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Full-Time

Professional Services Manager

HEDIS and Risk Adjustment

Confirmed live in the last 24 hours

Inovalon

Inovalon

1,001-5,000 employees

Cloud-based software for healthcare analytics

Consulting
Healthcare

Senior

Canonsburg, PA, USA

Travel for this position will include less than 5% locally usually for training purposes.

Category
Management Consulting
Consulting
Required Skills
SQL
Tableau
Data Analysis
Snowflake
Requirements
  • Minimum of 5 years of health plan Quality, CMS STARS or Risk Adjustment program delivery experience
  • Minimum of 3 years’ experience working in customer-facing roles, either internal or external, with strong interaction, consultative skills and ownership for developing and deepening relationships, driving customer satisfaction and issue management
  • Previous experience working in professional services or consulting, preferably with a focus on payer customers preferred
  • Ability to identify customer needs in complex regulatory environments and successfully execute on solution delivery, issue resolution, retention, adoption and expansion strategies
  • Excellent communication and presentation skills; with the ability to adapt communication style depending on audience (customers / internal partners / Leadership)
  • Deep knowledge of health care data, billing practices and reimbursement models;
  • Takes a proactive approach towards executing on numerous tasks and priorities simultaneously while also managing client relationships and expectations;
  • Detail-oriented and the ability to work in a fast-paced environment;
  • Tableau, SnowFlake and/or SQL experience a plus;
  • Knowledge of and familiarity with Microsoft Office tools, including Access, Excel, Word, and Outlook;
  • Previous experience with Inovalon tools a plus.
  • Bachelor's degree is required (degree in health care, information systems, computer science, statistics, analytics or a related field of study is preferred).
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/STARS/Risk related activities within assigned client engagements
  • Act as trusted advisor to customers to understand their Quality and/or Risk Adjustment program goals, business drivers and help design, execute and monitor Professional Services to support customer outcomes
  • Actively manage outstanding issues and drive issues to resolution while effectively managing client expectations
  • Develop and maintain an industry and regulatory expertise from a Quality and Risk Adjustment perspective; author and advise the creation of industry thought capital
  • Identify (and close) growth opportunities based on client needs, and partner with sales, implementation and customer success teams to ensure positive customer experience
  • Establish a strong leadership shadow that reinforces the Inovalon values
  • Demonstrate effective and clear 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
  • Deploy strong analytical and organization skills; have an ability to work independently and proactively, be accepting of ambiguity in a fast-paced environment
  • 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.

Inovalon provides cloud-based software solutions that focus on improving data-driven healthcare. Their platform offers advanced analytics and business intelligence tools that assist healthcare organizations, including providers, payers, and pharmaceutical companies, in enhancing patient care and operational efficiency. The platform integrates national-scale connectivity and real-time data access, supporting over 100 solutions for various healthcare operations like revenue cycle management and care quality management. Inovalon generates revenue through subscription fees for its user-friendly software and also offers consulting services to help clients optimize their data usage. The company's goal is to empower healthcare organizations to utilize data effectively to achieve better clinical outcomes and operational efficiencies.

Company Stage

N/A

Total Funding

N/A

Headquarters

Bowie, Maryland

Founded

1997

Growth & Insights
Headcount

6 month growth

0%

1 year growth

43%

2 year growth

43%
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Simplify's Take

What believers are saying

  • Strategic partnerships, such as with MEDITECH, enhance Inovalon's capabilities in revenue cycle management and expand its market reach.
  • Recognition as a Great Place to Work for two consecutive years highlights a positive and supportive work environment.
  • The launch of innovative solutions like InfectionWatch and SDOH Market Insights demonstrates Inovalon's commitment to addressing critical healthcare challenges and improving patient outcomes.

What critics are saying

  • The $50 million fraud lawsuit filed by the AIDS Healthcare Foundation could damage Inovalon's reputation and financial stability.
  • The competitive healthcare technology market requires continuous innovation to maintain a leading position, posing a risk if Inovalon fails to keep pace.

What makes Inovalon unique

  • Inovalon's cloud-based platform integrates national-scale connectivity and real-time data access, setting it apart from competitors with less comprehensive data solutions.
  • The company's focus on data-driven healthcare and advanced analytics provides a competitive edge in optimizing patient care and operational efficiency.
  • Inovalon's extensive range of over 100 solutions tailored for various healthcare operations distinguishes it from more narrowly focused competitors.

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