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 strategies and analytics Oversee Risk/Quality data ingestion activities to ensure data completeness and accuracy Ensure compliance with regulatory audit guidelines and communicate risks and issues 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
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 strategies and analytics
Oversee Risk/Quality data ingestion activities to ensure data completeness and accuracy
Ensure compliance with regulatory audit guidelines and communicate risks and issues 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
