Optum ยท 2 months ago
Practice Performance Manager - Chattanooga, TN
Chattanooga, TN
Full-time
Onsite
Mid Level
$71K/yr - $127K/yr
3+ years expOptum is committed to innovating health care, and they are seeking a Practice Performance Manager responsible for managing provider performance metrics and improving healthcare delivery. The role involves working directly with care providers to enhance performance through education, relationship building, and data analysis.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Manage assigned practices to performance goals: 4 STAR gap closure and 90% of HCC covered
Work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to achieve needed results
Functioning independently, travel across assigned territory to meet with providers to discuss UHG tools and programs focused on attestation completion, HCC coding and documentation accuracy and improving the quality of care for Medicare Advantage Members
Review HCC performance and conduct chart reviews as needed to share targeted coding and documentation education with providers
Facilitate and prepare for monthly meetings with practices, including report and material preparation
Provide suggestions and feedback to Population Health leadership team
Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts
Work internally with leadership on adhoc projects, initiatives, and sprints to address measure star ratings and increase overall measure performance
Share reports with assigned practice leadership and providers and explain opportunity areas and operational steps for achievement
Work with practices to establish workflows for attestation completion and gap closure
Actively report challenges and barriers to practice performance with Senior PPM and collaborate on solutions
Proactively work on action plans for targeted provider groups to increase healthcare delivery, star ratings, and maximize on gap closures
Qualification
Required
3+ years of healthcare industry experience (Provider Office Operations, STARs Quality Improvement, HCC Coding Education, Provider Engagement/Liaison)
1+ years of STARS or RAF experience
Demonstrated knowledge base of clinical standards of care, preventive health, and Stars measures
Microsoft Office specialist with exceptional analytical and data representation expertise; Advanced Excel, Outlook, and PowerPoint
Based in the Chattanooga, TN area
Ability to travel locally up to 75% within the Chattanooga area (mileage reimbursement provided)
Driver's License and access to reliable transportation
Preferred
Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC)
Experience in managed care working with network and provider relations and engagement
Consulting experience
Knowledge of electronic medical record systems
Knowledge of the Medicare market
Medical/clinical background
Financial analytical background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models)
Proven solid communication and presentation skills
Proven solid relationship building skills with clinical and non-clinical personnel
Proven solid problem-solving skills
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
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