UnitedHealthcare · 16 hours ago
Clinical Practice Performance Consultant - Field Based in Orlando, FL
Orlando, FL
Full-time
Hybrid
Entry Level
$20.38/hr - $36.44/hr
2+ years expUnitedHealthcare is dedicated to simplifying the health care experience and improving community health. The Clinical Practice Performance Consultant role involves working with medical centers and physician practices to enhance quality measures and support members in closing gaps in care.
FitnessHealth CareWellness
Responsibilities
Assist in the review of medical records to highlight Star opportunities for the medical staff
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
Track appointments and document information completely and accurately in all currently supported systems in a timely manner
Optimize customer satisfaction, positively impact the closing of gaps in care and productivity
Partner with your leadership team, the practice administrative or clinical staff to determine the best strategies to support the practice and our members ensuring that recommended preventative health screenings are completed and HEDIS gaps in care are addressed
Interaction with UHC members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
Answer inbound calls from members and/or providers regarding appointments
Communicate scheduling challenges or trends that may negatively impact quality outcomes
Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs
Provide ongoing support and education to team members and assist in removing barriers in care
Manage time effectively to ensure productivity goals are met
Ability to work independently in virtual setting. Ability to solve problems, use best professional judgment and apply critical thinking techniques to resolve issues as they arise
Identify and seek out opportunities within one's own workflow to improve call efficiency
Adhere to corporate requirements related to industry regulations/responsibilities
Maintain confidentiality and adhere to HIPAA requirements
Data analysis required multiple system platforms to identify open quality opportunities to address on a member or provider level
Appointment coordination for specialist appointments, late to refill medication outreach and scheduling members for local market clinic events
Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts
Field based activities require the abilities to support appropriate targeted providers
Other duties, as assigned
Qualification
Required
High School Diploma/GED (or higher)
2+ years of telephonic customer service experience
1+ years of healthcare background with medical terminology familiarity of clinical issues
1+ years of working experience and knowledge of HIPAA compliance requirements
Intermediate level of proficiency with Microsoft Office Tools: Word, Outlook, Teams, & Excel (navigating, filtering and analyzing reports)
Ability to travel up to 75% - 100% of the time in the Orlando, FL area
Access to reliable transportation & valid US driver's license
Preferred
Experience working in a physician, provider and/or medical office
Medical Assistant
LPN
EMR and HEDIS knowledge and experience
Knowledge of ICD- 9/10 and CPT Codes
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealthcare
UnitedHealthcare helps people live healthier lives by simplifying the health care experience.
10001+ employees
H1B Sponsorship
UnitedHealthcare 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 (48)
2024 (26)
2023 (45)
2022 (61)
2021 (60)
2020 (68)
Funding
Current Stage
Late StageLeadership Team
R
Rebecca Madsen
Chief Consumer Officer
Recent News
2026-01-18
2026-01-16
2026-01-16
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