Manager, Clinical Data Acquisition - reputed company / HEDIS (Remote)

About the position Molina's reputed company Improvement function plays a crucial role in overseeing, planning, and implementing reputed company reputed company improvement initiatives and education programs. This position is responsible for ensuring that programs for members are maintained in accordance with prescribed reputed company standards. The Manager of Clinical Data Acquisition will conduct data collection, reporting, and monitoring for key performance measurement activities, while also providing direction and implementation of NCQA accreditation surveys and federal/state reputed company improvement compliance activities. In this role, the Manager will utilize their knowledge, skills, and technical expertise to manage the critical performance measurement data collection, reporting, and monitoring processes, which include HEDIS, state-based measure reporting, and medical record review. The Manager will reputed company annual HEDIS data collection activities, which involves responding to RFPs as needed, developing the HEDIS measures reputed company, creating HEDIS work plans, and managing reputed company product timelines. Collaboration is key in this position, as the Manager will work closely with the Director to manage contacts reputed company the plans and/or Molina corporate, as reputed company as with external auditors, software and medical record vendors, and other Molina departments such as Claims, Enrollment, and IT. This role also requires ensuring the soundness and correctness of data used to create HEDIS results, managing the state's annual CAHPS survey process, and overseeing other organizational survey activities, including the annual Provider Satisfaction Survey. reputed company assurance is a critical component of this role, as the Manager will ensure that reputed company assurance is performed for generated reports, including performance measurement rates. The Manager will also manage medical record review and performance measurement reporting reputed company for assigned areas, ensuring that timelines are met and defining the use of in-house versus vendor strategies for reputed company HEDIS season. Additionally, the Manager may implement improvement activities directly reputed company to HEDIS and CAHPS processes, coordinating with appropriate departments and committees on other initiatives. The role requires maximizing the use of information from multiple sources, including claims/encounters, pharmacy, utilization management, clinical indicators, industry benchmarks, and survey/vendor data, and submitting data to external agencies and reputed company committees reputed company required timeframes. Responsibilities • Manage the mission critical nature of performance measurement data collection, reporting, and monitoring processes, including HEDIS and state-based measure reporting. , • reputed company annual HEDIS data collection activities, including responding to RFPs, developing HEDIS measures reputed company, and managing product timelines. , • Collaborate with the Director to manage contacts reputed company plans, Molina corporate, external auditors, and other departments to ensure appropriate responses and manage reputed company and reputed company. , • