Jobs in the United States

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Added 5 mins ago
Clinical Program Manager - Evernorth - Remote (Clinical Operations Support & Custom Services)
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The Clinical Program Manager, Custom Implementation & Operations Support Services, leads Clinical Program Advisors and analysts supporting clinical program operations, custom client…
Added 5 mins ago
Project Manager II
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Added 7 mins ago
Implementation Specialist I - Treasury Management
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Added 10 mins ago
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Member Concierge
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- $22.5 USD / hour
Identify opportunities for process improvement and contribute to the development and implementation of customer service initiatives.
Added 11 mins ago
GT
Innovation Project Manager
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DE
- $150,881 to $172,473 USD / year
The Innovation Project Manager leads the end-to-end planning, execution, and delivery of innovation initiatives across the firm, with a focus on the firm’s AI program. Working closely with…
Added 12 mins ago
RC
Human Services Professional II -Behavior Health/Outpatient Targeted Case Manager
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Facilitates the creation and implementation of assigned recovery teams
Added 12 mins ago
RC
Human Services Professional I-IV - Children's Long Term Support - HSP I Case Manager
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- $29.35 USD / hour
Shift Staff Home Development, Implementation, and Ongoing Day to Day Operation
Added 12 mins ago
RC
Human Services Professional I - Children's Long Term Support - HSP I Case Manager
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- $29.35 USD / hour
Shift Staff Home Development, Implementation, and Ongoing Day to Day Operation
Added 12 mins ago
RC
Human Services Professional I - Children's Long Term Support - HSP I Case Manager
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- $29.35 USD / hour
Shift Staff Home Development, Implementation, and Ongoing Day to Day Operation
Added 17 mins ago
DH
Case Manager, Behavioral Health-2
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Denver, CO
- $53,300 to $74,600 USD / year
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Added 17 mins ago
DH
Senior Manager, Research Data Operations
Denver Health
Denver, CO
- $109,200 to $174,800 USD / year
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Added 17 mins ago
RU
Financial Consulting Manager - SBIC Fund Administration
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- $119,100 to $239,300 USD / year
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Added 20 mins ago
Customer Success Manager (CSM) SAP Next Gen - SAP Academy for Customer Success - San Ramon (Hybrid)
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The Customer Success Manager (CSM) works directly with customers to guide them through their business journey with our solutions. The CSM works to increase customer satisfaction, retention,…
Added 23 mins ago
Project Manager, Buildings & Facilities (Contract)
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This is a contract opportunity based in Calgary, Alberta. As a Project Manager, you will guide buildings and facility projects from early planning and design through to construction,…
Added 25 mins ago
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Director, Customer Success
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Remote, United States
- $180,000 to $250,000 USD / year
…projects remain on schedule, within scope, and aligned with client strategic…
Added 25 mins ago
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Director, Customer Success
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…projects remain on schedule, within scope, and aligned with client strategic…
Added 27 mins ago
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Added 28 mins ago
Senior Technical Program Manager, Digital Acceleration
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…the unified platform that enables marketplace expansions and client onboarding at scale. We are looking for a Senior Technical Program Manager to drive complex, cross-functional programs…
Added 29 mins ago
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Member Concierge
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- $22.5 USD / hour
Identify opportunities for process improvement and contribute to the development and implementation of customer service initiatives.
Added 33 mins ago
HL
Marketing & Business Development Manager - Life Sciences and Health Care
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- $135,900 to $199,300 USD / year
…sales, and systems and operations, we help drive growth, deepen client relationships, strengthen market profile, and deliver exceptional client experiences. We work seamlessly with our…
Added 39 mins ago
Associate, Corporate Banking- Treasury & Payment Solutions
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The Associate is a key member of the Treasury & Payment Solutions (TPS) team and is responsible for providing sales, implementation, portfolio management, and client support to Treasury &…
Added 39 mins ago
Business Banking Relationship Manager
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Added 39 mins ago
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Develops client rapport and instils confidence to develop credibility and earn their trust as relationship manager.
Added 39 mins ago
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Develops client rapport and instils confidence to develop credibility and earn their trust as relationship manager.
Added 39 mins ago
Business Banking Relationship Manager
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Develops client rapport and instils confidence to develop credibility and earn their trust as relationship manager.

Inovalon

Professional Services Manager

Remote, United States

$95,800 to $140,000 USD / year

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Job details

Pay: $95,800 to $140,000 USD / year
Experience: Minimum of 5 years of health plan Quality/HEDIS, CMS Stars, and/or Risk Adjustment program delivery experience.
Posting language: English
Posted: Nov 3, 2026

Original job description

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).

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More about this job

Skills

CMS
Documentation
Presentation skills
Sales
Collaboration
Computer science
Statistics
Communication skills
Relationship building
Problem solving
Microsoft Office
Microsoft Access
Microsoft Excel
Microsoft Word
Microsoft Outlook
Snowflake
SQL
Regulatory compliance
Confidentiality

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