See all roles

Quality Program Manager (Remote in WA)

Work from home Full-time role Hiring

Job Description

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 Apply Job!

You might like

CVS Health Customer Support Representative (Remote)

Work from home Full-time role

Part-Time Associate (Remote and Flexible Hours)

Work from home Full-time role

Light Duty Mechanic - 1st Shift

Work from home Full-time role

Lowe’s – FT-Cashier-Closing – Gaylord, MI

Work from home Full-time role

Executive Assistant, Casting & Development (FX)

Work from home Full-time role

Package Delivery Driver – Enterprise, NV

Work from home Full-time role

Student - ITS Knowledge Enablement Assistant

Work from home Full-time role

Online Data Analyst - Remote Work

Work from home Full-time role

Travel Advisor Specializing in Disney destinations

Work from home Full-time role

Production Operator (2nd Shift - $19-$21/hr)

Work from home Full-time role

Urgently Require Certified Personal Trainer Experienced $20 to $41/hr Plus Commission in East Providence, RI

Work from home Full-time role

[Remote] Client Sales & Insights Analyst

Work from home Full-time role

Customer Service Representative - Remote Work Opportunity with a Dynamic Outdoor Retailer - TJX Company

Work from home Full-time role

Entry-Level - Remote Sales Representative

Work from home Full-time role

Compliance Analyst/ Malta

Work from home Full-time role

Remote: Outreach Specialist / Medical Record Technician / CSR

Work from home Full-time role

Registered Nurse - TeleNurse (8 Hours/week) Every Other Weekend

Work from home Full-time role

Salesforce Health Cloud Lead

Work from home Full-time role

Experienced Online Live Chat Assistant for Dynamic Customer Service Team – Immediate Start Opportunity at blithequark

Work from home Full-time role

Mortgage Loan Originator / Officer / MLO with unique nonprofit

Work from home Full-time role