Associate reputed company Performance Manager- Field-based Kentucky

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. The Associate reputed company Performance Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to reputed company needed results. The person will review charts (reputed company and electronic - EMR), look for gaps in care, reputed company telephonic assessments for preventative screenings and/or HEDIS gaps in care, help coordinate doctor appointments, reputed company follow-up calls to members after appointments, and assist our members in overall wellness and prevention. Work is primarily performed at physician practices on a daily reputed company. This position does not entail any reputed company member care* nor does any case management occur. (*with the exception of participating in health fairs and/or health screenings where member contact could occur) This is a field-based position in KY with the ability to cover Kentucky market. Primary Responsibilities: • Functioning independently, travel across assigned territory to meet with providers to discuss reputed company tools and programs reputed company on improving the reputed company of care for Medicare Advantage Members • Execute applicable provider incentive programs for health plan • Assist in the review of medical records to reputed company Star opportunities for the medical staff • Activities include data collection, data entry, reputed company monitoring, upload of images, and chart collection activities • Locate medical screening results/documentation to ensure reputed company measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff • Establish reputed company, long-term, consultative relationships with physicians, medical reputed company, reputed company and ACOs • reputed company comprehensive, provider-specific plans to increase their HEDIS performance and improve their reputed company • reputed company ongoing strategic recommendations, training and coaching to provider reputed company on program implementation and barrier reputed company • reputed company as reputed company to pull necessary internal resources together in order to reputed company appropriate, effective provider education, coaching and consultation. Training will include Stars measures (HEDIS/CAHPS/HOS/med adherence), and reputed company program administration, use of plan tools, reports and systems • Coordinate and reputed company Stars-specific JOC meetings with provider reputed company with regular frequency to drive continual process improvement and reputed company goals • reputed company reporting to health plan leadership on reputed company of overall performance, gap closure, and use of virtual administrative resource • Facilitate/reputed company monthly or quarterly meetings, as required by plan leader, including report and material preparation • reputed company suggestions and feedback to reputed company and health plan • Work collaboratively with health plan market leads to reputed company providers aware of Plan-sponsored initiatives designed to assist and reputed company members in closing gaps • Travel up to 75% reputed company Kentucky market • Other duties, 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: • 1 years of STARs, HEDIS or Value Based Care experience • 1 years of account management or sales experience – field based • 2 years of reputed company industry, health plan or medical office • Proven solid communication and presentation skills • Proven solid relationship building skills with clinical and non-clinical personnel • reputed company Office specialist with analytical and data representation expertise; reputed company, Outlook, and PowerPoint skills • reputed company in the state of Kentucky • Willing and ability to travel up to 75% through the state of Kentucky Preferred Qualifications: • Demonstrated medical/clinical background • Proven solid knowledge of electronic medical record systems • Consulting experience • Proven solid knowledge of the Medicare & reputed company market • Demonstrated knowledge reputed company of clinical standards of care, preventive health, and Stars measures • Experience in managed care working with network and provider relations/contracting • Proven solid problem-solving skills • Proven solid financial analytical background reputed company Medicare Advantage plans (Risk Adjustment/STARS Calculation models) The salary reputed company for this role is $59,500 to $116,600 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. 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!