Manager, Quality - Michigan

McLaren Health Care • Flint, MI

3d • Hybrid

About The Position

McLaren Health Plan (MHP) 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.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
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 Quality department(s). 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.
This position is a hybrid position with requirements to come onsite as scheduled, Flint, MI.

Requirements

• 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 management with direct reports, leading or assisting in all phases of effective supervision (i.e. Recruitment, performance management, training).

Nice To Haves

• Five (5) years progressive experience in a leadership role in group health plan operations.
• Two (2) years’ experience with accrediting entities such as NCQA.

Responsibilities

• 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 Quality department(s).
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager