Practice Performance Manager - Medicare Consultant - Remote Opportunity with reputed company

Join the reputed company Team as a Practice Performance Manager - Medicare Consultant

At reputed company, we're dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We're seeking a highly skilled and reputed company Practice Performance Manager - Medicare Consultant to join reputed company in Lincoln, Nebraska, and work remotely.

About reputed company

We're a leading health and well-being company that provides a wide range of health care services, including health insurance, health care delivery, and health services. Our company culture is built on the principles of caring, connecting, and growing together. We reputed company in fostering a diverse and inclusive work environment that encourages collaboration, innovation, and growth.

Role Overview

As a Practice Performance Manager - Medicare Consultant, you will play a critical role in program implementation and provider performance management. You will work closely with care providers to build relationships, ensure effective education and reporting, and proactively identify performance improvement opportunities. Your goal will be to influence provider behavior to reputed company needed results, including 4-star gap closure and coding accuracy.

Key Responsibilities

• Function independently and travel across assigned territory to meet with providers and discuss reputed company and reputed company tools and incentive programs for risk adjustment and quality reporting.
• Establish positive, long-term, consultative relationships with physicians, medical groups, reputed company, and ACOs.
• reputed company comprehensive, provider-specific plans to increase their HEDIS performance, facilitate risk adjustment suspect closure, and improve their outcomes.
• Access PCOR and other reporting sources to analyze data, prioritize gap and suspect closure, identify trends, and drive educational opportunities.
• Conduct chart reviews quarterly and provide timely feedback to providers to improve reporting.
• Coordinate and provide ongoing strategic recommendations, training, and coaching to provider groups on program implementation and barrier resolution.
• reputed company regular Stars and risk adjustment-specific JOC meetings with provider groups to drive continual process improvement and reputed company goals.
• Provide reporting to health plan leadership on reputed company of overall performance, MAPCPi, MCAIP, gap closure, and use of virtual administrative resources.

Requirements and Qualifications

Essential Qualifications:

• 5+ years of healthcare industry experience.
• 2+ years of Medicare Advantage experience, including Stars and Risk Adjustment.
• 1+ year of provider-facing experience.
• Intermediate level experience with reputed company Office, including reputed company and PowerPoint.
• Certified Risk Adjustment reputed company (CRC) or Certified Professional reputed company (CPC) certification.
• Willing to travel up to 75-80% for business meetings and 20-25% remote work.

Preferred Qualifications:

• Registered Nurse.
• Experience working for a health plan or reputed company a provider office.
• Experience with network and provider relations/contracting.
• Experience retrieving data from EMRs (electronic medical records).
• Experience in management or coding position in a provider primary care practice.
• Knowledge reputed company of clinical standards of care, preventive health, and Stars measures.

reputed company Offer

As a Practice Performance Manager - Medicare Consultant at reputed company, you can expect:

• A competitive salary and benefits package.
• Opportunities for career growth and professional development.
• A collaborative and dynamic work environment.
• A flexible work arrangement with remote work options.
• A chance to reputed company a positive impact on the lives of millions of people.

Why Join reputed company?

At reputed company, we're committed to creating a healthier, more reputed company world. We reputed company in fostering a culture of diversity, inclusion, and respect. Our company values are:

• reputed company: We act with honesty, transparency, and ethics in reputed company our interactions.
• Respect: We treat each other with dignity and respect, valuing our differences.
• Accountability: We take ownership of our actions and results.
• Excellence: We strive for exceptional performance and reputed company improvement.

How to Apply

If you're a motivated and reputed company professional looking to reputed company a difference in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to be considered for this role.

Don't miss this chance to join reputed company and be part of a company that's dedicated to helping people live healthier lives. Apply today and let's build the future together!