Registered Nurse RN HEDIS​/STARS Consultant Compact Lics

Well Med, part of the Optum family of businesses, is seeking a Registered Nurse RN HEDIS/STARS Consultant Compact Lics to join our team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and erience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country.

Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Well Med provides concierge-level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient’s health. Well Med’s proactive approach focuses on prevention and the complete coordination of care for patients. Well Med is now part of the Optum division under the greater United Health Group umbrella.

The Clinical Quality Consultant will drive consistency, efficient processes and share best practices – in a collaborative effort with the Quality Improvement team and leadership – designed to facilitate a minimum 4 STAR rating. The CQC will participate in quality improvement initiatives, such as Medication Reconciliation Post Discharge (MRP), and Comprehensive Diabetes Care (CDC) and develop recommendations for quality remediation plans and create tools and databases to capture relevant data for each region.

This position will work collaboratively with other staff member, leadership and the market in a matrix relationship.

You’ll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

• Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher

• Outreach to members to provide patient education & assessments, medication reconciliation post discharge, comprehensive diabetes care, and other quality campaign initiatives

• Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups

• Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations

• Assist in developing of training and analytical materials for Stars and HEDIS

• Lead Weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider group performance and market performance as requested by or required by Quality or Regional leadership

• Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies

• Identify and assess decision makers and other key provider group personnel with a focus on identifying barriers to achieving targeted outcomes

• Focus communications and efforts accordingly

• Develop solution-based, user friendly initiatives to support practice success

In 2011, Well Med partnered with Optum to provide care to patients across Texas and Florida. Well Med is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At Well Med our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors.

Well Med has more than 22,000 primary care physicians, hospitalists, specialists, and advanced practice…