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The HR Relationship Manager will build and maintain relationships with internal partners, manage HR technology strategy, and oversee related projects and initiatives to enhance service delivery.

The role involves overseeing financial records, preparing reports, conducting financial analyses, and providing insights to upper management in the healthcare sector.

Oversees internal audits, supervises auditors, ensures compliance with regulations, develops audit plans, reviews findings, and prepares reports for leadership.

Perform day-to-day duties ensuring providers are set up correctly in the system. Responsibilities include resolving data issues, updating provider information, and facilitating training and orientations.

The Quality Improvement Specialist supports development, maintenance of quality improvement projects, trains staff, analyzes performance metrics, and implements quality improvement plans related to HEDIS.

Coordinate quality reviews and compliance for healthcare entities, manage complaints, audit records, and implement improvement plans. Act as liaison for clinical initiatives.

Maintain partnerships between health plans and providers, ensuring quality care, resolving issues, educating providers, and driving performance improvement through data analytics.

Maintain partnerships with provider networks, drive performance in contract incentives, resolve provider-related issues, and educate providers on policies.

The role involves managing provider relationships, resolving claims issues, conducting education, and improving network performance. Requires local travel for provider interactions.

Lead and manage contracting activities with hospitals, negotiate contracts, oversee provider performance, and ensure compliance with contracting standards.