Avp, Hp Engagement

Job Description

Job Summary

Job Duties

In collaboration with Health Plan AVP RQS Market Engagement & Performance, supports RQ team improvement plans based on identified problem areas, potential solutions and barrier removal

Subject matter expert for risk adjustment, quality, data acquisition and provider engagement across all lines of business.

Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process

Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance.

Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan

Support coordination with other lines of business plans

Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to RQS barriers as identified

Responsible for management and development of materials and analysis supporting ongoing communications with the health plan.

Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention.

Translates strategic direction from RQS senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design

Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings.

Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country.

Job Qualifications

**REQUIRED EDUCATION**:
Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience)

**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES**:
Minimum 10 years of experience in Managed Care environment.

Quality experience

Strong ability to build relationships, translate data into actions and influence others to adopt best practices

Excellent communication skills across all levels of leadership

Ability to engage in multiple large-scale projects simultaneously with attention to detail

**PREFERRED EDUCATION**:
Master’s Degree in a related field

**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION**:
Registered Nurse (RN) with quality background

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.