Risk & Quality Performance Manager

Risk & Quality Performance Manager

The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with the Risk & Quality Solutions' strategic objectives.

Job Duties :

• Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk / Quality data collection strategy, analytics, and reporting.
• Monitor projects from inception through successful delivery.
• Oversee Risk / Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR / HIE and supplemental data.
• Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect.
• Draw actionable conclusions, and make decisions as needed while collaborating with other teams.
• Ensure compliance with all regulatory audit guidelines by adhering to the roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success.
• Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
• Proactively communicate risks and issues to stakeholders and leadership.
• Create, review, and approve program documentation, including plans, reports, and records.
• Ensure documentation is updated and accessible to relevant parties.
• Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues.

Job Qualifications :

Required Education : Bachelor's degree or equivalent combination of education and experience.

Required Experience / Knowledge, Skills & Abilities :

Preferred Education :

Graduate degree or equivalent combination of education and experience.

Preferred Experience :

Preferred License, Certification, Association :

To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $77,969 - $155,508 / ANNUAL