Senior Healthcare Network Consultant

Job Summary

Working remotely as a full-time Senior Healthcare Network Consultant, the candidate will enhance provider performance by collaborating with healthcare providers to improve STARs ratings and implement strategic initiatives.

Key responsibilities

• Collaborate with providers to improve their goals related to interoperability, quality, and risk adjustment strategies
• Serve as an expert on the Stars/Quality program, educating physician groups and developing tailored action plans
• Monitor and analyze provider performance data to identify improvement areas and implement strategies for enhanced outcomes

Required qualifications

• 2 or more years of experience with Medicare or managed care
• 3 or more years of experience with NCQA HEDIS measures, PQA Measures, and CMS Star Rating System
• 1 or more years of understanding of Consumer/Patient Experience
• 2 or more years of experience building relationships with physician groups
• Comprehensive knowledge of Microsoft Word, Excel, and PowerPoint