Risk Quality Performance Manager

A company is looking for a Risk & Quality Performance Manager.

Key Responsibilities

Collaborate with Health Plan Risk and Quality leaders to improve outcomes through data collection, analytics, and reporting

Monitor projects from inception through successful delivery and ensure compliance with regulatory audit guidelines

Create, review, and approve program documentation while proactively communicating status reports to stakeholders

Required Qualifications

Bachelor's degree or equivalent combination of education and experience

2+ years of program and / or project management experience in risk adjustment and / or quality

2+ years of experience supporting HEDIS engine activity and risk adjustment reporting systems

Familiarity with running queries in Microsoft Azure or SQL server

Healthcare experience with functional risk adjustment and / or quality knowledge