Field Sr. Practice Support Specialist - Houston - Optum

    Optum
    Optum Houston

    10 hours ago

    $72,800 - $130,000 (USD) per year
    Description
    Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind

    Caring. Connecting. Growing together.

    The Sr. Practice Support Specialist (PSS) serves as a clinical liaison between contracted primary care practices and WellMed contracted clinical operations.

    This role is designed to drive value-based care performance and reduce avoidable utilization through proactive patient outreach, coordinated clinical interventions, and improved provider engagement.

    The PSS supports practices in managing high-risk patients and implementing population health strategies aligned with organizational priorities. This role reports to the Provider Relations Leader and works in a matrixed leadership environment.

    Clinical activities will occur under the direction of the WellMed Senior Medical Director and in accordance with Company protocols, established nursing practice standards, and the relevant state regulatory requirements.

    The role is field-based with an expected travel requirement of 75-85% to contracted provider offices.


    Primary Responsibilities:
    Care & Value Optimization
    Manage patient census across assigned practices, focusing on high-risk and high-cost cohorts
    Monitor and influence key utilization metrics: ER visits, Admits/K, Readmits/K, SNF/ASC/hospital usage, and palliative care engagement
    Serve as a liaison between PCPs, hospitalists, specialists, and care management programs to ensure coordinated care delivery
    Support practices in implementing contingency plans for high-risk patients (HF, COPD), including documentation of advanced directives and care bundle elements
    Conduct weekly touchpoints with the medical director dyad partner to review admissions and determine escalations to contracted providers
    In partnership with PBM and Medical Director team, analyze utilization and performance data to identify trends and root causes
    Develop action plans aligned with market goals (quality, cost, coding)
    Produce and share scheduled/ad-hoc reports on key metrics
    Patient Coordination & Engagement
    Ensure monthly visits for Band 5 and other high-risk cohorts per prioritization list
    Facilitate timely follow-up for hospital discharges and transitions of care
    Conduct weekly 'tuck-in calls' to high-risk members
    Provide education on 'call us first'
    Assist practices in managing high-cost patients and ensuring follow-up on screenings and lab measures
    Referral & Specialist Strategy
    Support referral management aligned with preferred specialist strategy
    Facilitate Tier 1 Cardiology/HF clinic referrals and support optimization of guideline-directed medical therapy (GDMT)
    Quality & Risk Adjustment Support
    Provide education and baseline support for risk adjustment documentation before coder SME engagement
    Drive timely closure of care gaps (medication adherence, preventive screenings, HEDIS/STAR measures)
    Assist practices in understanding and applying QRA strategies

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.


    Required Qualifications:
    Associates Degree in Nursing
    Current, unrestricted RN license required, specific to the state of employment or able to obtain compact license within 30 days of hire
    4+ years in any combination of provider relations, network management
    Experience with Medicare Advantage, HEDIS, STAR, CMS reimbursement models, risk adjustment
    Proven solid analytics, communication, relationship-building, and proficiency in Microsoft Office
    Ability to travel extensively (up to 75-85%)
    Driver's License and access to reliable transportation


    Preferred Qualifications:
    Bachelor's degree in Business or Healthcare Administration
    CPC Certification
    Experience in value-based care or population health management, care management, and/or clinical operations
    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

    In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

    No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

    The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.

    We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life.

    Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.

    We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.


    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
  • Work in company

    IT Support Specialist

    Only for registered members

    We are looking for an IT Support Specialist to join our growing company with many internal opportunities. As an employee, you'll join a team dedicated to improving the lives of our Medicare members. · ...

    Houston

    3 weeks ago

  • Work in company

    IT Support Specialist

    Only for registered members

    Results Statement · The IT Support Specialist delivers measurable improvements in system reliability and employee productivity by resolving technical issues efficiently, reducing downtime, and maintaining stable IT infrastructure. Through proactive troubleshooting, user support, ...

    Houston, TX $48,000 - $80,000 (USD) per year

    4 days ago

  • Work in company

    IT Support Specialist

    Only for registered members

    We are seeking an experienced IT Support Specialist to join our growing team. · ...

    Houston Full time

    3 weeks ago

  • Work in company

    IT Support Specialist

    Only for registered members

    Verda Health Plan of Texas has a contract with the Center of Medicaid and Medicare Services (CMS) and a state license with the Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan. · We are looking for an IT Support Specialist to join our growing c ...

    Houston, TX

    3 weeks ago

  • Work in company

    IT Support Specialist

    Only for registered members

    · IT Support Specialist (Remote United States Only) · Join Nexis Builds & Power the Future of Engineering with Your IT Expertise · At Nexis Builds, we are shaping the future of civil engineering, construction, and infrastructure with cutting-edge technology. But even the most ...

    Houston, Texas, United States $48,000 - $80,000 (USD) per year

    1 week ago

  • Work in company

    IT Support Specialist

    Only for registered members

    The IT Support Specialist is a full-time position responsible for providing first & second level technical support to internal employees via phone, e-mail or in person through a ticketing system. · ...

