oracle
National Quality Performance Manager (Remote)
Molina Healthcare
USA
Full-time
Manager · 3+ years experience
Onsite
Discovered 1 weeks ago
azuresql
Role Overview
Provides subject matter expertise for Molina's quality performance solutions team.
Collaborates with various departments and stakeholders across the enterprise to plan, coordinate, and manage resources, and execute quality performance improvement initiatives in alignment with strategic objectives.
Key Skills for This Role
azuresql
Full Job Posting
Required Qualifications
- At least 3 years of program/project management experience in quality, or equivalent combination of relevant education and experience.
- Health care experience or demonstrated functional quality knowledge.
- Intellectual agility and ability to simplify and clearly communicate complex concepts.
- Proficiency with data analysis, manipulation, interpretation, and reporting.
- Strong quantitative aptitude, critical-thinking, problem-solving, and analytical skills.
- Attention to detail and organizational skills.
- Ability to work cross-collaboratively in a highly matrixed organization.
- Effective verbal, written and presentation communication skills.
- Microsoft Office suite (including Excel) and applicable software programs proficiency, and ability to learn/navigate new software programs.
Preferred Qualifications
- Familiarity with running queries in Microsoft Azure or Structured Query Language (SQL) server.
- Intermediate knowledge/experience related to National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data Information Set (HEDIS), Centers for Medicare and Medicaid Services (CMS), and state-specific regulatory submission requirements.
- Knowledge of health care claim elements: Current Procedural Terminology (CPT), CPT Category II (CPTII), Logical Observation Identifiers Names and Codes (LOINC), Systematized Nomenclature of Medicine - Clinical Terms (SNOMED), Healthcare Common Procedure Coding System (HCPS), National Drug Code (NDC), CVX Codes (CVX), National Provider Identifiers (NPIs), and Taxpayer Identification Numbers (TINs).
- Experience working in a cross-functional, highly matrixed organization, preferably within a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs.
- Project Management Professional (PMP).
- Six Sigma Green Belt or Black Belt certification, and/or comparable coursework.
- 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
- 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
About Molina Healthcare
Health Insurance & Managed Care18853 employeesFounded 1980
Provider of managed healthcare services for government-sponsored programs.
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