AVP, Quality Improvement

Molina Healthcare • United States, United States • 1d ago

JOB DESCRIPTION

Job Summary

Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.

KNOWLEDGE/SKILLS/ABILITIES

The Associate Vice President is a key Quality Improvement (QI) leader within the organization enterprise wide. This position advises senior management, other corporate departments, and Molina health plans on Quality strategies and initiatives and performs oversight over critical QI functions enterprise wide. These functions include, but may not be limited to: Quality Reporting, HEDIS Performance Measurement, Clinical Quality Interventions, and QI Compliance.

Works with senior executives, Vice Presidents, and others across Molina Healthcare (within Molina Plans and within various corporate departments) to set and achieve quality goals.

Develops training, goals and coaching plans for Quality staff.

Ensures that quality assurance is performed for all reports generated by staff reporting to this position. Examples include reports for Senior Leadership Teams, performance measurement tracking, and medical record review completion status.

Escalates gaps and barriers in implementation and compliance to VP, Quality, and other corporate senior management as appropriate.

Serves as a subject matter expert and represents the QI department in meetings and discussions about functional area.

Collaborates and facilitates activities with other units at corporate and Molina Plans.

Identifies new QI requirements and builds out processes in advance of effective dates.

JOB QUALIFICATIONS

Required Education

Master's Degree or higher in a clinical field, IT, Public Health or Healthcare Administration or equivalent combination of education and work experience.

Required Experience

Minimum of 10 years relevant experience, including at least 5 years in health plan quality improvement.

4 years Medicaid/ Medicare experience.

Minimum 3 years people management experience

Demonstrated knowledge of and experience with HEDIS programs.

NCQA Accreditation experience.

Technical experience in reporting and/or programming.

Proficiency with Excel and Visio (flow chart equivalent) and demonstrated ability to learn new information systems and software programs.

Preferred Experience

CAHPS improvement experience

STARS improvement experience

State QI experience

3+ years' experience in Reporting & Analytics

3+ years health care information systems experience

Knowledge of HOS pay for performance, basic experience with other quality metrics like PQI (hospital), NQF-sanctioned measurement.

Experience with clinical intervention concepts, design of quality improvement projects (QIPs), advanced QI concepts, identification of target and subset populations, and basic statistical analysis and significance concepts.

Provider credentialing; PQOC review

Preferred License, Certification, Association

Certified Professional in Health Quality (CPHQ)

Nursing License

Certified HEDIS Compliance Auditor (CHCA)

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: $122,430.44 - $238,739.35 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Independent Sales Representative (Family Medicine, Chiropractic Care)

MD PRACTICE REVENUE • Contract • United States • 3w ago

Sales & Marketing Sales sales representative

MD Practice Revenue is dedicated to helping physicians of all specialties, NPPs, social workers, chiropractors increase cash flow through innovative technology solutions. We are currently seeking a motivated and experien...

3w ago

Go to Apply

Assistant HR Manager (Remote)

Firstspring Finance • Part-time • Remote (United States) • $40 - $50 / hour • 4w ago

View All Jobs Administrative Support Assistant HR Manager

Company: Firstspring Finance Location: Fully Remote (any location) Employment Type: Full-time/Part-time Hours: Flexible working hours Compensation: $35+ per hour (depending on experience and qualifications) About Firstsp...

4w ago

Go to Apply

Customer Service Associate I

Dollar Tree • Flippin, AR • 27min ago

Management & Administrative

We're seeking a Customer Service Associate to join our team and deliver a great shopping experience for every customer. Duties include, but are not limited to, the following: Assist customers with questions and recommend...

27min ago

Go to Apply

customer service associate I

Dollar Tree • Capitol Heights, MD • 27min ago

Management & Administrative

27min ago

Go to Apply

customer service associate I

Family Dollar • University Heights, OH • 27min ago

Management & Administrative

27min ago

Go to Apply

customer service

Family Dollar • New Britain, CT • 27min ago

Management & Administrative

27min ago

Go to Apply

Customer Service Associate I

Dollar Tree • Leeds, AL • 28min ago

Management & Administrative

28min ago

Go to Apply

Pool & Beach Attendant - Part Time

Hilton • Key West, FL • 28min ago

A Pool Attendant is responsible for ensuring a clean, safe and fun environment for guests at the pool in the hotel's continuing effort to deliver outstanding guest service and financial profitability. Here are some perks...

28min ago

Go to Apply

customer serivce associate

Family Dollar • Houston, TX • 28min ago

Management & Administrative

28min ago

Go to Apply

customer service associate I

Family Dollar • University Heights, OH • 28min ago

Management & Administrative

28min ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.