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Molina Healthcare Quality Program Manager (Remote in WA) in Seattle, Washington

JOB DESCRIPTION

Job Summary

This position will allow for remote work flexibility, however, the ideal candidate will reside in Washington State.

This position shall serve as the subject matter expert in Quality/HEDIS measures, HEDIS Operations, Data Management and Reporting, Risk Adjustment and Value Based Care. Manages assigned provider relationships across the network – address issues, develop and provide education and facilitate meeting established goals.

Job Duties

  • Leads program development and implementation of multiple projects and initiatives, which often require considerable resources and high levels of cross-functional integration.

  • Performs qualitative and/or quantitative analyses to identify important and urgent concerns; develops improvement plans and/or measurements to assess impact of actions.

  • Is responsible for the development and execution of targeted, quality improvement initiatives which includes the design and development of improvement initiatives, pilots, toolkits, and for ensuring that current and future QI programs align with long-term organizational.

  • Responsible for participating in project teams and working with external vendors, assigning, and monitoring work of team members and providing guidance and leadership to ensure timely execution of deliverables.

  • Provides guidance to other QI team members within the department and/or collaboratively with other departments.

  • Monitors the project from inception through delivery

  • Plans and directs project schedules and budgets; may engage and oversee work of vendors

  • Primary focus is program/project management, rather than the application of expertise

  • Focus on process improvement, change management, stakeholder engagement, program management and other processes that drive adoption and impact

JOB QUALIFICATIONS

REQUIRED EDUCATION :

Bachelor's Degree or equivalent combination of education and experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

  • 3-5 years of Program and/or Project management experience.

  • 3-5 years of Quality improvement experience.

  • Operational Process Improvement experience.

  • Healthcare experience.

  • Experience with Microsoft Project and Visio.

  • Excellent presentation and communication skills.

  • Experience partnering with different levels of leadership across the organization.

PREFERRED EDUCATION :

Graduate Degree or equivalent combination of education and experience.

PREFERRED EXPERIENCE :

• 5-7 years of Program and/or Project management experience.

• Managed Care experience.

• Experience working in a cross functional highly matrixed organization.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION :

• PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.

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: $67,724.8 - $129,589.63 / ANNUAL

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

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