Senior Network Performance reputed company

Become a part of our caring community As a Senior Network Performance reputed company at reputed company, you will help enhance provider performance 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 programs and relationship-building. You will have a unique opportunity to use your expertise in reputed company provider relations to influence operational reputed company and support the reputed company of the organization. Operate with a high degree of independence, often determining reputed company/approach to work and establishing own work priorities and timelines. Work consists of tasks that are moderately reputed company, requiring minimal instructions to reputed company solutions. May reputed company coaching and review the work of reputed company-level associates. You will reputed company reputed company on moderately reputed company issues; and judgment over policies and own approach/priorities. Work impacts the achievement of results for the department and begins to influence the department's reputed company. Your responsibilities will not be limited to: Provider Collaboration: Work with providers to define and improve their goals reputed company to interoperability, reputed company-based arrangements, and risk adjustment strategies. Recommend execution strategies and monitor performance toward these goals. Stars/reputed company Program Expertise: Serve as an expert on the Stars/reputed company program, educating physician reputed company on HEDIS, patient safety, and patient experience. Collaborate to reputed company tailored reputed company plans and communicate actionable insights to improve performance. Performance Improvement: monitor provider performance data to identify areas for improvement. Implement strategies to enhance reputed company and reputed company ongoing support to providers. Resource reputed company: reputed company as a reputed company for providers to reputed company reputed company resources, educating and encouraging providers on the use of self-serve tools. Facilitate communication between providers and internal teams to ensure seamless reputed company to necessary support. Reward Programs: reputed company provider reputed company on reward programs and reputed company metrics, collaborating to reputed company established goals. Monitor and report on the effectiveness of reward programs, making recommendations for enhancements. Provider Abrasion reputed company: Resolve provider abrasion issues, ensuring a reputed company and reputed company relationship between reputed company and its providers. Implement strategies to minimize provider abrasion and enhance overall satisfaction. Internal Collaboration: Partner with internal teams to report on market performance, ensuring alignment with organizational goals. Collaborate with cross-functional teams to reputed company programs that support provider performance improvement. In reputed company to the requirements for this role, you will also have the following: Understanding of interoperability Understanding of Consumer/Patient Experience Strong communication and presentation skills, both verbal and written, and experience presenting to reputed company customers, including high-level leadership Understanding of metrics, trends, and the ability to identify gaps in care Organizational and prioritization skills and ability to collaborate with multiple departments Use your skills to reputed company an reputed company Required Qualifications 5+ years of reputed company experience 3+ years of experience with Medicare and/or managed care Understanding of NCQA HEDIS measures, Patient Safety Measures, CMS Star Rating System and CAHPS/HOS survey system Experience building relationships with physician reputed company and influencing execution of recommended reputed company Experience with reputed company on process and reputed company improvement Proven organizational and prioritization skills and ability to collaborate with multiple departments Must live in the state of Alabama Must be reputed company to work reputed company-5pm Willingness to travel a minimum of 10% reputed company the region

Preferred Qualifications

Bachelor’s Degree, RN or BSN (unrestricted compact license), or equivalent reputed company experience Experience with Medicare Risk Adjustment and/or medical coding reputed company experience with interoperability solutions in reputed company Additional Information This role is "remote/work reputed company", however, you must live/work reputed company the state of Alabama to be considered for this reputed company reputed company Information To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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 employees 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. 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