Professional Services Manager - HEDIS and Risk Adjustment

March 13

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Inovalon

Inovalon is dedicated to transforming healthcare through its advanced cloud-based solutions and analytics. The company provides healthcare organizations, including payers, providers, pharmacies, and life sciences companies, with tools to enhance patient outcomes, optimize business performance, and improve healthcare economics. The Inovalon ONE® Platform integrates vast data sources and offers a suite of over 100 solutions that facilitate real-time insights and analytics, ultimately enabling better clinical care and administrative efficiencies.

Claims and Payment Integrity • Predictive Analytics • Data-Driven Intervention Platforms • Quality Improvement • CMS Star Ratings, QRS, NCQA HEDIS

1001 - 5000 employees

🤖 Artificial Intelligence

📋 Description

• Inovalon’s Professional Service team influences customer implementation of SaaS solutions • Manage customer Professional Service engagements across Payer product portfolio • Act as client-facing point of contact for Quality/STARS/Risk activities • Act as trusted advisor to understand Quality and/or Risk Adjustment goals • Manage outstanding issues and drive issues to resolution • Develop and maintain industry expertise from Quality and Risk Adjustment perspective • Identify growth opportunities based on client needs • Establish strong leadership shadow reinforcing Inovalon values • Demonstrate effective communication skills with technical customers • Maintain compliance with Inovalon’s policies, procedures and mission statement • Uphold responsibilities relative to separation of duties

🎯 Requirements

• Minimum of 5 years of health plan Quality, CMS STARS or Risk Adjustment program delivery experience • Minimum of 3 years’ experience in customer-facing roles • Previous experience in professional services or consulting with payer customers • Ability to identify customer needs in complex regulatory environments • Excellent communication and presentation skills • Deep knowledge of health care data • Proactive approach towards executing multiple tasks simultaneously • Detail-oriented with ability to work in fast-paced environment • Tableau, SnowFlake and/or SQL experience a plus • Knowledge of Microsoft Office tools

🏖️ Benefits

• Health insurance • Life insurance • Company-paid disability • 401k • 18+ days of paid time off • Performance-based incentives • Flexible benefits package

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