Job Summary

AVP, HP Engagement & Performance is responsible for contributing to the strategic planning and performance improvement direction for all markets assigned. Serves as a thought leader/partner to marry local need to national best practices to establish programming that reflects best thinking. Acting as the single point of contact representing all areas of RQS and responsible for overseeing performance and execution required to achieve best in class outcomes. Key activities include serving as the subject matter expert in all functional areas in risk, data capture, quality improvement, and provider engagement. This position oversees implementation of Risk and Quality Center of Excellence best practice protocols and processes to ensure effection operations and outcomes.

Job Duties

• In collaboration with Health Plan AVP RQS Market Engagement & Performance, supports RQ team improvement plans based on identified problem areas, potential solutions and barrier removal
• Subject matter expert for risk adjustment, quality, data acquisition and provider engagement across all lines of business.
• Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process
• Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance .
• Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan
• Support coordination with other lines of business plans
• Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to RQS barriers as identified
• Responsible for management and development of materials and analysis supporting ongoing communications with the health plan.
• Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention.
• Translates strategic direction from RQS senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design
• Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings.
• Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country.

Job Qualifications

REQUIRED EDUCATION:

Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience)

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

• Minimum 10 years of experience in Managed Care environment.
• Quality experience
• Strong ability to build relationships, translate data into actions and influence others to adopt best practices
• Excellent communication skills across all levels of leadership
• Ability to engage in multiple large-scale projects simultaneously with attention to detail

PREFERRED EDUCATION:

Master’s Degree in a related field

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Registered Nurse (RN) with quality background

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.