risk documentation
• Enter supplemental data on behalf of the office
• Determine event planning, coordination, and management for health fairs to support regional advancement of goals
• Support incomplete / amend / lookback workflows for high volume offices
• PRM Collaboration: Support PRMs in questions on pursuit list generation and reinforce PRM messages in the IPA office

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:

• High School education or equivalent
• 1+ years of experience in a healthcare setting
• Ability to use computer and multi-systems
• Ability to travel 75%
• Driver's license and access to reliable transportation

Preferred Qualifications:

• Quality Performance or Quality Risk Adjustment experience
• Bilingual: Spanish or Vietnamese

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 $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.