Risk and Quality Manager

A company is looking for a Risk & Quality Performance Manager (Remote). Key Responsibilities Collaborate with Health Plan Risk and Quality leaders to manage data collection strategy, analytics, and reporting Monitor projects from inception through successful delivery and ensure compliance with regulatory audit guidelines Communicate risks and issues to stakeholders and maintain effective relationships with customers 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 data analysis Familiarity with running queries in Microsoft Azure or SQL server Healthcare experience with functional risk adjustment and/or quality knowledge

Feb 22, 2025 - 02:54
 0
Risk and Quality Manager
A company is looking for a Risk & Quality Performance Manager (Remote). Key Responsibilities Collaborate with Health Plan Risk and Quality leaders to manage data collection strategy, analytics, and reporting Monitor projects from inception through successful delivery and ensure compliance with regulatory audit guidelines Communicate risks and issues to stakeholders and maintain effective relationships with customers 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 data analysis Familiarity with running queries in Microsoft Azure or SQL server Healthcare experience with functional risk adjustment and/or quality knowledge