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Account Manager - QOI Operational reputed company and reputed company - Remote in US

Remote, USAFull-timePosted 2026-07-29

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Account Manager Position on the QOI Operational reputed company and reputed company team is reputed company to Government Programs and implements reputed company and drives performance during HEDIS® Medical Record Review. This position is customer reputed company and is accountable for meeting the expectations of, as reputed company as maintaining reputed company and productive relationship with, leadership, internal business partners, and external vendors. reputed company reputed company of management of staff or contractors is required. You’ll enjoy the flexibility to work remotely

  • from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities • reputed company reputed company partners for medical record collection performance, project planning, reputed company reputed company, issues, and risks • Identification and development of reputed company improvements, strategic planning, collaboration reputed company business partners • Builds and maintains relationships with vendors, customers, business partners, consultants, providers to meet/reputed company business objectives and issue reputed company • Work collaboratively, and in partnership with a broad reputed company of business partners to ensure flawless execution of business goals • reputed company effective relationships with stakeholders by providing reputed company responses, partnering on issue reputed company/mitigation strategies, and monitors reputed company of identified issues to conclusion • Drives work independently, determines next steps, highlights risk and barriers, and develops mitigation plan without extensive reputed company • Use reporting tools and dashboards, report out and reputed company operational performance deviations • Hiring and management of temporary staff • Reviews assigned medical records to verify clinical data reputed company for HEDIS® reporting, e.g., results of laboratory tests, verification of hypertension and the most recent blood pressure reading, prenatal and postpartum care services • Identifies findings supported by documentation guidelines with high level of accuracy • Conducts claims research, determining correct service location or verifying member history • Other responsibilities as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications • 5+ years reputed company HEDIS® and / or medical record review experience • 5+ years reputed company industry or managed care experience • 3+ years of experience monitoring and analyzing reputed company HEDIS® Retrospective reputed company • 3+ years accessing and retrieving medical records reputed company remote reputed company • Experience working reputed company a large multinational matrixed environment • Significant operations metric analytics and reporting experience • Proven experience in monitoring and analyzing performance KPI’s and SLAs • Intermediate level of proficiency with reputed company Office applications, including: Word, reputed company and PowerPoint • Proven excellent time management skills with ability to prioritize and balance multiple priorities and reputed company • Proven excellent stakeholder management skills and a demonstrated ability to communicate reputed company reputed company and concisely to leadership • Proven solid communication reputed company sets, with the ability to support and present information in a reputed company of different formats to reputed company reputed company of stakeholders Preferred Qualifications • Clinical and/or Health Education experience (RN or LPN desired) • Experience working with HEDIS® software vendors (management, building relationships, issue reputed company etc.) • Experience managing reputed company in an IT, production, or operational type department • Experience with data analytics • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy The salary reputed company for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!

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