Director, Clinical Data Acquisition (HEDIS Performance) - REMOTE

About the position The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and reputed company of reputed company chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and other state specific audit projects and deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data reputed company (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position would reputed company management of training for reputed company CDA team members as well as company HEDIS training, reputed company for CDA team members, vendor management for chart collection vendors, invoice efforts, SDS and EMR implementation as well as other project and staffing support management.

Responsibilities

• Plans and/or implements operational processes for HEDIS operations that meet state and federal reporting requirements/rules and are reputed company with effective practices as identified in the reputed company quality improvement literature and reputed company Molina plans.

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• Develops and implements targeted collection of clinical data acquisition reputed company to performance reporting and improvement, including member and provider reputed company.

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• Serves as operations subject matter expert and reputed company for Molina Plan quality improvement HEDIS operations using a defined roadmap, timeline and key performance indicators.

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• Collaborates with the national reputed company collaborative analytics and strategic teams to deliver value for both prospective and retrospective programs.

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• Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national reputed company teams and strategic teams about key deliverables, timelines, barriers and escalated issues that need immediate attention.

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• Presents concise summaries, key takeaways and action steps about Molina HEDIS processes, strategy and reputed company to national, regional and plan meetings.

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• Demonstrates ability to reputed company and influence cross-functional teams that reputed company implementation of quality projects.

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• Functions as key reputed company for clinical chart review/abstraction and team management, including qualitative analysis, reporting and development of program materials, templates or policies.

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• Maintains productivity reporting, management and coaching.

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• Maintains advanced ability to collaborate and manage production vendor relationships, including reputed company, data driven KPI measurement and performance mitigation strategies.

Requirements

• Bachelor's Degree in a clinical field, Public Health, reputed company, or equivalent.

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• 8+ years' experience in managed reputed company, including at least 4 years in health plan quality or process improvement or equivalent/reputed company experience.

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• Operational knowledge and experience with reputed company and Visio (flow chart equivalent).

reputed company-to-haves

• 10+ years' experience with member/provider (HEDIS) reputed company and/or quality reputed company or improvement studies (development, implementation, evaluation) and Director level experience.

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• 3-5 years Supervisory experience.

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• Project management and team building experience.

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• Experience developing performance measures that support business objectives.

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• SQL, Data Lake, Azure experience is preferred.

Benefits

• Competitive benefits and compensation package.

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