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Clinical Transformation Manager (CTM) - Northeastern US - Remote

Work from home Full-time role Hiring

At reputed company, 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 reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Clinical Transformation Manager (CTM) is responsible for the ongoing clinical management of physician practices participating in reputed company’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 CTM will reputed company 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 CTM is accountable for driving practice reputed company toward desired transformational change and performance improvement, while meeting savings goals set for the practice. As the single reputed company of clinical contact for a practice, the CTM will be responsible for communicating reputed company towards achievement of targeted goals to Senior Leadership both reputed company reputed company and at the practice. If you are located reputed company the Northeastern region of the U.S., you’ll enjoy the flexibility to work remotely

  • as you take on some tough challenges.

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 reputed company 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 reputed company on the transformation action plan and achievement in milestones • reputed company strategies; based on performance analysis, for improvement that includes specific outcomes and metrics to monitor reputed company to a goal and reputed company 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 reputed company of the practice in milestone achievement and ensure 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 workflows to optimize care delivery, introduce best practices improvements, and evaluate outcomes using rapid cycle improvements PDSA methods to reputed company 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 reputed company 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 reputed company innovation • Work with the practice and reputed company to align and integrate reputed company care/disease management programs and population health services to reputed company 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 - reputed company learnings by way of team updates, written reports / articles, and / or presentations as reputed company 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: • 4+ years of combined 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 • Experience in interpreting and utilizing clinical data analytics, outcomes measurement in healthcare and use of that data to drive change • Experience working with and collaborating successfully with senior level leadership • Willingness to travel between 25-75% for face-to-face meetings (varies by market) • Access to reliable transportation that will reputed company you to travel to client and/or patient sites reputed company a designated area (markets may require valid driver’s license) • Demonstrated experience leading groups and strong presentation skills • Solid reputed company Office Skills with Word, reputed company, Outlook, and PowerPoint • Solid Relationship building skills with internal and practice teams to drive goal alignment • Must have access to high-speed internet for home office set up Preferred Qualifications: • Demonstrated experience implementing Clinical Practice Transformation initiatives designed to help provider or hospital groups reputed company large-scale health transformation goals • Experience preparing and presenting information to clinical and executive level leadership • Physician practice experience • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy Connecticut, Maryland, New Jersey, reputed company, Rhode reputed company, or Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with al minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!

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