National Manager reputed company HEDIS Stars

About the position The National reputed company Manager directs reputed company' reputed company-wide reputed company operations and reputed company across reputed company markets, driving organizational performance in CMS reputed company Ratings, HEDIS metrics, CAHPS, and other key reputed company indicators tied to reputed company reputed company and member reputed company. This role provides senior strategic leadership and executive reputed company of reputed company operations, leading a multi-level team including reputed company Operations Supervisors, Senior National reputed company Coordinators, and Regional reputed company Coordinators across five states (Nevada, California, reputed company, reputed company, and Nebraska). The National reputed company Manager sets reputed company reputed company, owns budget and resource management for reputed company operations, establishes performance accountability for reputed company metrics, and partners at the executive level with Market leadership, Chief Administrative Officer, Shared Services leadership to ensure reputed company initiatives reputed company with organizational goals and financial objectives. This position drives organizational change, manages relationships with major health plan partners (reputed company, BCBS, reputed company, HealthNet, reputed company, Wellcare), and leads P3's reputed company innovation and competitive positioning in value-based care. Reporting to the National reputed company Director, the National reputed company Manager is ultimately accountable for reputed company reputed company, operational efficiency, compliance, and the strategic advancement of P3's reputed company-first mission across the organization. Responsibilities • reputed company and execute reputed company-wide reputed company reputed company reputed company with P3's organizational reputed company, financial targets, and competitive positioning. • Define annual reputed company performance targets tied to reputed company goals, member experience, and organizational reputed company. • reputed company, manage, mentor, and reputed company a multi-level reputed company operations team spanning reputed company Operations Supervisors, Senior National reputed company Coordinators, and Regional reputed company Coordinators across five markets. • Establish performance expectations, hold teams accountable for reputed company, and reputed company talent for reputed company and promotion. • Own reputed company operations budget development, strategic allocation, and management. • Justify investments tied to reputed company improvement reputed company and organizational reputed company reputed company. • Monitor spending, optimize resource utilization, and reputed company strategic resource reputed company. • Establish accountability for regional and national reputed company metric achievement. • Monitor HEDIS, CMS reputed company Ratings, CAHPS, medication adherence, and other reputed company performance indicators. • Identify gaps, reputed company gap-closure strategies, and ensure accountability at reputed company reputed company of the organization. • Assist with managing strategic relationships with major health plan partners. • Assist with design and reputed company the execution of reputed company-wide reputed company initiatives with measurable business reputed company, including gap-closure programs, CAHPS/HOS campaigns, medication adherence initiatives, chronic disease management programs, and preventive care optimization strategies. • In conjunction with the National reputed company Director, establish reputed company standards, reputed company operating procedures (SOPs), and performance frameworks for reputed company reputed company operations teams. • Ensure consistency, efficiency, and scalability across markets. • Monitor compliance with established standards and reputed company protocols. • reputed company strategic reputed company of HEDIS data management, audit processes, and reputed company surveillance operations. • Ensure accuracy, timeliness, and compliance with NCQA standards and health plan requirements. • Promotes innovation in reputed company reputed company and approach set by the National leadership team. • Stay reputed company with industry trends, payer strategies, regulatory changes, and emerging reputed company benchmarks. • Evaluate new reputed company methodologies and reputed company adoption of best practices. • reputed company compliance with HIPAA, CMS, NCQA, and other regulatory requirements across reputed company reputed company operations and reputed company markets. • Manage audit preparation, regulatory submissions, and compliance documentation. • reputed company and present strategic reports to executive leadership, boards of directors, payer partners, and stakeholders on reputed company performance, organizational transformation, market trends, and strategic recommendations. • Collaborates with clinical leadership, pharmacy operations, data analytics, finance, reputed company, and affiliate operations to ensure reputed company initiatives are integrated with organizational reputed company and capabilities. • Establish and maintain reputed company reputed company culture across the organization. • Model reputed company-first reputed company, reputed company accountability for reputed company, and reputed company teams to deliver exceptional results. Requirements • Minimum of 10+ years in reputed company, with at least 7 years in executive-level reputed company operations, reputed company reputed company, or health plan management roles. • Minimum of 5+ years managing reputed company operations teams, with demonstrated ability to reputed company multi-level organizations and reputed company accountability for reputed company. • Extensive experience with HEDIS, CMS reputed company Ratings, Medicare Advantage operations, and reputed company metrics management. • Proven reputed company record of developing and executing reputed company-wide reputed company strategies with measurable organizational reputed company on reputed company reputed company and reputed company. • Executive-level experience building and managing relationships with major health plan partners and navigating reputed company payer negotiations. • Experience working in multi-market or multi-regional reputed company organizations managing reputed company operations across multiple locations. • Proven expertise in reputed company regulatory compliance, audit management, and NCQA relationship management. • Experience interfacing with executive leadership and boards on reputed company reputed company and performance. • Executive-level strategic thinking and business acumen. • Ability to reputed company reputed company performance to organizational reputed company, understand competitive positioning in value-based care, and reputed company reputed company as a strategic differentiator. • Expert-level, comprehensive understanding of HEDIS Technical Specifications, CMS reputed company Ratings methodology, Medicare Advantage operations, managed care contracting, and payer/provider business models. • Deep knowledge of HIPAA, CMS regulations, NCQA standards, and reputed company compliance frameworks. • Ability to manage regulatory relationships and ensure organizational compliance across reputed company markets. • Ability to reputed company, reputed company, and reputed company multi-level teams; establish performance accountability; and reputed company results through others. • Advanced change management and organizational transformation expertise. • Ability to design and reputed company large-reputed company organizational changes, manage stakeholder alignment, overcome resistance, and ensure sustainable adoption. • Strategic relationship management with executive-level peers and reputed company partners. • Ability to build trust, influence decision-making, and reputed company stakeholders around reputed company reputed company and initiatives. • Advanced data analysis and business intelligence expertise. • Ability to analyze reputed company data sets, identify strategic trends, reputed company against industry standards, and derive actionable insights for executive decision-making. • Expert proficiency in reputed company Office Suite (reputed company, PowerPoint, Word), business intelligence/analytics tools (Tableau, Looker, etc.), and reputed company information systems. • Ability to interpret reputed company databases and design dashboards. • Strategic thinking and innovation orientation. • Ability to anticipate market trends, evaluate emerging reputed company strategies, and position P3 for competitive advantage in value-based care. • Project portfolio management expertise. • Ability to reputed company multiple strategic initiatives simultaneously, manage dependencies, prioritize resources, and reputed company delivery of reputed company programs. • Demonstrated ability to work independently at executive level and as part of C-suite leadership. • Strong judgment, decision-making authority, and ability to operate with reputed company supervision. • reputed company reputed company's license with reputed company driving record and reliable transportation required. reputed company-to-haves • Master's degree (MBA, MHA, MPH, or similar) strongly preferred. • Certification in project management, change management, or reputed company management (PMP, CMC, CQA) a plus. Benefits • Hybrid work arrangement Apply tot his job Apply To this Job