Optum ยท 20 hours ago
Associate Practice Performance Manager - Field Position (New Orleans, LA)
New Orleans, LA
Full-time
Hybrid
Mid Level
$60K/yr - $107K/yr
3+ years expOptum is focused on improving the flow of health data and information to create a more connected healthcare system. The Associate Practice Performance Manager will implement programs and manage provider performance, working directly with care providers to enhance quality of care for Medicare Advantage members.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Functioning independently, travel across assigned territory to meet with providers to discuss UHC tools and programs focused on improving the quality of care for Medicare Advantage Members
Execute applicable provider incentive programs for health plan
Assist in the review of medical records to highlight Star opportunities for the medical staff
May conduct telephonic member needs assessments according to state and national guidelines, policies, procedures, and protocols
May interact with members via telephone; Schedule appointments, Follow-up calls to assess understanding of services, answer questions and ascertain that additional procedures have been completed that relate to preventative health screenings or HEDIS gaps in care
Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities
Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff
Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and ACOs
Develop comprehensive, provider-specific plans to increase their HEDIS performance and improve their outcomes
Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution
Act as lead to pull necessary internal resources together in order to provide appropriate, effective provider education, coaching and consultation. Training will include Stars measures (HEDIS/CAHPS/HOS/med adherence), and UHC program administration, use of plan tools, reports and systems
Coordinate and lead Stars-specific JOC meetings with provider groups with regular frequency to drive continual process improvement and achieve goals
Provide reporting to health plan leadership on progress of overall performance, gap closure, and use of virtual administrative resource
Facilitate/lead monthly or quarterly meetings, as required by plan leader, including report and material preparation
Provide suggestions and feedback to UHC and health plan
Work collaboratively with health plan market leads to make providers aware of Plan-sponsored initiatives designed to assist and empower members in closing gaps
Solid communication and presentation skills
Solid relationship building skills with clinical and non-clinical personnel
Other duties, as assigned
Qualification
Required
3+ years of healthcare industry experience
1+ year of experience working for a health plan and/or for a provider's office
1+ year of HEDIS STARs experience
Demonstrated intermediate or higher level of proficiency using Microsoft Office, specifically Word, Excel, Outlook, and PowerPoint
Reside in the New Orleans LA regional area (routine travel is required in this area)
Able/willing to travel approximately 75% in the New Orleans LA regional area (must live in this region to perform daily travel requirements)
Proof of a valid Driver's License, access to reliable transportation and current auto insurance
Preferred
Medical/clinical background
Proven solid knowledge of electronic medical record systems
Consulting experience
Proven solid knowledge of the Medicare market
Demonstrated knowledge base of clinical standards of care, preventive health, and Stars measures
Experience in managed care working with network and provider relations/contracting
Proven solid problem-solving skills
Demonstrated solid financial analytical background within Medicare Advantage plans (STARS Calculation models)
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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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