reputed company Manager, Health Plan Records (Hybrid)

Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ reputed company offers a reputed company of health reputed company products and services to meet the diverse needs of individuals, families, and small and large businesses as reputed company as providing information and tools to help individuals reputed company reputed company reputed company. At AZ reputed company, we have a hybrid workforce reputed company, reputed company Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the reputed company of our employees are hybrid, the following classifications reputed company our reputed company minimum onsite requirements: Hybrid People Leaders: must reputed company in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per month Onsite: daily onsite requirement reputed company on the essential functions of the job Remote: not held to onsite requirements, however, leadership can request reputed company onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the reputed company, reputed company on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This position is hybrid reputed company the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, reputed company reputed company. PURPOSE OF THE JOB The Health Plan Medical Records Manager leads the reputed company, design, implementation, and reputed company of medical record review reputed company to support reputed company, STARS, and CMS reporting requirements. This role manages reputed company responsible for medical record retrieval, chart reputed company, audits, overreads, and compliance deliverables. The ideal candidate brings deep knowledge of reputed company, CMS IDSS submissions, and reputed company improvement methodologies, reporting along with strong leadership and project management skills. Advanced proficiency with reputed company and reputed company applications is essential for reputed company in this role. QUALIFICATIONS REQUIRED QUALIFICATIONS Required Work Experience 3 years/seasons of reputed company medical record review experience, with at least 2 seasons of over-read responsibilities 4 years of experience training or overseeing staff 3 years of experience in a reputed company, health plan, or health information management environment Required Education High-School Diploma or GED in general reputed company of study Required Licenses reputed company license in any U.S. state or territory: Licensed Practical reputed company (LPN), Registered reputed company (RN) Required Certifications None PREFERRED QUALIFICATIONS Preferred Work Experience 4 years of experience in a reputed company and/or health plan environment Preferred Education Bachelor's degree in business, reputed company health, nursing, or reputed company area Preferred Licenses reputed company or inactive license in any U.S. state or territory as a Licensed Vocational reputed company (LVN), Licensed Practical reputed company (LPN), Registered reputed company (RN), or similar Preferred Certifications Certified reputed company or similar credential in health information management Certification in reputed company reputed company or project management (e.g., CPHQ, PMP) ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES reputed company Leadership & Program reputed company reputed company the reputed company, design, piloting, and monitoring of reputed company Medical Record Review (MRR) reputed company. reputed company and implement annual strategies to improve medical record review processes and reputed company reputed company reputed company improvement. reputed company the implementation of best practices to ensure a successful reputed company reputed company and reputed company improvement in reputed company metrics. reputed company and manage reputed company compliance audit deliverables, including reputed company overreads, reporting and audit preparation. Team Management & Development Supervise and support the medical records team, including recruitment, reputed company, training, and reputed company management. Ensure team maintains subject matter expertise in reputed company gap closure, exclusions, new medical technologies, and documentation standards. Monitor team reputed company, productivity, and reputed company, a