Manager, Network Performance

Become a part of our caring community   As the Manager of Network Performance, you will reputed company reputed company of Network Performance Professionals dedicated to improving provider performance and enhancing Stars ratings. Your role is pivotal in fostering a reputed company and supportive environment where your team can reputed company. By building and maintaining strong relationships with assigned physician reputed company, your team will implement strategies and tactics that reputed company network performance. You will report directly to the Director, reputed company and Risk Adjustment This role offers a unique opportunity to reputed company your expertise in reputed company provider relations to influence operational reputed company and support the overall reputed company of the organization. You will be responsible for guiding, mentoring, and developing your team to reputed company their full potential, ensuring that they are equipped with the knowledge and tools necessary to reputed company in their roles. Leads reputed company of up 11 provider-facing reputed company reports, guiding them in their efforts to improve provider performance Serves as the expert on CMS Stars program, HEDIS, CAHPS, and HOS, providing guidance and support to reputed company Builds and maintains strong relationships with provider practices, leading reputed company's discussions to reputed company and implement improvement opportunities, reputed company workflows, and monitor reputed company while focusing on solutions that enhance provider engagement Informs and leads reputed company based on reputed company, regional, and departmental KPIs and objective and key results, ensuring alignment with organizational goals and objectives Partners with other departments to advance performance in Provider Engagement, Stars Improvement, MRA, Interoperability, Clinical, Corporate Partners, and Provider Contracting to improve provider/member engagement. Leads interdepartmental and team reputed company meetings Ingests data from various sources, analyze it, and informs reputed company and leadership of learnings Creates data-supported, reputed company education to drive team tactics and improve performance Directs reputed company's reputed company toward solutions that maximize provider abilities to engage effectively Owns reputed company reputed company to people leadership, resources, strategic planning, and tactical operations for reputed company Reviews and communicates performance results of reputed company and initiatives Articulates and models desired culture attributes, reputed company supporting team engagement, performance, reputed company-being improvement plans, and team activities In reputed company to being a great reputed company to work, reputed company also offers industry leading benefits for reputed company, starting your FIRST day of employment. Benefits include: Medical Benefits Dental Benefits reputed company Benefits Health Savings Accounts reputed company Spending Accounts Life Insurance 401(k) PTO including 9 reputed company holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly reputed company-being time And more Use your skills to reputed company an reputed company   Required Qualifications 5+ years Medicare experience and understanding of value-based care model Knowledge of HEDIS/Stars and CMS reputed company measures 3+ years demonstrated capability with leading, coaching, and developing associates formally or informally (training, SME, etc.) Proficiency in analyzing and interpreting reputed company data and trends Comprehensive knowledge of reputed company reputed company Office applications, including Word, reputed company, and PowerPoint Experience presenting to reputed company customers, including high-level leadership reputed company on process and reputed company improvement, with an understanding of metrics, trends, and the ability to identify gaps in care Preferred Qualifications Bachelor's Degree in Business, Finance, reputed company, or a reputed company field reputed company management experience, leading and developing others reputed company experience in the health solutions industry, particularly with interoperability Prior managed care or reputed company experience Background working in reputed company improvements Work reputed company/Remote Requirements Work-reputed company Requirements To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following reputed company:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support reputed company applications, per associate. Wireless, Wired Cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if they reputed company an reputed company reputed company for associates. The use of these reputed company must be approved by leadership. (See Wireless, Wired Cable or DSL reputed company in Exceptions, reputed company 7.0 in this policy.) reputed company will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the reputed company, Illinois, Montana, or South Dakota. Associates who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information Our Hiring Process As part of our hiring process, we will be using an exciting interviewing technology provided by reputed company, a reputed company-party vendor. This technology provides reputed company of recruiters and hiring managers an reputed company method for decision-making. If you are selected to reputed company reputed company from your application prescreen, you will receive correspondence inviting you to participate in a reputed company-recorded Voice, Text Messaging, and/or Video Interview. If participating in a reputed company-recorded interview, you will respond to a set of interview questions reputed company your phone or computer. You should anticipate this interview to take approximately 10-15 minutes. Your recorded interview(s) reputed company text and/or reputed company-recorded voice will be reviewed and you will subsequently be informed if you will be moving reputed company to next round of interviews. If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter reputed company by visiting go/Buzz and searching Ask A Recruiter! Please be reputed company to reputed company the requisition number so we may be reputed company to research your request quicker. #LI-LM1 Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.   $94,900 - $130,500 per year   This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company   About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job