Senior Healthcare Network Consultant

Employer Industry: Healthcare Services

• Salary up to $107,800 per year
• Eligible for a bonus incentive plan based on company and individual performance
• Comprehensive benefits package including medical, dental, and vision coverage, 401(k) plan, and paid time off
• Opportunity for career advancement and growth within the organization
• Work remotely with occasional travel to the employer's offices for training or meetings
• Supportive and collaborative work environment focused on enhancing provider performance

• Collaborate with providers to define and advance their goals related to quality and value-based arrangements
• Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS and patient experience
• Monitor and analyze provider performance data to identify areas for improvement and implement strategies
• Act as a liaison for providers to access employer resources and facilitate communication with internal teams
• Resolve provider abrasion issues to ensure a positive relationship between the employer and its providers

• 2 or more years of experience with Medicare and/or managed care
• 3 or more years of experience with NCQA HEDIS measures, PQA Measures, CMS Star Rating System, and CAHPS/HOS survey system
• 1 or more years of experience understanding Consumer/Patient Experience
• 2 or more years of experience building relationships with physician groups and influencing strategy execution
• Comprehensive knowledge of Microsoft Word, Excel, and Power Point

• Strong communication and presentation skills, with experience presenting to internal and external customers
• Bachelor's Degree in a relevant field
• Progressive experience with interoperability solutions in healthcare
• Experience with Medicare Risk Adjustment and/or medical coding
• Familiarity with tools such as Power BI, Tableau, or Qlikview

#Healthcare Services #Provider Performance #Career Opportunity #Remote Work #Competitive Benefits #Bonus Incentive

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