Prime Therapeutics

Client Quality Manager - Remote

Prime Therapeutics

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $81,000 - $138,000 per year

Job Level

Mid-LevelSenior

About the role

  • Analyze clients' quality data to develop and recommend strategies for improvement and/or maintenance of quality ratings; create and manage project plans to meet established client quality goals
  • Drive the client quality strategy for all lines of business (Medicare, Medicaid, Commercial/HIM); serve as primary point of contact and subject matter expert on all quality matters pertaining to assigned clients and area of focus
  • Collaborate with key internal and external stakeholders, including Prime's clients, client engagement and clinical functions and external vendors, to ensure needs are understood, capabilities are aligned, and initiatives are on schedule and within budget
  • Lead monthly client meetings to review quality reporting and status of strategic plan implementation, and discuss other capabilities, tools or products that could address issues
  • Lead monthly internal work groups based on area of focus including reporting, issue management and strategic direction related to quality
  • Understand quality compliance and the internal and external factors which impact client quality strategy
  • Work cross-functionally to identify and guide improvement in tools, capabilities, products or data that would help clients to improve quality ratings
  • Build external client satisfaction by establishing client-facing relationships with health plan quality leaders and successfully implementing quality initiatives
  • Other duties as assigned

Requirements

  • Bachelor's degree in business administration or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 5 years of work experience in managed care or Pharmacy Benefit Management, in client engagement, compliance/regulatory, project management, quality improvement and/or business analysis roles
  • Must be eligible to work in the United States without need for work visa or residency sponsorship
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship