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Risk & Quality Performance Manager - Remote

Posted 3 days ago
Project Management
Full Time
CA, USA

Overview

The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team, collaborating with various departments to manage resources and execute performance improvement initiatives.

In Short

  • Collaborate with Health Plan Risk and Quality leaders.
  • Manage Risk/Quality data collection strategy and analytics.
  • Monitor projects from inception through delivery.
  • Oversee Risk/Quality data ingestion activities.
  • Ensure compliance with regulatory audit guidelines.
  • Partner with teams to ensure data quality.
  • Proactively communicate risks and issues.
  • Create and review program documentation.
  • Update documentation for relevant parties.
  • Provide regular status reports to stakeholders.

Requirements

  • Bachelor’s degree or equivalent experience.
  • 2+ years of program/project management experience.
  • Experience supporting HEDIS engine activity.
  • Data analysis experience with technical skillsets.
  • Familiarity with Microsoft Azure or SQL server.
  • Healthcare experience and risk adjustment knowledge.
  • Mastery of Microsoft Office Suite.
  • Strong quantitative aptitude and problem-solving skills.
  • Excellent communication capabilities.
  • Energetic and collaborative attitude.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE) status.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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