Quality Innovations Director - Long Beach, United States - Molina Healthcare

Molina Healthcare

Verified Company

Long Beach, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Description

Job Summary

Job Duties

Identifies innovative Quality interventions that meet state and federal intervention rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans.

Develops targeted interventions related to performance improvement, including member and provider outreach to improve care and service. Creates detailed implementation plan.

Serves as operations and implementation liaison for quality improvement interventions using a defined roadmap, timeline, and key performance indicators.

Collaborates with the national analytics and strategic teams to deliver proposed interventions for review and evaluation.

Communicates with senior leadership, national analytics and strategic teams about key deliverables, timelines, barriers, and escalated issues that need immediate attention.

Presents concise summaries, key takeaways, and action steps about plan intervention strategy to national, regional and plan meetings.

Supports business case development for all new, proposed interventions and collaborates with finance on determining ROI to support movement for execution.

Works with key stakeholder panels as part of vetting new interventions to solicit feedback.

Functions as key lead for interventions including qualitative and quantitative analyses, reporting and development of program materials, templates, or policies.

Collaborates and educates network providers to develop effective practice-based quality improvements.

Supports the National Quality Improvement and Health Equity Transformation Workgroup.

Works closely with growth leader to ensure capture of all new interventions in usable format to support growth work.

Job Qualifications

Required Education

Bachelor's Degree in health care field or equivalent work experience.

Required Experience

Minimum 10 years' experience in managed healthcare, including at least 5 years in health plan quality or process improvement or equivalent/related experience.

Minimum 8 years' experience with member/provider Quality and Risk Adjustment outreach and/or quality intervention or improvement studies (development, implementation, evaluation).

Operational knowledge and experience with Excel, PowerPoint, Word, and Visio.

Demonstrated ability to lead and influence cross-functional teams that oversee implementation of quality interventions.

Possesses a strong knowledge in quality in order to implement effective interventions that drive change.

Excellent communication and presentation skills, communicating to all levels within the organization and external to the organization.

Preferred Education
Master's degree in a Clinical field, Public Health, or Healthcare.

Preferred Experience

8+ years' experience with member/ provider Quality and Risk Adjustment outreach and/or quality intervention or improvement studies (development, implementation, evaluation).

Project management and team building experience.

Experience developing performance measures that support business objectives.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range:
$79, $172,483.8 / ANNUAL