    Houston, Texas, United States

    1 month ago

  • Work in company

    IT Support Specialist

    Only for registered members

    The IT Support Specialist delivers measurable improvements in system reliability and employee productivity by resolving technical issues efficiently, reducing downtime, and maintaining stable IT infrastructure. · The role supports uninterrupted business operations, strengthens cy ...

    Houston

    3 weeks ago

  • Work in company

    IT Support Specialist

    Only for registered members

    We are seeking an experienced IT support specialist to join our team. · Run security checks on all systems to ensure protection from cybersecurity threats · Maintain technical hardware and systems up-to-date · ...

    Houston, TX

    2 weeks ago

  • Work in company Remote job

    IT Support Specialist

    Only for registered members

    We are seeking an experienced IT Support Specialist to join our growing team. To summarize: · Provide technical support and troubleshooting assistance to clients and internal team members via phone, email, and remote access tools. Install configure maintain hardware software inc ...

    Houston, TX

    3 weeks ago

  • Work in company

    IT Support Specialist

    Only for registered members

    POSITION OVERVIEW: · The IT Support Specialist provides technical support for desktop, laptop, and tablet computers, applications, and related technology. Responsibilities include system specification, installation, configuration, testing, and troubleshooting in accordance with e ...

    Houston, TX $48,000 - $80,000 (USD) per year

    1 week ago

  • Work in company

    IT Support Specialist

    Only for registered members

    We are seeking a dedicated and knowledgeable Technical Support Specialist to join our team.As an End User Support IT Specialist, you will provide on-site and remote technical support for internal end-user software, hardware, · and connectivity. · ...

    Houston

    3 weeks ago

  • Work in company

    IT Support Specialist

    Only for registered members

    We are seeking a reliable and service-oriented IT Support Specialist to join our team in an entry-level, full-time role. This position provides hands-on technical support across multiple properties and offices, assisting with equipment setup, troubleshooting, user onboarding, · a ...

    Houston, TX

    1 month ago

  • Work in company

    IT Support Specialist

    Only for registered members

    Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

    Houston $48,000 - $80,000 (USD) per year

    3 days ago

  • Work in company

    Support Specialist

    Only for registered members

    +This role is designed to support long-term growth by developing people, reinforcing best practices, and creating consistency across teams. · +Train and support internal branch staff on LINK's operational processes, documentation standards, and workflows · +Reinforce consistent e ...

    Houston

    3 weeks ago

  • Work in company

    IT Support Specialist

    Only for registered members

    The IT Support Specialist will be responsible for providing technical support and assistance to our employees and clients. · This individual will play a key role in ensuring that our technology systems are running smoothly and efficiently, · and will be the main point of contact ...

    Houston Full time

    1 month ago

  • Work in company

    IT Support Specialist

    Only for registered members

    We are seeking a reliable and service-oriented IT Support Specialist to join our team in an entry-level, full-time role. This position provides hands-on technical support across multiple properties and offices, · This is an excellent opportunity for someone early in their IT care ...

    Houston $40,000 - $50,000 (USD)

    1 month ago

  • Work in company

    IT Support Specialist

    Only for registered members

    Description · Job Title: IT Support Specialist   · Location: Houston, TX (onsite) · Reports to: IT Manager · Compensation Range: $65,000 - $75,000 annually (dependent upon skills, and qualifications)  · Benefits: Comprehensive package including medical, dental, vision, 401(k) wit ...

    Windfern Rd Houston, Texas, United States $65,000 - $75,000 (USD) per year

    4 days ago

  • Work in company

    IT Support Specialist

    Only for registered members

    About the Role · <\/h3>We are seeking a IT Support Specialist<\/b> to deliver exceptional IT support across office and field operations. This role requires a proactive professional who can troubleshoot issues, manage IT systems, and ensure seamless technology experiences for end ...

    Houston, Texas, , United States $48,000 - $80,000 (USD) per year

    2 weeks ago

  • Work in company

    IT Support Specialist

    Only for registered members

    +Job summary · Lensa is a career site that helps job seekers find great jobs in the US. IT Support Specialist at Adaptive Construction Solutions. · +Qualifications & Skills · Familiarity with local area network (LAN) configurations and switch management. · Knowledge of security t ...

    Houston

    1 month ago

  • Work in company

    IT Support Specialist

    Only for registered members

    POSITION OVERVIEW: · The IT Support Specialist provides technical support for desktop, laptop, and tablet computers, applications, and related technology. Responsibilities include system specification, installation, configuration, testing, and troubleshooting in accordance with e ...

    Houston $48,000 - $80,000 (USD) per year Full time

    1 week ago

  • Work in company

    IT Support Specialist

    Only for registered members

    The IT Support Specialist will assist in creating technical assistance products and managing IT inventory. They will install and configure hardware and software components, provide technical support to users, maintain the organization's internet connection, monitor the firewall a ...

    Houston

    1 month ago

Jobs
>
Houston