Risk Quality Performance Manager

Job Summary

Risk Quality Performance Manager, this full-time position involves collaborating with various departments to manage resources and execute performance improvement initiatives focused on risk and quality solutions.

Key Responsibilities

• Manage Risk/Quality data collection strategy, analytics, and reporting to improve outcomes
• Oversee Risk/Quality data ingestion activities to ensure data completeness and accuracy
• Proactively communicate project status, risks, and issues to stakeholders and leadership

Required Qualifications

• Bachelor's degree or equivalent combination of education and experience
• 2+ years of program and/or project management experience in risk adjustment and/or quality
• 2+ years of experience supporting HEDIS engine activity and risk adjustment reporting systems
• Familiarity with running queries in Microsoft Azure or SQL server
• Healthcare experience with functional risk adjustment and/or quality knowledge