New Mexico Licensed Performance Manager

Job Summary

A company is looking for a Manager-Performance Improvement (Remote).

Key Responsibilities

• Collaborates with leadership to maintain a Medicare Advantage Star Rating of 4.0 or higher and meet Medicaid Performance Measure targets
• Directs the implementation and execution of HEDIS and Medicare Star programs in line with accreditation and regulatory requirements
• Provides expertise in HEDIS and CMS STARS while promoting quality strategies and compliance with standards

Required Qualifications

• Bachelor's degree in Business, Healthcare, or related field required; Master's degree preferred
• Minimum of five years in healthcare/managed care with experience in HEDIS/Medicare Star performance measurement
• Two years of prior supervisory or program/project management experience required
• Experience presenting to leadership teams, clinicians, and employer groups
• Six years of additional experience can substitute for a degree