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Job duties/responsibilities
- Implements key quality and population health strategies and risk adjustment, alongside providers.
- Helps practices to identify areas of need and efficiency measures to improve availability.
- Coaches practices on improving quality and meeting value-based purchasing goals.
- Collaborates with practices to identify utilization trends and compliance with appointment timeliness.
- Facilitates provider engagement meetings, including agendas, minutes, handouts, and action items.
- Monitors and ensures key quality activities are completed on time and accurately.
- Creates, manages, and/or compiles documentation for quality improvement and risk adjustment.
- Leads quality improvement activities and risk adjustment meetings with other departments.
- Evaluates project/program activities and results to identify improvement opportunities.
- Surfaces gaps in processes that may require remediation.
- Completes other tasks, duties, projects, and programs as assigned.
- This position may require same day out of office travel approximately 0 – 80% of the time.
- This position may require multiple day out of town overnight travel approximately on occasion.
Requirements
- Bachelor’s Degree or equivalent combination of education and work experience.
- Min. 3 years’ experience in healthcare with 1 year experience in health plan quality improvement and/or risk adjustment.
- Demonstrated solid business writing experience.
- Operational knowledge and experience with Excel and Visio (flow chart equivalent).
Benefits
- Molina Healthcare offers a competitive benefits and compensation package.
