Director, SNP Quality & MA Metrics
pruitthealthNorcross, GA
Director, SNP Quality & MA Metrics
pruitthealthNorcross, GA
yesterday
Occupations
Medical and Health Services ManagersQuality Control Systems ManagersHealth Informatics SpecialistsIndustries
Direct Health and Medical Insurance CarriersOffices of Physicians (except Mental Health Specialists)All Other Outpatient Care CentersAbout the role
PruittHealth seeks a Director of SNP Quality and Clinical Metrics to lead Medicare Advantage quality, risk adjustment, and reimbursement optimization across its Premier health plans. The role integrates MOC, HEDIS, Star Ratings, SNP and HCC/RAF into provider-level strategies to improve outcomes and revenue integrity.
The ideal candidate has 5+ years in MA quality analytics or risk adjustment, strong leadership, and proficiency with dashboards, data from claims/EHR, and CMS requirements.
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JOB OVERVIEW
Experience level
Manager
Location
Norcross, GA
Occupation
Medical and Health Services Managers
Industry
Direct Health and Medical Insurance Carriers
Posted
yesterday
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