Top 117 Risk & quality performance manager (remote) Jobs in Parrish 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
Database Engineer
Emergent Staffing —Tampa, FL
- $130,000 - $150,000 a year
- Full-time
- Mid-level
- SQL
- US work authorization
Quick Apply
1d
Transaction Advisory Services Manager (REMOTE)
Leoforce —Tampa, FL
- $140,000 - $200,000 a year
- Remote
- CPA
- 5 years
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
1d
Registered Nurse Case Manager
TotalMed, Inc. —Florida
- $40 - $44 an hour
- Full-time
- Remote
- Nursing
- RN License
- Ob/Gyn
- Health insurance
- Dental insurance
Quick Apply
1d
Client Success Manager
Green Irony —Tampa, FL
- $95,000 - $115,000 a year
- Remote
- Sales
- Bachelor of Science
- Senior level
- Health insurance
- Dental insurance
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
7d
Manager, Claims Operations - Property CAT Team
USAA —Tampa, FL
- $103,450 - $186,210 a year
- Overtime
- Hybrid work
- Military
- Office
- Residential
- Paid holidays
- Health insurance
4d
Director, Customer Success
Deepwatch —Tampa, FL
- $210,000 - $280,000 a year
- Remote
- Background check
- 3 years
- Travel
- Paid parental leave
- Disability insurance
Quick Apply
Zuora System Specialist
Absorb —Tampa, FL
- Full-time
- Remote
- Background check
- Mid-level
- Continuous improvement
- Health insurance
- Dental insurance
7d
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
Worker's Compensation Bill Review Systems Analyst
Paradigm Corp —Tampa, FL
- $93,000 - $121,000 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- 3 years
- Health savings account
- Paid holidays
11d
Project Manager
Avalon Administrative Services LLC —Tampa, FL
- Full-time
- Remote
- Mid-level
- Office
- Bachelor's degree
14d
Donation Coordinator Training Specialist - Candidate resides & work either in FL or GA
LifeLink Foundation, Inc. —Tampa, FL
- 12 hour shift
- Writing skills
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
Digital Performance Manager (DPM)
Team Velocity —Tampa, FL
- $90,000 - $115,000 a year
- Online Application
- Remote
- Mid-level
- Analysis skills
- 4 years
- Health insurance
- Dental insurance
Quick Apply
General Manager
Homeward —Tampa, FL
- $120,000 - $135,000 a year
- Full-time
- Remote
- Inventory management
- 3 years
- Senior level
- Paid parental leave
- Paid holidays
Quick Apply
4d
Senior Employee Benefits Analyst
Risk Strategies —Tampa, FL
- $90,000 - $110,000 a year
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Finance
- Dental insurance
7d
Provider Contract Manager
Paradigm Corp —Tampa, FL
- $100,000 - $120,000 a year
- Full-time
- Remote
- Spanish
- Surgery
- Computer literacy
- Health savings account
- Paid holidays
Technical Project Manager with AWS Cloud Migration(Remote)
LTM —Tampa, FL
- $130,000 - $145,000 a year
- Remote
- Azure
- 8 years
- AWS
- Paid parental leave
- Paid holidays
Quick Apply
7d
Senior Manager - Vendor Management Office (VMO)
Deloitte —Tampa, FL
- $113,100 - $208,300 a year
- Full-time
- Finance
- Bachelor's degree
- Travel
- Work from home
Revenue Cycle Specialist - Payments & Remittance
Dental Care Alliance —Sarasota, FL
- Full-time
- Customer service
- Ability to walk for extended periods
- HIPAA
11d

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

Risk & Quality Performance Manager (Remote)

Database Engineer

Transaction Advisory Services Manager (REMOTE)

Registered Nurse Case Manager

Client Success Manager

Sr. Communications Manager - Science Media Relations

Manager, Claims Operations - Property CAT Team

Director, Customer Success

Zuora System Specialist

Program Manager - Not Remote Position

Worker's Compensation Bill Review Systems Analyst

Project Manager

Donation Coordinator Training Specialist - Candidate resides & work either in FL or GA

Digital Performance Manager (DPM)

General Manager

Senior Employee Benefits Analyst

Provider Contract Manager

Technical Project Manager with AWS Cloud Migration(Remote)

Senior Manager - Vendor Management Office (VMO)

Revenue Cycle Specialist - Payments & Remittance

I want to receive the latest job alert for risk & quality performance manager (remote) in parrish fl

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