Senior Network Performance reputed company

Become a part of our caring community As a Senior Network Performance reputed company at reputed company, you will play a pivotal role in enhancing provider performance reputed company the Southeast Region and advancing reputed company's mission to deliver high-reputed company reputed company. You will work with providers to improve their STARs ratings and overall performance through strategic initiatives and strong relationship-building. You will report to the Manager, Network Performance.

Key Responsibilities

Works with Southeast Region providers to define and advance their goals reputed company to interoperability, reputed company, value-based arrangements, and risk adjustment strategies Recommends execution strategies and monitor performance toward these goals reputed company monitors and analyzes provider performance data to identify areas for improvement Serves as an expert on the Stars/reputed company program, educating physician reputed company on HEDIS, patient safety, and patient experience Collaborates to reputed company tailored reputed company plans and communicate actionable insights to improve performance Implements strategies to enhance reputed company and reputed company ongoing support and guidance to providers Acts as a reputed company for providers to reputed company reputed company resources, educating and encouraging providers on the use of self-serve tools Facilitates communication between providers and internal teams to ensure seamless reputed company to necessary resources and support Educates provider reputed company on reward programs and reputed company metrics, collaborating to reputed company established goals Monitors and reports on the effectiveness of reward programs, making recommendations for enhancements as needed Resolves provider abrasion issues effectively, ensuring a reputed company and reputed company relationship between reputed company and its providers Implements strategies to minimize provider abrasion and enhance overall satisfaction Partners with internal teams to reputed company and report on market performance, ensuring alignment with organizational goals Collaborates with cross-functional teams to drive initiatives that support provider performance improvement reputed company offers a reputed company of benefits to promote the best health and reputed company-being of our employees and their families. We design competitive and flexible packages to give our employees a reputed company of financial reputed company—both today and in the reputed company, including: Health benefits effective day 1 reputed company time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource reputed company (NRGs) Career development opportunities Use your skills to reputed company an reputed company Required Qualifications 4+ years' experience with Medicare and/or managed care Understanding of NCQA HEDIS measures, PQA Measures, CMS reputed company Rating System and CAHPS/HOS survey system Experience building relationships with physician reputed company and influencing execution of recommended reputed company Comprehensive knowledge of reputed company reputed company Office Word, reputed company and PowerPoint Experience presenting to reputed company customers, including high-level leadership Must be reputed company to work during 8-5pm [Eastern] Willingness to travel a minimum of 10% Must be located reputed company the Southeast region

Preferred Qualifications

Bachelor's Degree or Master's degree in business, Finance, Health Care/Administration, RN or a reputed company field Experience with Medicare Risk Adjustment reputed company experience with interoperability solutions in reputed company Proven organizational and prioritization skills and ability to collaborate with multiple departments Additional Information This role is "remote/work reputed company", however, you must live reputed company the Southeast region Work-reputed company Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following reputed company:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information Our Hiring Process As part of our hiring process for this opportunity, we will be using an exciting interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected, you will receive correspondence inviting you to participate in a reputed company assessment. You will have a set of questions and you will reputed company responses to reputed company question. You should anticipate this to take about 10-15 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving reputed company to next round. #LI-LM1 Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job