Manager, In-Home Assessment Program (Vendor Management)
Company: Molina Healthcare
Location: Long Beach
Posted on: March 24, 2020
The In-Home Assessment Program Manager is part of our innovative
Risk Adjustment department to assist our diverse team of data
leaders, risk adjustment experts, and developers in the development
and implementation of business strategies, operations and vendor
management related to in-home assessment activities in all
government lines of business impacted by the regulatory risk
adjustment payment model.
They will be assist with implementing and managing the in-home
assessment program that leads to the overall achievement of
improved risk score accuracy, compliancy and completeness in risk
adjustment revenue for all government lines of business to better
support overall population heath management, reduce gaps in care
and drive medical loss ratio (MLR) targets. In conjunction with the
Manager of the In-Home Assessment Program, this role supports the
strategic direction and organization of corporate initiatives to
facilitate achievement of the in-home assessment program.
This role interacts and supports regulatory agency policy and
procedures by acting as a key business partner to the Director,
Prospective Programs, Market & Segment Leaders, health plan teams,
member services, provider services, external vendors, actuary, and
finance. Direct reports to the manager include program
The position's essential functions are as follows:
--- Collaborates with colleagues to implement and manage in-home
assessment program and contracted vendors.
--- Responsible for tracking and monitoring success of in-home
assessment program against set goals, develops corrective action
plans for program and partnering vendors, communicates program
--- Develops and maintains program work plans, workflows, and
related program documentation.
--- Oversees day-to-day vendor relationship, invoice payments,
performance, issue resolution, and corrective action plans as
--- Maintains compliance with all policies and procedures.
--- Adheres to all confidentiality and HIPAA requirements as
outlined within Policies and Procedures in all ways and at all
times with respect to any aspect of the data handles or services
rendered in the undertaking of the position.
--- Fulfills those responsibilities and/or duties that may be
reasonably provided by Molina for the purpose of achieving
operational and financial success of the Company.QualificationsJob
--- Associates or Bachelor's Degree in Public Health, Business,
Finance or equivalent combination of education and experience
--- 3 years managed care experience, preferably with a national or
--- Experience in a complex healthcare delivery environment,
specifically with government sponsored programs, including risk
revenue management, strategy and compliancy
--- Proven ability to innovate and drive organizational change
--- Excellent presentation and communication skills
Graduate Degree preferred
To all current Molina employees: If you are interested in applying
for this position, please apply through the intranet job
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
Keywords: Molina Healthcare, Long Beach , Manager, In-Home Assessment Program (Vendor Management), Executive , Long Beach, California
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