Supervisor, Performance Programs

The Performance Program Supervisor is responsible for the planning, organization, and successful execution of one or more performance programs for the company. Program consists of CMS STAR management to reach the highest attainment possible"¯P4P, HEDIS, and Total cost of Care."¯"¯The PPM is responsible for the motivation of the team to achieve measurable gains within the programs, as measured by internal and external metrics. Ensures the quality and timeliness of work performed, supervises and assists in the gathering of data (supplemental or otherwise) and the accurate entry into all systems and subsystems. Coordinates communications between members, staff, providers and Health Plans. Demonstrates the ability to work on multiple, complex projects and manages communication between staff, providers, health plans and members. * Manage, select, hire, train and motivate staff to achieve day-to-day and long- range operational goals. * Coordinate resources required to meet the business units' objectives. Manage the resolution of problems that are escalated. * Continually review and appraise the progress and performance of staff and design developmental programs tailored to meet their career goals."¯In conjunction with the Director, establishes yearly department goals. * Continually assess potential project risks and creates and implements corrective action plans and develops new procedures resulting in additional revenue for the company. * Initiates new programs, enhances existing programs and continuously assesses need for resources, tools and add-ons. * Provides excellent and comprehensive communication and education to internal and external staff and customers. * Assists with Provider, staff and member training."¯ May coordinate and oversee annual chart audits collection, HP chart requests, claim or payment resolution, etc. * Initiates member and provider communication relating to missing tests, measures and "due" reports. * Produces accurate staff and "measure" productivity reports in a timely manner. * Identifies areas that need improvement and initiates creative solutions (cost effective) to correct problems. * Ensures proper notification to clients and customers has been performed. * Produces accurate metrics reports as well as staff productivity reports in a timely manner. * Identifies areas that need improvement and initiates creative solutions (cost effective) to correct issues to meet and exceed our stated goals. Minimum Education:"¯Bachelor's Degree with emphasis in business administration, IT or Health care preferred or equivalent experience. Minimum Experience:"¯Five or more years' experience in project coordination or management of small, medium and large projects desired."¯Experience in health care desirable. Req. Certification/Licensure:"¯None. "Location-Based Pay Adjustment"

Created: 2025-01-07