Accountable Care Consultant (Clinical Data Consultant) - Tacoma WA at Tacoma

Job Description

Accountable Care Consultant Analyst works directly with local Community Plan leaders and leadership of assigned hospitals and physician practices in each Community, supporting practicetransformation from a reactive model of patient care to a proactive Medical Home, analyzing population data to effectively measure, monitor and manage care of patients and present results and outcomes to executive leadership.ResponsibilitiesThe Consultant Analyst is responsible for supporting assigned Practice clinical teams in implementing the United Accountable Care Communities program in the following key areas: Use practice level population data to analyze overall capacity/demand for appointments and visit patterns by clinic/overall and assist the Practice leadership to implement process improvements to reach mutual goals and improve patient access. Use hospital ADT and daily ER data to analyze trends and work with all Community stakeholders to agree on and implement proactive strategies to address issues, and measure impact using a PDSA rapid cycle improvement approach. Support practices in the effective use of the Accountable Care Population Registry to track and manage care transitions of all discharges and ensure follow up with PCP, helping practice teams engage and coordinate with United clinical and hospital teams. Measure and monitor success of outreach and develop strategies to simplify processes and ensure optimal care for patients. Complete predictive modeling analyses of practice population risk and assist practices in identifying cohorts of high risk/health home patients for focused improvement initiatives. Collaboratively establish with local Community Plan leaders and practice clinical leadership measurable goals for each cohort to increase access, address current care opportunities and reduce adverse events. Analyze and report measurable progress against goals internally and at monthly JOC meetings with practices and hospitals. Collaborate with United teams including the practice Care Coordinator/s, quality management teams, hospital clinical teams, behavioral health teams to support integrated PCP driven carefor our members in the Community. Support practice in implementing process improvements to assist the practice in becoming a certified Medical Home, if desired by practice leaders. Assist practices in creating work flows to optimize care delivery, introduce best practices improvements, and evaluate outcomes using rapid cycle improvements PDSA methods. Meetwith practice staff at least weekly, to facilitate progress and address barriers. Prepare and present progress against goals monthly at on site JOCs with United/ Practice/hospital executive teams.

Job Requirements

Qualifications Experience working in Practice management / healthcare operations 5+ years of clinical data analysis experience measuring process and outcomes in healthcare 1 + years of experience managing change initiatives for health care teams Strong skills presenting complex data and outcomes to executive teams Medicaid managed care experience Strong process improvement skills/experienceIntermediate working knowledge of MS Access Ability to analyze and monitor results of outcome measures and assist physician practice increating solutions Strong persuasion skills and demonstrated evidence of innovative thinking and programdevelopment to make the health care system work better. High level of computer literacy with clinical documentation system experience and strongability to navigate without assistance in multiple computer applications and systems. Up to 25% travelPreferred: CPHQ certification Six Sigma / Lean certification Masters Degree in Health InformaticsDiversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: Washington, City: Tacoma, Company: UnitedHealth Group.