Professional Services Manager (HEDIS & Risk)

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon , we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon , we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Work Location: This position is designated as remote. However, employees who reside within a 40-mile radius of one of our office locations in Tampa, FL; Canonsburg, PA; or Bowie, MD will follow a hybrid work schedule and are expected to work in the office two days per week (Tuesdays and Wednesdays).

Overview :

Inovalon ’s Professional Service team has a significant influence on how customers implement, adopt and utilize our SaaS solutions. For our health plan and risk-bearing partners, working with Inovalon ’s Professional Services team will accelerate time to value, increase effective utilization of our products, and improve overall customer outcomes and satisfaction with Inovalon ’s products.

The Professional Services Manager is responsible for the execution and management of complex engagements designed to drive business outcomes for Inovalon ’s Payer Business Unit Customers. This is a client-facing position that combines healthcare subject-matter expertise with strong communication, analytical, and relationship-management skills. The Professional Services Manager works with customers to understand their Quality/HEDIS, CMS Stars, and/or Risk Adjustment goals, workflows, and challenges and helps translate those needs into effective use of Inovalon solutions and services.

Duties and 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/HEDIS, CMS Stars, and/or Risk Adjustment activities within assigned client engagements

- Understand customer program goals, workflows, business needs, and challenges and help customers apply Inovalon solutions and services effectively in support of those objectives.

- Actively manage outstanding issues, risks, and dependencies; engage the appropriate internal partners; drive issues to resolution; and effectively manage customer expectations.

- Develop and maintain industry, regulatory, and solution expertise related to Quality/HEDIS, CMS Stars, and Risk Adjustment, and contribute to customer education, best-practice guidance, and industry thought leadership.

- Identify growth opportunities based on client needs, and partner with sales, implementation, customer success, and other internal partners to support positive customer outcomes, adoption, retention, and expansion.

- Demonstrate strong leadership, accountability, sound judgement, and collaboration in customer engagements and internal partnerships.

- Demonstrate effective 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.

- Apply strong analytical and organization skills; work independently and proactively; manage numerous priorities simultaneously; and operate effectively in a fast-paced environment with ambiguity.

- 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 undert