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Risk Quality Performance Manager

9/23/2025

Remote

Job Summary

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 performance improvement initiatives
  • Oversee Risk/Quality data ingestion activities to ensure accuracy and completeness
  • Proactively communicate project status, risks, and issues to stakeholders and leadership
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 activities and risk adjustment reporting systems
  • Familiarity with running queries in Microsoft Azure or SQL server
  • Healthcare experience with knowledge of functional risk adjustment and/or quality

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