Manager, Clinical Data Acquisition (Remote)

$87,722 - $171,058/Yr

Molina Healthcare

Full-time - Manager

Remote

Insurance Carriers and Related Activities

About the position

The Manager of Clinical Data Acquisition at Molina Healthcare is responsible for overseeing the collection, reporting, and monitoring of performance measurement data, including HEDIS and state-based measures. This role involves managing annual HEDIS data collection activities, ensuring quality assurance for reports, and coordinating with various departments and external vendors to ensure data accuracy and compliance with quality standards. The position also includes implementing quality improvement initiatives and managing survey processes related to member satisfaction.

Responsibilities

• Manage annual HEDIS data collection activities, including responding to RFPs and developing work plans.
• Coordinate with internal and external stakeholders to ensure timely and accurate data collection and reporting.
• Oversee the quality assurance process for performance measurement reports.
• Manage medical record review and performance measurement reporting projects, ensuring timelines are met.
• Implement improvement activities related to HEDIS and CAHPS processes, coordinating with relevant departments.
• Maximize the use of information from various sources to enhance performance measurement.
• Submit data to external agencies and quality committees within required timeframes.

Requirements

• Bachelor's Degree or equivalent work experience.
• 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit.
• Demonstrated knowledge of and experience with HEDIS programs.
• Proficiency with data manipulation and interpretation.
• Proficiency with Excel and Visio, with the ability to learn new information systems.

Nice-to-haves

• Master's Degree or higher in a clinical field, Public Health or Healthcare.
• STARS improvement experience.
• CAHPS improvement experience.
• 3+ years health care information systems experience or as an IS liaison for QI projects.
• State QI experience.
• Supervisory experience.
• Project management and team building experience.
• Experience developing performance measures that support business objectives.
• Certified Professional in Health Quality (CPHQ)

Benefits

• Competitive benefits and compensation package.