Molina Healthcare

Molina Healthcare

Health Plan Quality Program Mgmt & Performance Manager (Remote in MI)

MI, United States

Sponsorship not specifiedDetected 4 days ago
Data AnalysisProject ManagementExcelProcess ImprovementLeadershipCommunicationCollaborationProblem SolvingMicrosoft Office

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odds of building a lasting career here

31Risky
Cap-exempt (no lottery)0
Sponsors this role58
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70

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Employer immigration record

from this employer's Department of Labor filings

Green-card filing pattern in this occupation

Context, not a finding about this posting: of this employer's 7 green-card filings in this occupation, 100% were for a worker who already held the job.

Green-card follow-through: 40%

Of 5 labor certifications old enough to have been used, 3 expired without the employer filing the next step. Median time from filing to decision: 500 days.100% of their filings were for a worker who already held the job.Only certifications past the 180-day window are counted — recent ones cannot have expired yet.

Files H-1B transfers

2 transfer filings in the last year, covering 2 workers. Median labor-condition decision: 8 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the role

  • Molina Healthcare is hiring for a Health Plan Quality Program Mgt & Performance Manager.
  • This position is remote; however candidates must reside in Michigan.

Responsibilities

  • Drives quality program management activities to ensure compliance with state, federal and National Committee for Quality Assurance (NCQA) regulatory requirements.
  • Represents as a subject matter expert to quality management team; provides support for quality-related projects, programs and initiatives, and ensures quality programs meet regulatory requirements.
  • Prepares narrative reports, and works collaboratively with the quality management team to interpret regulatory specifications, explain programs and results of programs, and document findings.
  • Maintains quality program management project plan to ensure state, federal, and NCQA-related requirements are documented.
  • Collaborates with state and national quality leadership to maintain up-to-date addendums to quality policies and procedures that clearly document state-specific activities and requirements.

Requirements

  • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates
  • Proficiency with data analysis, manipulation, interpretation and reporting.
  • Ability to work independently in a fast-paced, deadline-driven environment.
  • Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
  • Experience with NCQA/HEDIS in relation to QI
  • Oversees higher complexity quality program management activities, which include preparation for quality improvement reports, audits, surveys, and other federal, state, and NCQA required quality activities.

Nice to have

  • Management/leadership experience.
  • State quality improvement (QI) experience.
  • Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
  • Project management experience.
  • Certified HEDIS Compliance Auditor (CHCA).
  • Registered Nurse (RN).
  • If licensed, license must be active and unrestricted in state of practice.
  • To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Compensation

  • Molina Healthcare offers a competitive benefits and compensation package.
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This listing is sourced directly from Molina Healthcare's careers page and normalized into a canonical job model.