Talent.com
Payer STARS/Quality Clinical Consultant, Senior Manager
Payer STARS/Quality Clinical Consultant, Senior ManagerMissouri Staffing • Kansas City, MO, US
[error_messages.no_longer_accepting]
Payer STARS / Quality Clinical Consultant, Senior Manager

Payer STARS / Quality Clinical Consultant, Senior Manager

Missouri Staffing • Kansas City, MO, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Operations Consulting Senior Manager

At PwC, our people in operations consulting specialize in providing consulting services on optimizing operational efficiency and effectiveness. We are looking for an operations consulting generalist who will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimizing operational efficiency and effectiveness. Working in this area, you will analyze client needs, develop operational solutions, and offer recommendations tailored to specific business requirements.

As you grow as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognizing when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm.

Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to :

  • Craft and convey clear, impactful, and engaging messages that tell a holistic story.
  • Apply systems thinking to identify underlying problems and / or opportunities.
  • Validate outcomes with clients, share alternative perspectives, and act on client feedback.
  • Direct the team through complexity, demonstrating composure through ambiguous, challenging, and uncertain situations.
  • Deepen and evolve your expertise with a focus on staying relevant.
  • Initiate open and honest coaching conversations at all levels.
  • Make difficult decisions and take action to resolve issues hindering team effectiveness.
  • Model and reinforce professional and technical standards, the Firm's code of conduct, and independence requirements.

The Opportunity : As part of the Operations Consulting team, you will lead cross-functional teams in achieving performance in Medicare Stars and related quality initiatives through advanced clinical data strategies. As a Senior Manager, you will build trust with multi-level teams and stakeholders, motivating and coaching others to solve complex problems. This position provides an exciting opportunity to influence quality improvement initiatives and drive impactful change in healthcare data management.

Responsibilities :

  • Lead cross-functional teams to achieve exceptional performance in quality initiatives.
  • Motivate and coach team members to address complex challenges.
  • Build trust with stakeholders at multiple levels.
  • Influence quality improvement initiatives in healthcare data management.
  • Develop advanced clinical data strategies for impactful change.
  • Confirm alignment with Medicare Stars and related programs.
  • Drive collaboration across teams to enhance performance.
  • Analyze clinical data sources to inform decision-making.
  • What You Must Have :

  • Bachelor's Degree
  • At least 8 years of experience
  • What Sets You Apart :

  • Master's Degree in Health Administration preferred
  • Demonstrating in-depth clinical data management experience
  • Leading multidisciplinary teams in clinical data operations
  • Managing large-scale quality improvement initiatives
  • Communicating technical insights to non-technical audiences
  • Developing frameworks for improving data reliability
  • Understanding regulatory compliance in Medicaid and Medicare
  • Utilizing AI / ML tools for clinical data accuracy
  • PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy : https : / / pwc.to / H-1B-Lottery-Policy.

    PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.

    Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage.

    The salary range for this position is : $124,000 - $280,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws.

    PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link.

    [job_alerts.create_a_job]

    Senior Consultant • Kansas City, MO, US

    [internal_linking.similar_jobs]
    Clinical Nurse Case Disease Management

    Clinical Nurse Case Disease Management

    Blue Cross and Blue Shield of Kansas City • Kansas City, MO, United States
    [job_card.full_time]
    Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include : .Highly com...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Manager of Quality Assurance-Clinical Site Trial Network

    Senior Manager of Quality Assurance-Clinical Site Trial Network

    Johnson County Clintrials • Lenexa, KS, US
    [job_card.full_time]
    Senior Manager of Quality Assurance (QA)-Clinical Site Trial Network.The Senior Manager of Quality Assurance (QA) ensures the integrity, compliance, and excellence of clinical trial operations acro...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Director - Bcba

    Clinical Director - Bcba

    Atlas Autism Health • Kansas City, MO, US
    [job_card.full_time]
    At Atlas, we’re committed to delivering high-quality Applied Behavior Analysis (ABA) services to young learners with Autism Spectrum Disorder (ASD) throughout Missouri.Our center-based progra...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    PROCEDURALIST

    PROCEDURALIST

    Alleviant Health Centers • Kansas City, MO, US
    [job_card.full_time]
    Alleviant Integrated Mental Health of Kansas City is looking for a Procedure Specialist to join our team.At our clinic, the Proceduralist will fulfill the care requirements of our patients.Under th...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Field Specialist

    Clinical Field Specialist

    Natera • Kansas City, KS, US
    [job_card.full_time]
    The ideal candidate will reside in the Kansas City metropolitan area.We are currently looking for a.Clinical Field Specialist (CFS). Women's Health sales team!.The CFS will increase revenue and ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinic Director

