New Mexico Licensed Performance Manager

A company is looking for a Manager-Performance Improvement (Remote). Key Responsibilities Collaborates with leadership to maintain a Medicare Advantage Star Rating of 4.0 or higher and meet Medicaid Performance Measure targets Directs the implementation and execution of HEDIS and Medicare Star programs in line with accreditation and regulatory requirements Provides expertise in HEDIS and CMS STARS while promoting quality strategies and compliance with standards Required Qualifications Bachelor's degree in Business, Healthcare, or related field required; Master's degree preferred Minimum of five years in healthcare/managed care with experience in HEDIS/Medicare Star performance measurement Two years of prior supervisory or program/project management experience required Experience presenting to leadership teams, clinicians, and employer groups Six years of additional experience can substitute for a degree

May 21, 2025 - 02:10

A company is looking for a Manager-Performance Improvement (Remote). Key Responsibilities Collaborates with leadership to maintain a Medicare Advantage Star Rating of 4.0 or higher and meet Medicaid Performance Measure targets Directs the implementation and execution of HEDIS and Medicare Star programs in line with accreditation and regulatory requirements Provides expertise in HEDIS and CMS STARS while promoting quality strategies and compliance with standards Required Qualifications Bachelor's degree in Business, Healthcare, or related field required; Master's degree preferred Minimum of five years in healthcare/managed care with experience in HEDIS/Medicare Star performance measurement Two years of prior supervisory or program/project management experience required Experience presenting to leadership teams, clinicians, and employer groups Six years of additional experience can substitute for a degree