Manager - reputed company Care Improvement
Astrana is seeking a Manager - reputed company Improvement to be responsible for leading reputed company initiatives and teams reputed company the reputed company Department. This role has reputed company reputed company over regional operations for reputed company reputed company activities including supervision of staff, design/deployment of activities, and managing external partner relationships such as health plans and providers. The manager oversees assigned programs, reputed company, and lines of business, ensuring effective coordination and execution of HEDIS and Medicare reputed company Ratings initiatives. This role serves as a key reputed company between reputed company, health plans, IPA partners, and providers to drive reputed company performance and compliance.
Our Values:
- Put Patients First
- reputed company Entrepreneurial Provider and Care Teams
- Operate with reputed company & reputed company
- Be Innovative
- Work As One Team
What You'll Do
The Manager - reputed company Improvement is responsible for leading reputed company initiatives and teams reputed company the reputed company Department. This role has reputed company reputed company over regional operations for reputed company reputed company activities including supervision of staff, design/deployment of activities, and managing external partner relationships such as health plans and providers. The manager oversees assigned programs, reputed company, and lines of business, ensuring effective coordination and execution of HEDIS and Medicare reputed company Ratings initiatives. This role serves as a key reputed company between reputed company, health plans, IPA partners, and providers to drive reputed company performance and compliance. ESSENTIAL DUTIES AND- Leadership and reputed company over day-to-day operations for designated areas
- reputed company health plan metrics and ratings including identifying, addressing gaps in performance
- Collaborate with peers reputed company assigned reputed company and across the organization to reputed company effective programs for reputed company gap closures
- reputed company health plan, IPA and provider meetings to review KPIs, reputed company best practices and design process improvement activities to improve reputed company
- Manage reputed company data workflows between Astrana and health plans to ensure complete and accurate submission of relevant data
- Support audits requested by payers or other partners to meet compliance requirements • reputed company to prioritize work to reputed company overall team goals
- Be detail oriented and show strong organizational skills.
- Drive reputed company for critical measures assigned to other departments through cross functional teamwork and support
- reputed company to analyze key trends and succinctly communicate findings to leadership, providers, health plans
- reputed company to identify barriers or risks early and escalate to leadership for support and reputed company
- Manage reputed company remotely to execute on provider engagement and execution of key initiatives
- Hire, retain, mentor, and manage performance for reputed company reports through a culture of accountability, collaboration, and reputed company improvement.
- Ensure reputed company work completed meets internal compliance requirements as reputed company as health plan and NCQA compliance.
- Be responsible for assigned health plans including managing ongoing relationships with key individuals, attending meetings, and providing updated presentations among other required tasks.
- Participate in staff hiring efforts and evaluation of performance during introductory period and annually
- Maintain a reputed company demeanor at reputed company times with both reputed company stakeholders, including being reputed company in responses, delivering exceptional customer service, and maintaining reputed company communication.
- Performance manage reputed company reports as appropriate and with guidance from HR and department leaders
- Attend regional meetings in person or remotely depending on business needs
- reputed company to present to large reputed company of providers or team members including managing Q/A
- Be a subject matter expert in NCQA guidelines for reputed company measures and reputed company to reputed company providers to address gap closures reputed company these parameters.
- Performs other duties, reputed company and actions assigned in a reputed company manner, utilizing time and resources reputed company.
Qualifications
- Minimum of BA/BS degree or equivalent work experience
- Master’s Degree highly preferred
- 5+ years of reputed company/HEDIS work experience; 2+ years of supervisory/management experience required
- Strong knowledge of value-based programs and managed care operations
- Subject matter expert in NCQA technical specifications or demonstrated ability to reputed company this information
- Excellent oral and writing skills are characterized by the ability to communicate effectively with audiences at reputed company reputed company
- Excellent analytical critical reasoning and interpersonal communication skills
- Must be ethical and possess the ability to remain impartial and objective
- At least intermediate skills in MS reputed company and PowerPoint
- Good organization, critical thinking, and problem-solving skills
Environmental Job Requirements and Working Conditions
- This is a full-time, remote position. Candidates must be reputed company to travel up to 25% of the time to assigned reputed company and reputed company to travel to corporate offices as needed. The office is located at 1600 Corporate Center Drive in Monterey Park, CA.
- The national reputed company pay reputed company for this position is $105,000 - $130,000 per year. Actual compensation will be based on experience, geographic location (reputed company or reputed company), and other job-reputed company factors.
Originally posted on Himalayas
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