Professional Services Manager; HEDIS & Risk
Listed on 2026-09-19
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Management
Client Relationship Management, Healthcare Management
Work Location: This position is designated as remote. However, employees who reside within a 40-mile radius of one of our office locations in Tampa, FL;
Canonsburg, PA; or Bowie, MD will follow a hybrid work schedule and are expected to work in the office two days per week (Tuesdays and Wednesdays).
Inovalon’s Professional Service team has asignificant influence on how customers implement,adoptandutilizeour SaaS solutions. For ourhealthplan andrisk-bearing partners,working with Inovalon’s Professional Services team will accelerate time to value,increase effectiveutilizationof our products, and improve overall customer outcomes and satisfaction with Inovalon’s products.
The Professional Services Manageris responsible forthe execution and management of complex engagements designed to drive business outcomes for Inovalon’s Payer Business Unit Customers. This is a client-facing position that combines healthcare subject-matterexpertisewithstrong communication, analytical, and relationship-management skills. The Professional Services Manager works with customers to understand their Quality/HEDIS, CMS Stars, and/or Risk Adjustment goals, workflows, and challenges and helps translate those needs into effective use of Inovalon solutions and services.
Duties and Responsibilities- Comprehensively manage concurrent customer Professional Service engagements across the company’s Payer product portfolio
- Act as client-facing point of contact for all Quality/HEDIS, CMS Stars, and/or Risk Adjustment activities within assigned client engagements
- Understand customer program goals, workflows, business needs, and challenges and help customers apply Inovalon solutions and services effectively in support of those objectives.
- Actively manage outstanding issues, risks, and dependencies; engage the appropriate internal partners; drive issues to resolution; and effectively manage customer expectations.
- Develop and maintain industry, regulatory, and solution expertise related to Quality/HEDIS, CMS Stars, and Risk Adjustment, and contribute to customer education, best-practice guidance, and industry thought leadership.
- Identify growth opportunities based on client needs, and partner with sales, implementation, customer success, and other internal partners to support positive customer outcomes, adoption, retention, and expansion.
- Demonstrate strong leadership, accountability, sound judgement, and collaboration in customer engagements and internal partnerships.
- Demonstrate effective written and verbal communication skills, specifically the ability to speak to technical customers, including the drafting of high-quality, written documentation and presentations for internal and external communications.
- Apply strong analytical and organization skills; work independently and proactively; manage numerous priorities simultaneously; and operate effectively in a fast-paced environment with ambiguity.
- Maintain compliance with Inovalon’s policies, procedures and mission statement.
- Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.
- Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company.
- Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.
- Minimum of 5 years of health plan Quality/HEDIS, CMSStars, and/or Risk Adjustment program delivery experience.
- Demonstrated experience working effectively with internal or external stakeholders, with strong…
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