Manager, Network Performance

CarePlus Health Plans Inc

Remote, US
Base: $94,900 - $130,500 py; bonus: eligible for i...
Hybrid
5+ years medicare experience
Knowledge of hedis and cms stars
3+ years leadership experience
CarePlus Health Plans Inc. is seeking a Manager of Network Performance to lead a team focused on enhancing provider performance and Stars ratings. This remote position requires extensive experience in Medicare and value-based care, along with strong leadership skills to guide and develop a team

Job Summary

  • This role leads a team of up to 11 provider-facing professionals dedicated to improving provider performance and enhancing Stars ratings.
  • The position requires deep expertise in CMS Stars programs, HEDIS, CAHPS, and HOS measures to guide strategic initiatives.
  • Humana offers industry-leading benefits including medical, dental, vision, 401(k), and extensive paid time off starting on the first day.

Matching Summary

Match Score: 85

CarePlus Health Plans Inc. is seeking a Manager of Network Performance to lead a team focused on enhancing provider performance and Stars ratings. This remote position requires extensive experience in Medicare and value-based care, along with strong leadership skills to guide and develop a team.

Salary

Base: $94,900 - $130,500 per year; Bonus: Eligible for incentive plan based on company/individual performance; Benefits: Medical, Dental, Vision, 401(k), PTO, parental leave

Skills & Requirements

Must-have

  • 5+ years Medicare experience
  • Knowledge of HEDIS and CMS Stars
  • 3+ years leadership experience
  • Proficiency in healthcare data analysis
  • Strong Microsoft Office skills

Nice-to-have

  • Bachelor's degree in related field
  • Experience with interoperability
  • Managed care or Medicaid background
  • Progressive management experience

Key Requirements

  • 5+ years Medicare experience
  • 3+ years leading associates
  • Knowledge of value-based care models
  • Proficiency in analyzing healthcare data trends

Work Rights

Not specified

Tailored Resume

Cover Letter