Senior Network Performance Professional - Remote

Overview

The Senior Network Performance Professional works with providers to improve their performance, including strategies to improve Stars ratings, influencing department strategy and making decisions on moderately complex issues.

In Short

• Work with providers to enhance performance and achieve goals.
• Analyze complex issues related to healthcare performance.
• Drive strategies for interoperability and value-based arrangements.
• Monitor performance metrics and recommend improvements.
• Collaborate with physician groups and internal departments.
• Communicate effectively with leadership and stakeholders.
• Utilize Microsoft Office for reporting and presentations.
• Travel required: minimum of 10%.
• Remote work opportunity with specific internet requirements.
• Competitive benefits starting from day one.

Requirements

• Minimum of 3 years of Medicare and/or managed care experience.
• Understanding of NCQA HEDIS measures and CMS Star Rating System.
• Experience in driving interoperability in healthcare.
• Strong communication and presentation skills.
• Ability to identify gaps in care through metrics and trends.
• Proficient in Microsoft Office applications.
• Willingness to travel occasionally.
• Preferred experience with Medicare Risk Adjustment.
• Organizational skills and ability to collaborate.
• Knowledge of medical coding is a plus.

Benefits

• Benefits starting day 1 of employment.
• Competitive 401k match.
• Generous Paid Time Off accrual.
• Tuition Reimbursement.
• Parental Leave.
• Short-term and long-term disability coverage.
• Life insurance options.
• Support for personal wellness and healthcare decisions.
• Opportunities for professional development.
• Work from home support including internet expense reimbursement.