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Manager performance improvement • detroit mi

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Risk & Quality Performance Manager

Risk & Quality Performance Manager

Detroit StaffingDetroit, MI, US
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Risk & Quality Performance Manager.The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Managing Director, Performance Improvement (Detroit)

Managing Director, Performance Improvement (Detroit)

ConfidentialDetroit, MI, United States
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Managing Director, Performance Improvement.The Managing Director, Performance Improvement will be responsible for leading high-impact consulting engagements focused on operational transformation, f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Sr. Consultant, Quality Control & Improvement

Sr. Consultant, Quality Control & Improvement

Navitus Health SolutionsDetroit, MI, US
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Quality Improvement Consultant.Navitus Health Solutions is seeking a Sr.Quality Improvement Consultant to join our team! The Sr. Quality Improvement Consultant is an integral part of the Claims Qual...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Management Professional-Risk Management-Capital Improvement

Management Professional-Risk Management-Capital Improvement

Great Lakes Water AuthorityDetroit, MI, United States
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It's an exciting time to be at the Great Lakes Water Authority (GLWA)! GLWA employs hundreds of technical and administrative staff, all working to ensure effective wastewater treatment and to provi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)

Lead Analyst, Quality Analytics and Performance Improvement (HEDIS)

Molina HealthcareDetroit, MI, United States
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The Lead Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team.Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Continuous Improvement Division Manager

Continuous Improvement Division Manager

Michigan StaffingDetroit, MI, US
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Continuous Improvement Manager.We are seeking a solution-oriented person to spearhead the development and execution of a long-term strategic plan for operational excellence in a designated area.The...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Continuous Improvement Division Manager

Continuous Improvement Division Manager

FortrexDetroit, MI, United States
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We are seeking a solution-oriented person to spearhead the development and execution of a long-term strategic plan for operational excellence in a designated area. The Continuous Improvement ("CI") ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Senior Manager, Part D Stars Strategy & Performance

Senior Manager, Part D Stars Strategy & Performance

Clover HealthDetroit, MI, US
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Senior Manager, Part D Stars Strategy & Performance.The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Quality Improvement Specialist

Quality Improvement Specialist

StaffingDetroit, MI, US
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Quality Improvement Specialist Remote.Position Purpose : Support the development and maintenance of quality improvement related projects and reporting. Respond to quality improvement inquiries.Educat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Clinical Quality Improvement Specialist

Clinical Quality Improvement Specialist

Henry Ford Health SystemDetroit, MI, United States
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Under the supervision of the Quality Improvement Clinical Manager, utilizes knowledge and application of nursing and / or therapy principles to review clinical documentation to ensure accreditation, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Sport Performance Coach

Sport Performance Coach

Northeast Sports Training IncHazel Park, MI, US
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This is a full-time, on-site role for a Sport Performance Coach located in Detroit, MI area.The Sport Performance Coach will be responsible for overseeing the assessment, design, and implementation...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Performance Marketing Manager Meta & Google Ads

Performance Marketing Manager Meta & Google Ads

GrowthAssistantDetroit, MI, US
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Performance Marketing Specialist (Meta & Google Ads).We're looking for a Performance Marketing Specialist to join our team and support one of our US-based clients. In this role, you'll be responsibl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Performance Test Engineer - Senior Manager

Performance Test Engineer - Senior Manager

PwCDetroit,MI
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SummaryAt PwC, our people in software and product innovation focus on developing cutting-edge software solutions and driving product innovation to meet the evolving needs of clients.These individua...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Sales Account Manager, Health, Corporate & Performance (Detroit)

Sales Account Manager, Health, Corporate & Performance (Detroit)

Technogym USA United StatesDetroit, Michigan, USA
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AI Tracking & Longevity Technogym has rapidly grown into a success story of over 2800 employees at 16 branches expanding to more than 150 countries. It has been selected as Official Supplier to 10 e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Process Improvement Manager I

Process Improvement Manager I

Syntricate TechnologiesDetroit, MI, US
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Remote 2+-Month Contract (w / possibility of extension) Web Cam Interview $55-$65 / Hr on W2.Notes From Manager - Required Skills / Experience : Must have experience working in commercial banking (equipm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Contract Performance Manager

Contract Performance Manager

GE AerospaceDetroit, MI, United States
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Are you ready to see your future take flight? At GE Aerospace, we are advancing aviation technologies for today and tomorrow. Your work will contribute to the production of advanced jet engines, com...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Staff Product Manager, Marketplace Performance

Staff Product Manager, Marketplace Performance

AffirmDetroit, MI, US
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Staff Product Manager, Marketplace Performance.Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Director, Clinical Quality Improvement

Director, Clinical Quality Improvement

MRINetwork JobsDetroit, MI, US
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Director, Clinical Quality Improvement.Drive Systemwide Excellence in Clinical Quality & Performance.A leading Detroit healthcare organization is seeking an experienced.Director of Clinical Qua...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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LMDh Performance Engineer

LMDh Performance Engineer

Ford MotorAllen Park, Michigan, USA
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Performance Engineer to enhance vehicle optimization across all Ford Racing Motorsports platforms within the Performance Engineering Group. You will collaborate with engineers in vehicle dynamics ae...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Risk & Quality Performance Manager

Risk & Quality Performance Manager

Detroit StaffingDetroit, MI, US
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Risk & Quality Performance Manager

The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives.

Job Duties :

  • Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk / Quality data collection strategy, analytics, and reporting, including but not limited to : Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors.
  • Monitor projects from inception through successful delivery.
  • Oversee Risk / Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR / HIE and supplemental data.
  • Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect.
  • Draw actionable conclusions, and make decisions as needed while collaborating with other teams.
  • Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success.
  • Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
  • Proactively communicate risks and issues to stakeholders and leadership.
  • Create, review, and approve program documentation, including plans, reports, and records.
  • Ensure documentation is updated and accessible to relevant parties.
  • Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues.

Job Qualifications : Required Education :

  • Bachelor's degree or equivalent combination of education and experience
  • Required Experience / Knowledge, Skills & Abilities :

  • 2+ years of program and / or project management experience in risk adjustment and / or quality
  • 2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
  • 2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
  • Familiarity with running queries in Microsoft Azure or SQL server
  • Healthcare experience and functional risk adjustment and / or quality knowledge
  • Mastery of Microsoft Office Suite including Excel and Project
  • Experience partnering with various levels of leadership across complex organizations
  • Strong quantitative aptitude and problem solving skills
  • Intellectual agility and ability to simplify and clearly communicate complex concepts
  • Excellent verbal, written and presentation capabilities
  • Energetic and collaborative
  • Preferred Education :

  • Graduate degree or equivalent combination of education and experience
  • Preferred Experience :

  • Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements
  • Experience working in a cross-functional, highly matrixed organization
  • SQL proficiency
  • Knowledge of healthcare claim elements : CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc.
  • Preferred License, Certification, Association :

  • PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and / or comparable coursework desired
  • 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 : $77,969 - $155,508 / ANNUAL

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