Senior Risk Quality Manager

Job Summary

A company is looking for a Senior Risk & Quality Performance Manager (Remote).

Key Responsibilities

• Lead projects to improve Risk/Quality outcomes through data collection, analytics, and reporting
• Ensure timely program delivery while managing resources and stakeholder relationships
• Identify risks and implement mitigation strategies while maintaining program documentation

Required Qualifications, Training, and Education

• Bachelor's degree or equivalent combination of education and experience
• 4+ years of program/project management experience in risk adjustment and/or quality
• 4+ years of experience with HEDIS engine activity and risk adjustment reporting systems
• Proficiency in data analysis and experience with Microsoft Azure or SQL server
• Significant healthcare experience with knowledge of risk adjustment and quality metrics