Clinical Practice Consultant - Northern, VA Markets

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 startCaring. Connecting. Growing together.The Clinical Practice Consultant (CPC) is a direct, provider facing role responsible for supporting physician practices through targeted clinical quality improvement initiatives. This position partners closely with providers to improve performance on state and federal quality measures, close care gaps, and support compliance with contractual and regulatory requirements.This role reports to the Associate Director of Clinical Quality and collaborates with internal and external stakeholders to drive sustainable improvements in provider's performance.If you reside within a commutable distance of Northern Virginia, you will have the flexibility to work remotely while engaging in up to 75% same day, in market travel to provider locations.*For consideration, you must reside within the state of VA within a commutable distance of Falls Church, VA and surrounding markets*This is a Field Based position with a Home-Based Office.Primary Responsibilities:Operational & Program Support:Serve as a subject matter expert (SME) for assigned HEDIS/State Measures and preventive health topicsSupport state specific medical record retrieval and quality initiatives as directed by Quality LeadershipReview medical records and internal systems to identify and address open care gapsAssist with development of SOPs, job aids, and educational materials for internal and external useRepresent the health plan at provider meetings, clinic days, and community or public health focused eventsIdentify opportunities to improve operational efficiency and effectivenessPerform additional duties supporting quality programs and health plan initiatives as neededProvider & Practice Support:Develop strong relationships with targeted provider groups to drive improvement in clinical quality performanceAnalyze large volumes of clinical data, translate findings into actionable opportunities for providers, and track interventions through completionApply creative strategies to engage providersConduct medical record audits to assess documentation, coding, and billing practicesAssess performance trends and deliver targeted clinical, quality, and coding best practices to support quality outcomesLead year round medical record retrieval, review, and submission activities to support care gap closureAnticipate, understand, and address the needs of internal and external stakeholdersYou'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:3+ years of clinical, clinical quality, or related experienceSolid proficiency with Microsoft Word, Excel, and PowerPointAbility to communicate effectively with diverse audiences including physicians, executive leadership, clinical and nonclinical staffAbility to make formal presentations within the context of their roleProven verbal, written, and presentation skillsAbility to effectively and efficiently utilize multiple systems/applications simultaneouslyWillingness and ability to travel up to 75% within the assigned marketDriver's license and access to reliable transportationPreferred Qualifications:Current unrestricted RN or clinical background (RN, LPN, MA, or equivalent experience)2+ years of clinical quality improvement experienceExperience supporting Primary Care Practices*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay 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 salary for this role will range from $72,800 to $130,000 annually 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.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.