JOB DESCRIPTION
Job Summary
Molina’s Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.
Job Duties
JOB QUALIFICATIONS
REQUIRED EDUCATION:
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
• Min. 4 years experience in healthcare Quality/HEDIS projects/audits
• 2+ years of experience in HEDIS medical records collection and abstraction
• 2+ years of medical record review experience
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
PREFERRED EDUCATION:
Preferred field: Clinical Quality, Public Health or Healthcare.
PREFERRED EXPERIENCE:
• CAHPS improvement experience
• State QI experience
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
• Certified Professional in Health Quality (CPHQ)
• Nursing License (RN may be preferred for specific roles)
• Certified HEDIS Compliance Auditor (CHCA)
PHYSICAL DEMANDS:
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
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.
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