Professional Services Manager (HEDIS & Risk)

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.

As a Professional Services Manager, you serve as a client-facing partner within Inovalon’s Professional Services team for the Payer Business Unit. You help health plan and risk-bearing customers apply Inovalon solutions and services to their Quality/HEDIS, CMS Stars, and Risk Adjustment goals by translating data, workflows, and operational needs into effective execution. In this role, you manage multiple customer engagements at once, guide clients through issue resolution and product usage, and work across internal teams to improve customer outcomes, adoption, retention, and expansion. This position is remote, with a hybrid schedule required for employees who live within 40 miles of Tampa, FL, Canonsburg, PA, or Bowie, MD.

Manage multiple concurrent customer engagements across Inovalon’s payer product portfolio, balancing priorities, timelines, risks, and dependencies to drive successful outcomes. Serve as the primary client-facing point of contact for assigned Quality/HEDIS, CMS Stars, and Risk Adjustment activities, building trusted relationships and managing customer expectations. Translate customer goals, workflows, business needs, and data questions into effective use of Inovalon’s Professional Services offerings and software solutions, including Converged Quality and Converged Analytics. Investigate customer questions related to healthcare data, coding, and outputs, and explain how data inputs, system logic, and workflows affect results. Coordinate with internal partners across sales, implementation, customer success, product, and other teams to resolve issues, remove blockers, and support customer adoption and growth. Develop and apply expertise in healthcare quality, risk adjustment, regulatory requirements, and payer data concepts to provide clear guidance, education, and best practices to customers. Prepare high-quality written documentation, presentations, and client communications tailored to technical and non-technical audiences. Identify opportunities to improve customer value, retention, and expansion by understanding evolving client needs and communicating actionable next steps. Participate in training, certification, and knowledge-sharing activities, including learning Inovalon products and shadowing customer calls as needed.

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. Experience working effectively with internal or external stakeholders, with strong communication, relationship-building, and issue-management skills; previous customer-facing experience preferred. Ability to understand customer goals, workflows, and needs in complex healthcare and regulatory environments and translate them into effective use of solutions and services, including clear recommendations and actionable next steps. Strong knowledge of healthcare data, including familiarity with healthcare billing, reimbursement, and related payer data concepts. Excellent written, verbal, and presentation skills, with the ability to