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A leading healthcare company seeks a Client Quality Manager to oversee quality initiatives for clients. This remote position involves collaborating with stakeholders, analyzing quality data, and ensuring the execution of quality plans. Ideal candidates will have a bachelor’s degree and significant experience in managed care, with strong interpersonal and organizational skills.
Our work matters. We help people get the medicine they need to feel better and live well. We do notlose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title Client Quality Manager Stars and Quality - RemoteJob Description The Senior Client Quality Manager ensures the successful planning, implementation and execution of all quality initiatives for assigned clients on behalf of the quality management area. This position works with client stakeholders at all organizational levels to develop quality related goals and ensure understanding of capabilities, reporting and quality plan needs, and products and services available to augment the client quality strategy. This role provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating System (HIM QRS). This position is also responsible to be a subject matter expert (SME) in an assigned quality area of focus, collaborating cross-functionally to ensure quality department goals are met, and meeting with clients regularly, including health plan leadership, to ensure effective planning and execution of quality plans.Responsibilities
Education & Experience
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
Additional Qualifications
Preferred Qualifications
Physical Demands
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.