Montage Health

Coordinates the intake and processing of utilization management requests while ensuring compliance with CMS and HIPAA standards. Serves as a liaison between providers, members, and clinical staff to facilitate authorizations and resolve operational issues.

Lead the operational coordination of Medicare Advantage Quality, HEDIS, Stars, and Risk Adjustment activities. Manage vendor relationships, audit readiness, and provider reporting to ensure regulatory compliance and achievement of quality goals.

Design, develop, and deploy data analytic solutions, including reports and dashboards, to provide actionable insights for stakeholders. Maintain the Epic Caboodle platform and implement enterprise data standards and governance initiatives.