    Clinic Director

    IV Nutrition • Overland Park, KS, US
    [job_card.full_time]
    This position is responsible for managing the application of intravenous vitamins for outpatient infusion and providing clinical expertise and education for clients and staff.Administer and monitor...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Growth Manager - Kansas City, MO

    Clinical Growth Manager - Kansas City, MO

    Fay • Kansas City, MO, US
    [job_card.full_time]
    Fay is a 3-sided AI platform redefining preventative care with a b2b2c business in a box.We're one of the fastest growing companies in tech and the fastest growing company in wellness history.W...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Sr Director Rebate Invoice and Audit - Synergie Medication Collective

    Sr Director Rebate Invoice and Audit - Synergie Medication Collective

    Blue Cross Blue Shield Association • Kansas City, MO, United States
    [job_card.full_time]
    The hiring range for this role is : .This is the lowest to highest salary we.A candidate's position within the.Note : No amount of pay is considered to be wages or compensation until such amount is ea...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Dental Clinical Director

    Dental Clinical Director

    RSMC Services, Inc • Kansas City, MO, US
    [job_card.full_time]
    RSMC services is currently hiring for full time Associate Dentists and managing Clinical Directors with full time availability for our dental support organization (DSO) office.Unlimited free contin...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Financial Consultant | High Income Path | Full Training

    Remote Financial Consultant | High Income Path | Full Training

    Ohana Outreach Financial • Kansas City, MO, US
    [filters.remote]
    [job_card.full_time] +1
    Perfect for professionals ready to shift into a career with purpose and substantial earning potential.You’ll receive training, mentorship, and a proven business model that leads to predictabl...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical CSR - Quality Assurance Team - PLATTE CITY MO

    Medical CSR - Quality Assurance Team - PLATTE CITY MO

    J&B Medical Supply Co Inc • Platte City, MO, US
    [job_card.full_time]
    The Representative for the Quality Assurance Team plays a crucial role in ensuring that our patients receive the highest level of service and satisfaction. This position involves monitoring and eval...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Lead Clinician

    Lead Clinician

    Sono Bello • Kansas City, KS, US
    [job_card.full_time]
    Sono Bello is America's top cosmetic surgery specialist, with 185+ board-certified surgeons who have performed over 300,000 laser liposuction and body contouring procedures.A career at Sono Bel...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Regional Billing Manager - Kansas City

    Regional Billing Manager - Kansas City

    Direct Counsel • Kansas City, MO, US
    [job_card.full_time]
    Direct Counsel is representing an Am Law 100 firm seeking a Regional Billing Manager in its Kansas City office.The Regional Billing Manager will oversee all time and billing processes in accordance...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Cardiology Locums

    Cardiology Locums

    HealthEcareers - Client • Kansas City, KS, USA
    [job_card.full_time]
    All Star Healthcare Solutions is seeking a Cardiologist to assist with locums coverage in Kansas.Will provide hospital service rounding, consults, and procedures as scheduled.Call 1700‐0700 Mon‐Fri...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Nurse Coordinator (Charge Nurse) - Med / Surg - Kansas City, MO

    Clinical Nurse Coordinator (Charge Nurse) - Med / Surg - Kansas City, MO

    Texas Nursing Services • Kansas City, MO, US
    [job_card.full_time]
    Clinical Nurse Coordinator (Charge Nurse) - Med / Surg - Kansas City, MO.Full-Time Charge Role | Days & Nights Available | $35. Differentials | Sign-On & Relocation Case-by-Case.Lead a high-pe...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Cancer Care Pharmacy Clinical Manager

    Cancer Care Pharmacy Clinical Manager

    University of Kansas Health System • Westwood, KS, US
    [job_card.full_time]
    Cancer Care Pharmacy Clinical Manager.Westwood Administration - East.Position Summary / Career Interest : .The Pharmacy Operations Manager fulfills a leadership role in the Department of Pharmacy by ...[show_more]
    [last_updated.last_updated_1_hour] • [promoted] • [new]
    Supervisor - Patient Services (non-clinical)

    Supervisor - Patient Services (non-clinical)

    AssistRx • Overland Park, KS, US
    [job_card.full_time]
    The purpose of the Supervisor, Patient Services (Non-Clinical) is to supervise and manage the intake teams who triage calls, facilitate the enrollment process, and conduct benefits investigation.Th...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Team Leader, RN

    Clinical Team Leader, RN

    Interim HealthCare - Overland Park, KS • Overland Park, KS, US
    [job_card.temporary]
    We are locally owned and operated and believe in a culture of work / life balance! We will provide you with mileage reimbursement, paid time off, paid holidays off, company iPhone and iPad, a M-F wor...[show_more]
    [last_updated.last_updated_30] • [promoted]