Top 62 Risk & quality performance manager (remote) Jobs in Bradenton Fl

Risk & Quality Performance Manager (Remote)
Molina Healthcare —Saint Petersburg, FL
- $66,456 - $129,590 a year
- Full-time
- Remote
- Microsoft Excel
- Azure
- Mid-level
- Health insurance
Sales Manager – Food & Nutrition
Quadra Group —Florida
- $135,000 - $198,600 a year
- Overnight shift
- 3 years
- Analysis skills
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Sales Manager – Food & Nutrition
Quadra Group —Florida
- $135,000 - $198,600 a year
- Overnight shift
- 3 years
- Analysis skills
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Project Manager - Architecture
K Paul Architect Inc. —Florida
- Full-time
- Hybrid work
- 7 years
- Mentoring
- US work authorization
- Health savings account
- Paid time off
Quick Apply
Sr. Communications Manager - Science Media Relations
American Heart Association —Saint Petersburg, FL
- $86,000 - $102,000 a year
- Full-time
- Remote
- Microsoft Excel
- 3 years
- Supervising experience
- Wellness program
- Paid holidays
2d
Program Manager - Not Remote Position
Vision to Learn —Sarasota, FL
- $70,000 - $75,000 a year
- Full-time
- Background check
- School experience
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Senior Operations Manager
Kasa —Saint Petersburg, FL
- $80,000 - $90,000 a year
- Full-time
- Hotel
- US work authorization
- In-person
- Health insurance
- Paid time off
Quick Apply
SUPPLIER PERFORMANCE MANAGEMENT (SPM) - Individual Contributor
Safran —Sarasota, FL
- Overtime
- Up to 50% travel
- Mid-level
- Office
Director, Food Safety Supply Chain
Boar's Head —Sarasota, FL
- Full-time
- Management
- 5 years
- English
Technical Sales Manager for Food Safety Industry (Remote)
Deibel Laboratories Inc —Osprey, FL
- $70,000 - $85,000 a year
- Weekends as needed
- Remote
- Spanish
- Laboratory experience
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Service Operations Manager
Thrive —Sarasota, FL
- Full-time
- Mentoring
- Recruiting
- Senior level
Quick Apply
Product Analyst – Demand Response Products & Services
Duke Energy —Saint Petersburg, FL
- Full-time
- Microsoft Outlook
- Mid-level
- Office
8d
Service Operations Manager
Abacode —Sarasota, FL
- Full-time
- Mid-level
- Mentoring
- Recruiting
Sr ISC Project Management Specialist
Honeywell —Palmetto, FL
- Full-time
- 6 years
- Bachelor's degree
- Continuous improvement
- Health savings account
- Paid holidays
Revenue Cycle Specialist - Payments & Remittance
Dental Care Alliance —Sarasota, FL
- Full-time
- Customer service
- Ability to walk for extended periods
- HIPAA
6d
Clinical Nurse Educator
US Veterans Health Administration —Bay Pines, FL
- $75,987 - $148,013 a year
- Online Application
- Background check
- Classroom
- Nursing
- Paid holidays
- Dental insurance
3d
National Facilities Manager
Lemonjuice Solutions —Sarasota, FL
- From $75,000 a year
- Weekends as needed
- Background check
- Engineering
- Quality control
- Health savings account
- Health insurance
Quick Apply
Construction Manager
Signature Bay Homes —Saint Petersburg, FL
- $75,000 - $115,000 a year
- Full-time
- Hybrid work
- Construction site
- Mid-level
- Residential
Quick Apply
14d
Clinical Operations Manager
CENTERPLACE HEALTH INC —Sarasota, FL
- $78,852.19 - $85,407.39 a year
- Full-time
- Background check
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply
14d
Senior Software Test Engineer
Syms Strategic Group, LLC (SSG) —Saint Petersburg, FL
- $85,389 - $116,975 a year
- Full-time
- Remote
- Azure
- Computer Science
- AWS
3d

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risk & quality performance manager (remote) jobs near bradenton fl

Risk & Quality Performance Manager (Remote)

Molina Healthcare -
Saint Petersburg, FL

Apply Now

Job Details

Full-time
$66,456 - $129,590 a year

Benefits

Health insurance

Qualifications

Project development phase management
Microsoft Excel
Performance Reporting
Data summary reports
SQL
Project management experience in healthcare
Managing projects
Productivity software
Microsoft Project
Query management
Cross-functional collaboration
Clinical data analysis
Cross-functional team management
Technical Proficiency
Cross-functional communication
HEDIS

Full Job Description

Job Description

Job Summary

The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives.

Job Duties

Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors.
Monitor projects from inception through successful delivery.
Oversee Risk/Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR/HIE and supplemental data.
Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect.
Draw actionable conclusions, and make decisions as needed while collaborating with other teams.
Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success.
Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
Proactively communicate risks and issues to stakeholders and leadership.
Create, review, and approve program documentation, including plans, reports, and records.
Ensure documentation is updated and accessible to relevant parties.
Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues.

Job Qualifications

REQUIRED EDUCATION:

Bachelor's degree or equivalent combination of education and experience

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

2+ years of program and/or project management experience in risk adjustment and/or quality
2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
Familiarity with running queries in Microsoft Azure or SQL server
Healthcare experience and functional risk adjustment and/or quality knowledge
Mastery of Microsoft Office Suite including Excel and Project
Experience partnering with various levels of leadership across complex organizations
Strong quantitative aptitude and problem solving skills
Intellectual agility and ability to simplify and clearly communicate complex concepts
Excellent verbal, written and presentation capabilities
Energetic and collaborative

PREFERRED EDUCATION:

Graduate degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements
Experience working in a cross-functional, highly matrixed organization
SQL proficiency
Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired

#PJCorp

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

risk & quality performance manager (remote) jobs in bradenton fl

Risk & Quality Performance Manager (Remote)

Sales Manager – Food & Nutrition

Sales Manager – Food & Nutrition

Project Manager - Architecture

Sr. Communications Manager - Science Media Relations

Program Manager - Not Remote Position

Senior Operations Manager

SUPPLIER PERFORMANCE MANAGEMENT (SPM) - Individual Contributor

Director, Food Safety Supply Chain

Technical Sales Manager for Food Safety Industry (Remote)

Service Operations Manager

Product Analyst – Demand Response Products & Services

Service Operations Manager

Sr ISC Project Management Specialist

Revenue Cycle Specialist - Payments & Remittance

Clinical Nurse Educator

National Facilities Manager

Construction Manager

Clinical Operations Manager

Senior Software Test Engineer

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