Who We Are
Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.
Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.
Who You Are
You are a client-facing Professional Services Manager who helps health plan and risk-bearing customers achieve stronger outcomes through effective use of Inovalon’s payer solutions and services. You sit within the Professional Services team and lead complex engagements that support customer goals across Quality/HEDIS, CMS Stars, and/or Risk Adjustment programs. In this role, you translate customer needs, workflows, and regulatory challenges into practical plans that improve adoption, utilization, satisfaction, and time to value.
What You'll Do
- Manage multiple concurrent professional services engagements across Inovalon’s payer product portfolio, ensuring delivery against customer goals, timelines, and expected business outcomes.
- Serve as the primary client-facing contact for Quality/HEDIS, CMS Stars, and/or Risk Adjustment activities within assigned engagements.
- Assess customer program goals, workflows, business needs, and operational challenges, then guide customers on how to apply Inovalon solutions and services effectively.
- Identify, track, and resolve outstanding issues, risks, and dependencies by engaging the right internal partners and managing customer expectations throughout the engagement lifecycle.
- Build and maintain expertise in industry regulations, market practices, and Inovalon solutions related to Quality/HEDIS, CMS Stars, and Risk Adjustment.
- Deliver customer education, best-practice guidance, written documentation, and presentations that clearly explain healthcare, regulatory, product, operational, and data concepts to technical and business audiences.
- Partner with sales, implementation, customer success, and other internal teams to support customer adoption, retention, expansion, and positive overall outcomes.
- Apply sound judgment, accountability, and collaboration in customer engagements and cross-functional partnerships.
- Analyze complex information, organize competing priorities, and work proactively and independently in a fast-paced environment with ambiguity.
What You'll Need
- Minimum of 5 years of health plan Quality/HEDIS, CMS Stars, and/or Risk Adjustment program delivery experience.
- Bachelor’s degree required, preferably in healthcare, information systems, computer science, statistics, analytics, or a related field of study, or equivalent combination of education and experience required.
- Demonstrated ability to work effectively with internal or external stakeholders, with strong communication, relationship-building, and issue-management skills.
- Ability to understand customer goals, workflows, and needs in complex healthcare and regulatory environments and translate them into clear recommendations and actionable next steps.
- Excellent written, verbal, and presentation skills, with the ability to adapt communication for different audiences.
- Strong knowledge of healthcare data, including familiarity with healthcare billing, reimbursement, and related payer data concepts.
- Strong organizational, analytical, and problem-solving skills, with the ability to manage multiple priorities and drive issues toward resolution.
- Knowledge of Microsoft Office tools, including Access, Excel, Word, and Outlook.
- Demonstrate an open, curious mindset and continuously build expertise in payer programs, regulations, and Inovalon solutions to improve customer outcomes as business needs evolve.
- Influence and collaborate effectively with customers and cross-functional partners, build trust through sound judgment, and work constructively through differing perspectives to move engagements forward.
- Adapt quickly to changing customer priorities, evolving regulations, and ambiguous situations while staying focused on delivery and results.
- Generate practical ideas that improve customer adoption, engagement execution, and solution utilization within complex healthcare environments.
- Interpret customer, product, and program information to identify patterns, assess risks, and support evidence-based decisions and recommendations.
- Nice to have: previous experience in a directly customer-facing role; previous experience in professional services or consulting, preferably focused on payer customers; Snowflake and/or SQL experience; previous experience with Inovalon solutions.
Our Shared Commitments
- Maintain compliance with Inovalon’s policies, procedures and mission statement;
- Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and
- Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of Employer.
Work Environment
- This is primarily a computer-based role performed in a remote, hybrid, or office environment. The role requires prolonged periods of computer use and frequent communication and interaction with others, either virtually and/or in person. The role may occasionally require transporting or moving work-related equipment weighing up to 10 pounds, such as a laptop and related materials. Some travel may be required, depending on the needs of the role. Reasonable accommodations may be provided to enable qualified individuals with disabilities to perform the essential functions of the position, consistent with applicable law.
This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)
If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.
By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.
Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.
To review the legal requirements, including all labor law posters, please visit this link https://postings.govdocs.com/#/8sZXnFNWk3KYs3F
To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this link https://www.inovalon.com/privacy-policy/
Work Location: If the US position is listed as remote, employees who reside within a 40-mile radius of one of our office locations in Tampa, FL; Canonsburg, PA; or Bowie, MD will follow a hybrid work schedule and are expected to work in the office two days per week (Tuesdays and Wednesdays).