Manager, HEDIS Performance Improvement

<strong>Working at Advantasure is more than a job &mdash; you&rsquo;re part of a team that is becoming the country&rsquo;s leading healthcare solutions provider.<br /></strong><br /><strong>A career at Advantasure means you&rsquo;ll be part of one of the most dynamic, diversified and innovative healthcare companies in the nation. You&rsquo;ll be helping our clients make their members healthier &mdash; and our communities a better place to call home.</strong>

Southfield, USA

Advantasure

<p class="p1"><strong>At Advantasure, we partner with healthcare clients to simplify their operations and accelerate their business success. Powered by our broad expertise and a comprehensive suite of product and service solutions, we help health plans effectively navigate the complexity of healthcare.</strong></p> https://advantasure.com/

keywords: job description,work environment,management,performance,solutions,direction exercised,education,experience,knowledge,initiative,skills

Mid-level Manager

Competitive Compensation and Benefits Package

Overview: <br />The Manager, HEDIS Performance Improvement&nbsp;is responsible to plan, organize, direct, control, and lead the assigned business unit responsible for HEDIS medical record review processes, year-round supplemental data abstractions, and client reporting. This position specializes in development, planning, and leadership, and operates within broad objectives to ensure optimum utilization of capital, manpower, and equipment for the assigned business unit.<br /><br /> <p><strong>WORKING CONDITIONS:</strong></p> <p>Work is performed in an office setting with no unusual hazards. Travel may be required.</p>
Responsibilities: <br /> <ul> <li>Manages activities of a department including, but not limited to, planning, problem-solving, staff development, and communication related to HEDIS medical record review and supplemental data abstractions and project management.</li> <li>Responsible for client partnership and reporting on medical record projects</li> <li>Executes function/area objectives that support continuous improvement.</li> <li>Manages professional and contracted employees.</li> <li>Responsible for special projects and/or problem resolutions.</li> <li>Provides effective and efficient solutions to complex business problems.</li> <li>Provides high-level oversight and leadership.</li> <li>Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause and makes recommendations.</li> <li>Responsible for balancing workload to optimize the effectiveness of the department.</li> </ul> <br /> <p><strong>DIRECTION EXERCISED:</strong></p> <ul> <li>Directly supervises exempt and non-exempt staff in accordance with company policies and applicable Federal and State Laws.&nbsp;</li> <li>Responsibilities include, but are not limited to, effectively interviewing, hiring, terminating, and training employees; planning, assigning, and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems; supporting and encouraging the engagement process.</li> </ul>
Requirements: <br /> <p><strong>EDUCATION:</strong></p> <ul> <li>Bachelor&rsquo;s degree in a related field.&nbsp;</li> <li>Master&rsquo;s degree in a related field preferred.&nbsp;</li> <li>Relevant combination of education and experience may be considered in lieu of degree.&nbsp;</li> <li>Continuous learning, as defined by the Company&rsquo;s learning philosophy, is required.&nbsp;&nbsp;</li> </ul> <br /> <p><strong>EXPERIENCE:</strong></p> <ul> <li>Seven (7) years experience of progressive responsibility in a related environment with demonstrated technical knowledge that provides the necessary knowledge, skills, and abilities required.&nbsp;</li> <li>Three (3) years supervisory or lead experience in related field required.&nbsp;</li> <li>Bilingual skills preferred.</li> </ul> <br /> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Knowledge of HEDIS processes and technical specifications</li> <li>Ability to work under general direction.</li> <li>Ability to work effectively in a team environment.</li> <li>Excellent analytical, organizational, planning, verbal, and written communication skills.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> <li>Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.</li> <li>Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.</li> <li>Must demonstrate leadership ability and team-building skills to effectively supervise professional and non-professional staff and interact with all levels of management.</li> <li>Ability to work with and empower others on a collaborative basis to ensure success of unit team.</li> <li>Ability to effectively exchange information, in verbal or written form, by sharing ideas, reporting facts and other information, responding to questions, and employing active listening techniques.</li> <li>Ability to effectively present budgetary and/or cost information and respond to questions as appropriate.</li> <li>Ability to establish workflows, manage multiple projects, and meet necessary deadlines.</li> </ul>