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Molina Healthcare: Enterprise Director, Quality

Company: Molina Healthcare
Location: Long Beach
Posted on: October 15, 2020

Job Description:

Job DescriptionJob SummaryEnterprise Director, Quality is responsible for setting the direction and overseeing Molina's national and/or regional quality operations and activities. Key activities include: serving as the subject matter expert in assigned functional area; leading national and/orregional operations and management of staff; collaborating with national, regional and health plan leadership to ensure that the team meets defined key performance indicators and timelines, and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues.Knowledge/Skills/Abilities Serves as the subject matter expert for functional area to ensure team understands and meets compliance requirements. Oversees the national and/or regional team in documentation preparation and review for compliance. Consults with national, regional and health plan leadership to facilitate understanding of requirements and staff training. Develops a strategic roadmap and related tools that enable internal staff and senior leadership training about functional area and institute new processes as needed. Possesses a strong knowledge in quality in order to participate in Molina national, regional and health plan meetings, including comprehensive preparation beforehand (e.G., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions. Oversees national and/or regional team meetings to promote close collaboration and meet defined key performance indicators and timelines. Communicates with national, regional and health plan Senior Leadership Teams, including national quality leadership, Regional Directors, Regional Vice Presidents, Plan Presidents and other team members about key deliverables, timelines, barriers and escalation that need immediate attention. Outlines a clear strategy with key performance indicators and updates. Presents concise summaries, key takeaways and action steps about functional area to national, regional and interventions Joint Operations Committee meetings. Demonstrates ability to lead a cross-functional team with staff in remote or in-office locations throughout the country.QualificationsJob QualificationsRequired EducationBachelors or Masters degree in a related field (Healthcare Administration,Public Health or equivalent experience.Required ExperienceAt least 7 10 years of experience in Managed Care and/or Health Plan Quality.ClinicalExperience is needed for positions that are focused on Potential Quality ofCare issues and Critical Incidents and medical record abstraction.Technical/HEDISOperations experience is needed for positions focused on HEDIS Operations andQuality reporting. Technical and strategy experience is needed for positionsFocused on interventions.Preferred ExperienceRNWith active license and BSN degree.NCQA AccreditationExperience.ToAll current Molina employees: If you are interested in applying for thisPosition, 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.

Keywords: Molina Healthcare, Long Beach , Molina Healthcare: Enterprise Director, Quality, Other , Long Beach, California

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