Risk and Quality Manager
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Risk & Quality Performance Manager
(Remote).
Key Responsibilities
Collaborate with Health Plan Risk and Quality leaders to manage
data collection strategies and analytics
Oversee Risk/Quality data ingestion activities to ensure data
completeness and accuracy
Ensure compliance with regulatory audit guidelines and communicate
risks and issues to stakeholders
Required Qualifications
Bachelor's degree or equivalent combination of education and
experience
2+ years of program and/or project management experience in risk
adjustment and/or quality
2+ years of experience supporting HEDIS engine activity and risk
adjustment reporting systems
Familiarity with running queries in Microsoft Azure or SQL
server
Healthcare experience with functional risk adjustment and/or
quality knowledge
Keywords: VirtualVocations, Oceanside , Risk and Quality Manager, Executive , Vista, California
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