Job Summary
Molina Risk & Quality Solutions (RQS) works with health plan risk & quality leaders to support implementation of best practices for optimal performance. The Program Director, RQS HP Engagement ensures that all RQS action plans are complete, accurate and reflect the needs and path to performance goals.
Knowledge/Skills/Abilities
- Performs the forensic deep dive in risk and quality data solutions to continuously identify opportunities for improvement.
- May supervise one or more Program Managers.
- Serves as industry subject matter expert in the functional areas within RQS and leads programs to meet critical needs.
- Escalates gaps and barriers in implementation and compliance to leadership. Partners with the Execution team for resolutions and barrier removal impeding Health Plan execution.
- Acts in a consultative role, supporting development of business case methodologies for incremental programs. Develops and coordinates implementation of business strategy.
- Collaborates and facilitates activities with other units at corporate and Molina Plans.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree in Healthcare-related field (equivalent combination of education and experience will be considered in lieu of Bachelor's Degree).
REQUIRED EXPERIENCE:
- 7+ years managed healthcare experience with proven relationship management responsibilities
- Proven experience in risk adjustment, quality, and provider engagement.
- Demonstrated ability to lead and influence cross-functional teams
- Excellent communication and presentation skills, communicating to all levels within the organization
- Operational and process improvement experience
PREFERRED EDUCATION:
Master's degree in Business, Health Administration or related field.
PREFERRED EXPERIENCE:
10+ years managed care experience specifically within Risk Adjustment and/or Quality
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: $79,607.91 - $172,483.8 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
