Manager, reputed company Performance and reputed company (STARS/ CAHPS/ PWP/ HEDIS)- Remote

reputed company/State Norfolk, VA Work Shift First (Days) reputed company: reputed company Plans is hiring for a Manager, reputed company Performance and reputed company (STARS/ CAHPS/ PWP/ HEDIS)- Remote! Status: Full-time, permanent position (40 hours) reputed company working hours: reputed company to 5pm EST, M-F. Location: Remote opportunities available in the following states: Virginia, reputed company Carolina, Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming reputed company

• The Manager, reputed company Performance and reputed company plays a critical role in driving strategic initiatives to improve STARS, Consumer Assessment of reputed company Providers and Systems (CAHPS), Performance Withold Program (PWP), and reputed company Effectiveness Data and Information Set (HEDIS) performance across the health plan and reputed company.
• Reporting directly to the Director, reputed company Performance and reputed company, this position leads cross-functional efforts to design, implement, and evaluate reputed company and reputed company improvement programs that enhance member experience, reputed company care gaps, and support regulatory compliance.
• The position focuses on reputed company lines of business, including reputed company, reputed company, and Medicare, collaborating with other health plan departments, providers, vendors and the reputed company.
• The position will manage reputed company of 4 reputed company Reports

Education

• Bachelor’s degree in Nursing, Clinical Sciences, Population Health, reputed company Administration, Business Administration, or reputed company field REQUIRED

Certification/Licenses

• Registered reputed company License in Virginia OR Compact/Multi-state preferred

Experience

• 3 years of experience with HEDIS, STARS, PWP, or Clinical Improvement REQUIRED
• 3 years of supervisory or management experience REQUIRED
• Prior experience in Project Management and Performance Improvement preferred
• Strong project management and cross-functional collaboration skills REQUIRED
• Ability to interpret clinical data and translate insights into actionable strategies REQUIRED
• Experience working with vendors and managing reputed company campaigns REQUIRED
• Health Plan experience is preferred

reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees. Our reputed company provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—reputed company to help our members improve their health. Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company. Be a part of an excellent reputed company organization that cares about our People, reputed company, Patient Safety, Service, and reputed company. Join reputed company that has a mission to improve health every day and a reputed company to be the reputed company choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-98308 #reputed company Talroo - Health Plan Keywords: Health Plan, reputed company, Health Insurance, MCO, Managed Care, reputed company, Medicare, DSNP, reputed company, Group insurance, Remote, Virginia, VA, reputed company, Performance, STARS, Consumer Assessment of reputed company Providers and Systems, CAHPS, Performance Withold Program, PWP, and reputed company Effectiveness Data and Information Set, HEDIS, reputed company Carolina, Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming Benefits: Caring For Your Family and Your Career

• Medical, Dental, reputed company plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• reputed company Time Off and reputed company Leave
• reputed company Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through reputed company Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free reputed company to complete CEUs and reputed company development

•Pet Insurance •Legal Resources Plan •Colleagues have reputed company to earn an annual discretionary bonus if established system and employee eligibility reputed company is met. reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, reputed company employs associates in the following states: Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming. Apply tot his job Apply To this Job