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Practice Performance Manager – Augusta, Ga

Optum
Optum
3+ years
$71,600 to $140,600
10 April 16, 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 – Augusta, GA
Location: Augusta, Georgia, United States
Job Category: Medical & Clinical Operations
Requisition Number: 2261792


Company Overview:

At UnitedHealth Group, we are transforming health care through connected systems that prioritize whole-person care. This is your opportunity to be part of an innovative team that impacts quality outcomes across the full continuum of care.


Position Summary:

The Practice Performance Manager (PPM) plays a vital role in managing provider performance by driving improvements in 4 STAR gap closure and coding accuracy. This role partners closely with providers and clinical staff to foster relationships, deliver education, and identify key performance improvement areas. Daily on-site practice visits and up to 75% local travel are required.


Primary Responsibilities:

  • Oversee practice performance tied to 4 STAR gap closure and 90% HCC coverage goals

  • Collaborate with care providers on education, reporting, and performance enhancement

  • Conduct on-site visits to promote use of UnitedHealth Group tools and coding practices

  • Perform EMR chart reviews and guide providers on documentation and coding

  • Prepare reports and materials for monthly provider meetings

  • Coordinate provider workflows for gap closure and attestation

  • Contribute to population health campaigns, initiatives, and performance sprints

  • Identify and troubleshoot performance barriers in collaboration with Senior PPM

  • Track progress and implement action plans to boost STAR ratings and quality outcomes


Required Qualifications:

  • 3+ years of healthcare industry experience (e.g., provider operations, STARs, HCC coding, provider engagement)

  • 1+ years of STARs or RAF program experience

  • Excellent communication and relationship-building skills

  • Strong presentation abilities

  • Ability and willingness to travel up to 75% locally


Preferred Qualifications:

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

  • Experience in consulting, managed care, or provider relations

  • Clinical or medical background

  • Familiarity with EMR systems and Medicare

  • Strong understanding of STAR measures and clinical standards

  • Proven analytical, problem-solving, and data interpretation skills

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


Compensation & Benefits:

  • Annual salary range: $71,600 – $140,600 (based on experience, location, and qualifications)

  • Performance-based incentives and bonuses

  • Comprehensive benefits package

  • 401(k) contributions and stock purchase plans

  • Career advancement opportunities within a Fortune 5 company