Job description
McLaren Health Plan, a division of McLaren Health Care Corporation, is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Manager, Quality to join in leading the organization forward.
McLaren Health Plan (MHP) is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP and its subsidiaries offer multiple product lines, including employer plans, individual and family plans, Medicaid and Medicare plans, to Michigan residents for every stage of life. The plan has earned the prestigious Pinnacle Award every year since 2013 from the Michigan Association of Health Plans and is also accredited by the National Committee for Quality Assurance (NCQA).
With a commitment to diversity and inclusion, a strong focus on improving the health of our members and a vision to provide the highest standards of quality and service, MHP is poised to meet the challenges of tomorrow.
Position Overview:
Responsible for the administrative direction, evaluation and coordination of the delivery of health care services of McLaren Integrated HMO Group Assigned Plan, which includes oversight of the Credentialing and Quality departments. Responsible for the development and implementation of policies and procedures that support all aspects of the Quality Improvement Performance Plan (QPIP). Manages the Healthcare Effectiveness Data and Information Set (HEDIS) process. Facilitates the delivery of medical care in a cost efficient and quality manner with a focus on member satisfaction.
QUALIFICATIONS:
Required:
- Bachelor’s degree in a health care or business-related field
- Five (5) years’ experience performing quality management activities in a managed care organization, including HEDIS, NCQA, including at least two (2) years’ experience in a leadership role leading a professional staff of five or more members in all phases of effective supervision (i.e. Recruitment, performance management, training).
Preferred:
- Five (5) years progressive experience in a leadership role in group health plan operations
- Two (2) years’ experience with accrediting entities such as NCQA.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
The position will be in Flint, Michigan
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