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San Francisco, California

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Lewisburg, West Virginia

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Performance Adherence Manager (STAR+PLUS)
Job Summary:The overall objective of the Performance Adherence Manager is to partner with Quality to provide an ongoing and defined quality improvement and oversight program by which Community and its internal and external stakeholders can utilize objective measures, to monitor and evaluate the program outcomes for the STAR, STAR+PLUS, Marketplace and DSNPs contracts. The Performance Adherence Manager will be responsible to assess, design, update, monitor and improve the activities of Service Coordination, Case Management and Utilization Management programs, to ensure all operational activities to include quality metrics, contractual regulatory and operational rep


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