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HEDIS Project Manager

LOCATION: Remote
REMOTE ELIGIBLE: Fully Remote
TRAVEL REQUIREMENT: 5% or less
REQUISITION ID: 496
<p><strong>Overview:</strong> &nbsp;The Product Services Manager (PSM) is responsible for project management and client service delivery to Inovalon’s Quality clients. This is a client facing position with responsibility for effectively communicating with Quality clients about Inovalon expectations and delivering project status updates to the client as well as internal stakeholders.&nbsp; Requires daily interaction with other Inovalon teams such as Technology, Business Development, Client Success, Product Development and other colleagues. Responsible for management of assigned client deliverables as well as participation in inter-departmental tasks such as project working group meetings and development of product service management tools and processes.</p> <p>&nbsp;</p> <p><strong>Duties and Responsibilities:</strong></p> <ul> <li>Comprehensively manage assigned client relationships across the company’s quality management portfolio;</li> </ul> <ul> <li>Manage on-boarding of new clients, which includes collaboration with other internal stakeholders to ensure successful implementation of new business;</li> </ul> <ul> <li>Collaborate with the client support team, comprised of data analysts, clinical, operations, and product experts, in the delivery of the company’s services and successful completion of all assigned projects;</li> <li>Serve as a subject matter expert on HEDIS reporting requirements internally and externally;</li> <li>Develop and maintain an expert level of knowledge regarding quality reporting requirements from all regulatory bodies as well as the company’s quality management product line;</li> <li>Assist with the creation of presentations and reports delivered to clients and internal stakeholders;</li> <li>Support and expand positive and successful client relationships identifying business opportunities within Inovalon based on client needs;</li> <li>Monitor the status of internal and external deliverables including, but not limited to Sample Frames, Roadmap, Preliminary admin rates, medical record projects, and final reporting deliverables; and</li> <li>Actively participate in post-season process improvement efforts.</li> <li>Maintain compliance with Inovalon’s policies, procedures and mission statement;</li> <li>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;</li> <li>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; and</li> <li>Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.</li> </ul> <p>&nbsp;</p> <p><strong>Job Requirements:</strong></p> <ul> <li>Minimum of 3 years of HEDIS project experience;</li> <li>Ability to effectively communicate with customers and handle escalations that may arise;</li> <li>Ability to effectively communicate and build relationships with internal teams and stakeholders;</li> <li>Strong team player;</li> <li>Takes a proactive approach towards executing on numerous tasks and priorities simultaneously while also managing client relationships and expectations;</li> <li>Detail-oriented and the ability to work in a fast-paced environment;</li> <li>Knowledge of and familiarity with Microsoft Office tools, including Access, Excel, Word, and Outlook;</li> <li>SQL experience a plus;</li> <li>Knowledge of health care data, billing practices and reimbursement models preferred; and</li> <li>Previous experience with Quality Spectrum tools preferred: QSI, QSI-XL</li> </ul> <p>&nbsp;</p> <p><strong>Education:</strong></p> <ul> <li>Bachelor's degree is required (degree in information systems, computer science, statistics, analytics or a related field of study is preferred).</li> </ul> <p>&nbsp;</p> <p><strong>Physical Demands and Work Environment:</strong></p> <ul> <li>Sedentary work (i.e., sitting for long periods of time);</li> <li>Exerting up to 10 pounds of force occasionally and/or negligible amount of force;</li> <li>Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;</li> <li>Subject to inside environmental conditions; and</li> <li>Travel for this position will include less than 5% locally usually for training purposes.</li> </ul><div class="content-conclusion"><p><em>The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors. It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship. </em></p> <p><em>By embracing diversity, equity and inclusion we enhance our work environment and drive business success. Inovalon strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.</em></p></div>

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