Familiarity with HEDIS, Stars, risk adjustment, and value-based care performance frameworks Specialized Skills: Required: * Medicare Advantage and Managed Care Operations (Advanced): Comprehensive knowledge of Medi-care Advantage operations, utilization management, risk adjustment, Stars, HEDIS, and value-based care performance metrics — with the ability to apply this knowledge to market-level provider engagement and performance improvement. * Active, unrestricted medical license in applicable state(s) Preferred: * Board certification in Family Medicine or Internal Medicine Training: Required: * Demonstrated working knowledge of Medicare Advantage operations, managed care principles, and CMS regulatory requirements applicable to utilization management, quality, and population health Preferred: * Formal training in quality improvement methodologies, population health management, or managed care operations.