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Health Plan Quality Program Mgmt & Performance Manager (Remote in MI)

Molina Healthcare
Michigan, USA
Full-time
Manager · 6+ years experience
Remote
Discovered 1 weeks ago

Full Job Posting

Required Qualifications

  • At least 6 years of experience in health care, with at least 4 years of experience in health plan quality improvement, or equivalent combination of relevant education and experience. • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates • Strong knowledge and understanding of HEDIS/NCQA. • Solid business writing experience. • Proficiency with data analysis, manipulation, interpretation and reporting. • Critical-thinking, problem-solving and analytical skills. • Attention to detail and organizational skills. • Ability to implement process improvement initiatives and drive change. • Ability to work independently in a fast-paced, deadline-driven environment. • Project management experience. • Strong verbal and written communication skills. • Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
  • At least 6 years of experience in health care, with at least 4 years of experience in health plan quality improvement, or equivalent combination of relevant education and experience.
  • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates
  • Strong knowledge and understanding of HEDIS/NCQA.
  • Solid business writing experience.
  • Proficiency with data analysis, manipulation, interpretation and reporting.
  • Critical-thinking, problem-solving and analytical skills.
  • Attention to detail and organizational skills.
  • Ability to implement process improvement initiatives and drive change.
  • Ability to work independently in a fast-paced, deadline-driven environment.
  • Project management experience.
  • Strong verbal and written communication skills.
  • Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

  • Management/leadership experience. • Healthcare Effectiveness Data and Information Set (HEDIS) reporting/collection experience. • Consumer Assessment of Healthcare Providers and Systems (CAHPS) improvement experience. • State quality improvement (QI) experience. • Experience with government-sponsored programs (Medicaid, Medicare, Marketplace). • Project management experience. • Certified Professional in Health Quality (CPHQ). • Certified HEDIS Compliance Auditor (CHCA). • Registered Nurse (RN). If licensed, license must be active and unrestricted in state of practice.
  • To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
  • Management/leadership experience.
  • Healthcare Effectiveness Data and Information Set (HEDIS) reporting/collection experience.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) improvement experience.
  • State quality improvement (QI) experience.
  • Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
  • Project management experience.
  • Certified Professional in Health Quality (CPHQ).
  • Certified HEDIS Compliance Auditor (CHCA).
  • Registered Nurse (RN). If licensed, license must be active and unrestricted in state of practice.
  • To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
  • Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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