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Professional Services Manager (HEDIS & Risk)

Inovalon
Location
Remote- United States
Posted
20 days ago
Department
4302 - HEDIS
What they actually want (must-haves)
  • Minimum of 5 years of health plan Quality/HEDIS, CMS Stars, and/or Risk Adjustment program delivery experience
  • Demonstrated experience working effectively with internal or external stakeholders, with strong communication, relationship-building, and issue-management skills
  • Ability to understand customer goals, workflows, and needs within complex healthcare and regulatory environments
  • Excellent written, verbal, and presentation skills
  • Strong knowledge of healthcare data and familiarity with healthcare billing, reimbursement, and related payer data concepts
  • Proactive and organized, with the ability to independently manage multiple priorities
Nice to have
  • Previous experience in a directly customer-facing role
  • Previous experience working in professional services or consulting, preferably with a focus on payer customers
  • Snowflake and/or SQL experience
  • Knowledge of and familiarity with Microsoft Office tools, including Access, Excel, Word, and Outlook
  • Previous experience with Inovalon solutions
What the job really is

The Professional Services Manager at Inovalon is responsible for managing complex client engagements within the healthcare sector, specifically focusing on Quality/HEDIS, CMS Stars, and Risk Adjustment initiatives. This role involves understanding customer needs, facilitating the effective use of Inovalon’s SaaS solutions, and ensuring customer satisfaction through strong communication and relationship management. The position is client-facing and requires a blend of healthcare expertise and analytical skills to drive positive outcomes for clients.

Benefits
  • Competitive salary and benefits package
  • Performance-based incentives
  • Health insurance
  • Life insurance
  • Company-paid disability
  • 401k
Things to weigh
  • Position is remote but requires hybrid work for those within 40 miles of specific office locations
  • No specific salary mentioned beyond a range
  • Not eligible for immigration sponsorship
  • Travel may be required but is generally not expected to exceed 10% annually
Job score3.2/5
Benefits4/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency0/5

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