Risk & Quality Performance Manager
Description
Job DescriptionJob SummaryThe Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) 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 RQS's 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, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors. • 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 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 communica --- Source: jobicy - Molina Healthcare
