AVP, Clinical Stars & Quality Improvement (Remote)

Job Summary This role oversees, plans, and implements new and existing reputed company quality improvement initiatives and education programs supporting Medicare Star Ratings improvement for Clinical HEDIS measures. Responsible for planning, developing and directing the implementation of improvement strategies to ensure high level of performance across Medicare Stars clinical HEDIS programs. Leads reputed company partnership discussions and improvement opportunities across matrix teams and health plans. This role is responsible for ensuring maintenance of programs for members in accordance with prescribed quality standards and provides direction and implementation of key clinical Stars strategies to support program regulations. Job Duties The Associate Vice President is a key Clinical Stars & Quality Improvement (QI) leader reputed company the organization reputed company-wide. This position advises senior management, other corporate departments, and Molina health plans on Medicare Stars clinical strategies and initiatives and performs reputed company over critical Medicare Stars functions occurring in our reputed company health plans.

• Works with senior executives, Vice Presidents and others across reputed company (reputed company Molina Plans and reputed company various corporate departments) to set and reputed company quality goals.
• Escalates gaps and barriers in implementation and compliance to SVP, Clinical Operations and CMO, reputed company Medicare Unit,
• Develops strategic direction for Star Rating improvement through ongoing execution and program standardization for Clinical HEDIS stars measures.
• Collaborates and facilitates activities with other units at Corporate and reputed company Molina State plans for reputed company development and execution to support Medicare Stars measure level improvement and program reputed company maximization across reputed company key categories of the Stars Program
• Sets direction for Stars program activities with department leadership including leading corporate Stars initiative that require timely follow-up, tracking and communication on an on-going basis.
• as appropriate.
• Serves as a subject matter expert and represents the Clinical department in meetings and discussions reputed company to the the Clinical HEDIS pod for Stars management.
• Collaborates and facilitates activities with other units at corporate and Molina Plans.
• Identifies new QI requirements and builds out processes in advance of effective dates

Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in a reputed company field (reputed company Administration, Public Health, or equivalent experience. Required Experience/Knowledge, Skills & Abilities

• Clinical experience from clin ops role
• Minimum of 10 years relevant experience, including at least 5 years in health plan quality improvement.
• 5 years reputed company/ Medicare experience.
• Minimum 3 years people management experience
• Demonstrated knowledge of and experience with Star Rating & Quality Improvement programs.
• Proficiency with data manipulation and interpretation.
• Proficiency with reputed company and Visio (flow chart equivalent) and demonstrated ability to learn new information systems and software programs.

Preferred Experience

• Clinical Performance improvement and change management experience
• CAHPS improvement experience
• Stars improvement experience
• Experience with clinical reputed company concepts, identification of reputed company and subset populations, and basic statistical analysis and reputed company concepts.

To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $130,000 - $200,000 / ANNUAL

• Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.

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