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Quality and Health Plan Manager

Company: VirtualVocations
Location: Colorado Springs
Posted on: November 20, 2024

Job Description:

A company is looking for a Quality and Health Plan Relations Manager to oversee health plan relations and quality performance initiatives.



Key Responsibilities

Engage in Joint Operating Committees with health plans to review performance metrics and improvement strategies
Collaborate with the contracting team on health plan measures, managing incentives and penalties
Prepare reports and presentations on quality performance and Star ratings for senior management


Required Qualifications

5+ years of experience in a health insurance or healthcare setting
Understanding of healthcare quality measures (e.g., HEDIS, CAHPS, STARS, CMS)
Bachelor's degree in business administration, Healthcare Management, or a related field
Proficiency in Microsoft Office (Word, Excel, PowerPoint)

Keywords: VirtualVocations, Highlands Ranch , Quality and Health Plan Manager, Healthcare , Colorado Springs, Colorado

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