Performance Excellence Manager - Bowling Green - beBeePerformance

    beBeePerformance
    beBeePerformance Bowling Green

    1 week ago

    $77,969 - $155,508 (USD) per year *

    Job title: Risk & Quality Performance Manager

    Description

    Job Description

    The Performance Excellence Manager position is a key role within our organization, supporting the Risk and Quality Solutions team. This position collaborates with various departments to plan, coordinate, and manage resources for performance improvement initiatives aligned with strategic objectives.

    Key Responsibilities

    • Collaborate with health plan risk and quality leaders to improve outcomes by managing data collection strategies, analytics, and reporting.
    • Monitor projects from inception to successful delivery.
    • Oversee data ingestion activities to optimize completeness and accuracy of electronic health records and supplemental data.
    • Meet customer expectations and establish effective relationships through trust and respect.
    • Drawing actionable conclusions and making decisions in collaboration with other teams.
    • Ensure compliance with regulatory audit guidelines by adhering to project roadmaps and timelines.
    • Partner with teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
    • Proactively communicate risks and issues to stakeholders and leadership.

    Required Skills and Qualifications

    • 2+ years of program and/or project management experience in risk adjustment and/or quality.
    • 2+ years of experience supporting HEDIS engine activity, risk adjustment targeting, and reporting systems.
    • 2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced risk and quality questions.
    • Familiarity with running queries in Microsoft Azure or SQL server.
    • Healthcare experience and functional risk adjustment and/or quality knowledge.
    • Mastery of Microsoft Office Suite including Excel and Project.
    • Experience partnering with various levels of leadership across complex organizations.
    • Strong quantitative aptitude and problem-solving skills.
    • Intellectual agility and ability to simplify and clearly communicate complex concepts.
    • Excellent verbal, written, and presentation capabilities.

    Benefits

    We offer a competitive compensation package that includes a salary range of $77,969 - $155,508 per annum. Actual compensation may vary based on geographic location, work experience, education, and/or skill level.

    Preferred Education and Experience

    • Graduate degree or equivalent combination of education and experience.
    • Knowledge of NCQA, CMS, and State regulatory submission requirements.
    • Experience working in a cross-functional, highly matrixed organization.
    • SQL proficiency.
    • Knowledge of healthcare claim elements: CPT, LOINC, SNOMED, etc.
    * This salary range is an estimation made by beBee
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