Practice Performance Manager

3+ years
$71,600 to $140,600
10 April 14, 2025
Job Description
Job Type: Full Time Education: B.Sc./M.Sc/B.Pharm/M.Pharm/Life Science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

 


Job Title:

Practice Performance Manager – Greenville, SC

Company:

Optum (UnitedHealth Group)

Requisition Number:

2261789

Job Category:

Medical & Clinical Operations

Location:

Greenville, SC, US (Field-based, Local Travel Required)

Work Type:

Full-time


Work Environment:

  • Up to 75% local travel (primarily performed at physician practices)

  • Field-based role involving direct interaction with care providers

  • Includes remote reporting and in-person provider support


Primary Responsibilities:

  • Manage performance of assigned practices to achieve STAR gap closure and 90% HCC coverage

  • Build strong relationships with care providers and deliver targeted education on coding/documentation accuracy

  • Conduct chart reviews and analyze HCC performance

  • Prepare reports and materials for monthly meetings with provider practices

  • Guide and support workflows for attestation and gap closure

  • Collaborate on action plans for performance improvement

  • Participate in internal quality improvement campaigns and initiatives

  • Provide feedback and reports to Population Health leadership and practices

  • Proactively identify barriers and work on solutions with the Senior Practice Performance Manager


Required Qualifications:

  • 3+ years of healthcare industry experience (e.g., STARs Quality Improvement, HCC Coding Education, Provider Operations)

  • 1+ year of STARs or RAF experience

  • Strong communication, presentation, and relationship-building skills

  • Ability and willingness to travel up to 75%


Preferred Qualifications:

  • Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC)

  • Consulting background and managed care experience

  • Strong EMR knowledge and familiarity with clinical standards of care, preventive health, and Stars measures

  • Solid financial analytical background in Medicare Advantage (e.g., RAF/STAR models)

  • Advanced proficiency in Microsoft Office (Excel, Outlook, PowerPoint)


Compensation:

  • Annual salary range: $71,600 – $140,600 (based on experience, education, and market factors)

  • Benefits include:

    • Comprehensive benefits package

    • Incentive and recognition programs

    • Equity stock purchase

    • 401(k) contributions

    • Eligibility-based bonuses and incentives


Company Mission:

UnitedHealth Group and Optum are committed to building a healthcare system that promotes equity and access. Their culture is built on diversity, inclusion, integrity, and innovation. They actively seek to reduce healthcare disparities and improve outcomes for underserved populations.


Compliance & Employment Notes:

  • Equal Employment Opportunity/Affirmative Action Employer

  • Compliant with all applicable wage laws

  • Drug-free workplace – successful candidates must pass a drug screening