Professional Services Manager (HEDIS & Risk) at Inovalon in UNITED

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Work Location: This position is designated as remote. However, employees who reside within a 40-mile radius of one of our office locations in Tampa, FL; Canonsburg, PA; or Bowie, MD will follow a hybrid work schedule and are expected to work in the office two days per week (Tuesdays and Wednesdays).

Overview:

Inovalon’s Professional Service team has a significant influence on how customers implement, adopt and utilize our SaaS solutions. For our health plan and risk-bearing partners, working with Inovalon’s Professional Services team will accelerate time to value, increase effective utilization of our products, and improve overall customer outcomes and satisfaction with Inovalon’s products.

The Professional Services Manager is responsible for the execution and management of complex engagements designed to drive business outcomes for Inovalon’s Payer Business Unit Customers. This is a client-facing position that combines healthcare subject-matter expertise with strong communication, analytical, and relationship-management skills. The Professional Services Manager works with customers to understand their Quality/HEDIS, CMS Stars, and/or Risk Adjustment goals, workflows, and challenges and helps translate those needs into effective use of Inovalon solutions and services.

Duties and Responsibilities:

• Comprehensively manage concurrent customer Professional Service engagements across the company’s Payer product portfolio
• Act as client-facing point of contact for all Quality/HEDIS, CMS Stars, and/or Risk Adjustment activities within assigned client engagements
• Understand customer program goals, workflows, business needs, and challenges and help customers apply Inovalon solutions and services effectively in support of those objectives.
• Actively manage outstanding issues, risks, and dependencies; engage the appropriate internal partners; drive issues to resolution; and effectively manage customer expectations.
• Develop and maintain industry, regulatory, and solution expertise related to Quality/HEDIS, CMS Stars, and Risk Adjustment, and contribute to customer education, best-practice guidance, and industry thought leadership.
• Identify growth opportunities based on client needs, and partner with sales, implementation, customer success, and other internal partners to support positive customer outcomes, adoption, retention, and expansion.
• Demonstrate strong leadership, accountability, sound judgement, and collaboration in customer engagements and internal partnerships.
• Demonstrate effective written and verbal communication skills, specifically the ability to speak to technical customers, including the drafting of high-quality, written documentation and presentations for internal and external communications.
• Apply strong analytical and organization skills; work independently and proactively; manage numerous priorities simultaneously; and operate effectively in a fast-paced environment with ambiguity.
• Maintain compliance with Inovalon’s policies, procedures and mission statement.
• 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.
• 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.
• Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.

Job Requirements:

• 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. Previous experience in a directly customer-facing role is preferred.
• Previous experience working in professional services or consulting, preferably with a focus on payer customers, is preferred.
• Ability to understand customer goals, workflows, and needs within complex healthcare and regulatory environments and translate them into effective use of solutions and services, including clear recommendations and actionable next steps.
• Excellent written, verbal, and presentation skills, with the ability to communicate complex healthcare, regulatory, product, operational, and data concepts and adapt communication style based on the audience.
• 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, identify risks and dependencies, drive issues toward resolution, and work effectively in a fast-paced environment with ambiguity.
• Detail-oriented with strong analytical and problem-solving skills.
• Snowflake and/or SQL experience is a plus.
• Knowledge of and familiarity with Microsoft Office tools, including Access, Excel, Word, and Outlook.
• Previous experience with Inovalon solutions is a plus.

Education:

• Bachelor's degree is required (degree in health care, information systems, computer science, statistics, analytics or a related field of study is preferred).

Physical Demands and Work Environment:

• Sedentary work (i.e., sitting for long periods of time);
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
• Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
• Subject to inside environmental conditions; and
• Travel for this position may include internal team meetings, industry conferences, customer meetings, and other business needs and is generally not expected to exceed 10% annually.

Inovalon Offers a Competitive Salary and Benefits Package

In addition to the base compensation, this position may be eligible for performance-based incentives.

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.

Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.

Base Compensation Range

$95,800—$145,000 USD

This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)

If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.

By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to 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.

Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.

To review the legal requirements, including all labor law posters, please visit this link

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