Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiati…
Skills: Medicare Stars Program Management, Quality Improvement, Project Management, Data Analysis, Strategic Thinking
Long Beach, California, United States · On-site
$84k–$164k/yr
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiati…
Skills: Medicare Stars Program Management, Quality Improvement, Project Management, Data Analysis, Strategic Thinking
Long Beach, California, United States · On-site
$69k–$143k/yr
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiati…
Skills: Medicare Stars Program Management, Quality Improvement, Project Management, Data Analysis, Strategic Thinking
Long Beach, California, United States · Hybrid
$26/hr–$51/hr
***Remote with travel throughout Dane County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collabo…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
***Remote with travel throughout Dane County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collabo…
Skills: Care Management, Care Coordination, Member Assessment, Waiver Enrollment, Care Planning
Long Beach, California, United States · Hybrid
$26/hr–$51/hr
***Remote with travel throughout Dane County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collabo…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
***Remote with travel throughout Dane County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collabo…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing
Long Beach, California, United States · On-site
Job Description Job Summary Architects company specific systems and technology expertise across multiple infrastructure and development disciplines. Applies and promotes key principles (e.g. stability, scalability, perfo…
Skills: Enterprise Architecture, Azure Cloud Platforms, Azure DataFactory, SQL Databases, AI Solution Design
Long Beach, California, United States · On-site
JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · On-site
$16/hr–$31/hr
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance wit…
Skills: Claims Processing, Appeals and Grievances Resolution, Medicare and Medicaid Guidelines, Customer Service, Medical Record Review
Long Beach, California, United States · On-site
$80k–$172k/yr
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for the day-to-day delivery of Molina enterprise cyber response/crisis management program activities. Partners closely with information technol…
Skills: Cyber Response, Crisis Management, Incident Response, Disaster Recovery, Risk Assessment
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiati…
Skills: Medicare Stars Program Management, Quality Improvement, Project Management, Data Analysis, Process Improvement
Long Beach, California, United States · On-site
$66k–$143k/yr
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiati…
Skills: Medicare Stars Program Management, Quality Improvement, Project Management, Data Analysis, Strategic Thinking
Long Beach, California, United States · Remote OK
$19/hr–$42/hr
JOB DESCRIPTION Job Summary Provides senior level support for Molina enterprise quality improvement abstraction activities. Responsible for data collection and abstraction of medical records for Healthcare Effectiveness …
Skills: Medical Record Review, Data Abstraction, HEDIS, NCQA, Critical Thinking
Long Beach, California, United States · Remote OK
$49k–$107k/yr
JOB DESCRIPTION Job Summary Provides analyst support for Molina enterprise risk and quality reporting activities. Designs and develops reporting solutions to support Healthcare Effectiveness Data and Information Set (HED…
Skills: T-SQL, Power BI, SSIS, SSRS, HEDIS
Long Beach, California, United States · Hybrid
$14/hr–$26/hr
JOB DESCRIPTION Job Summary Provides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness…
Skills: Medical Records Collection, Customer Service, Data Analysis, Microsoft Excel, Project Management
Long Beach, California, United States · On-site
$112k–$218k/yr
Job Description Job Summary Supervises and mentors a team focused on primary, urgent, and preventative care services in various non-clinical community settings such as homes, nursing facilities, shelters, and pop-up clin…
Skills: Clinical Supervision, Patient Care, Mentoring, Performance Management, Telehealth
Long Beach, California, United States · On-site
Job Description Job Summary Leads and directs a team supporting clinical performance improvement activities. Works directly with clinical leadership to develop clinical strategy that will result in year-over-year perform…
Skills: Clinical Strategy, Performance Improvement, Managed Care, Clinical Operations, Utilization Management
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for member engagement and member retention activities. Represents members in areas involving member impact and engagement including: appeals and grievances and member issue re…
Skills: Member Engagement, Member Retention, Conflict Resolution, Consumer Advocacy, Interpersonal Skills
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiati…
Skills: Medicare Stars Program Management, Quality Improvement, Project Management, Data Analysis, Strategic Thinking
Long Beach, California, United States • On-site
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Lead and manage Medicare Stars quality improvement programs and initiatives to improve Star ratings across the enterprise. Collaborate with cross-functional teams to design, implement, and measure the outcomes of quality improvement projects.
Requires at least 6 years of experience in Medicare Stars program and project management with strong data analysis and strategic thinking skills. Proficiency in government-sponsored programs and the ability to drive organizational change is essential.
Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings. Responsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement.
Essential Job Duties
Required Qualifications
Preferred Qualifications
• Strong Medicare Stars/quality improvement (QI) program experience.
• Six Sigma Black Belt Certification.
• ITIL (Information Technology Infrastructure Library) certification.
• Experience in leading significant cross-functional work.
• Strong project management experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
