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WakeMed Health & Hospitals
Raleigh, North Carolina
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Performance Adherence Specl
JOB SUMMARYThe overall objective of the Performance Adherence Specialist is to monitor and report the program outcomes for the STAR, STAR+PLUS, Marketplace and DSNPs contracts. The Performance Adherence Specialist will be responsible to monitor and report the activities of Service Coordination, Case Management and Utilization Management programs, to ensure all operational activities to include quality metrics, contractual regulatory and operational reporting requirements are met for STAR, STAR+ Plus, DSNP and Marketplace.The Performance Adherence Specialist is responsible for auditing and monitoring the performance of staff to ensure the delivery of best practices, and to ensure state deliverables are
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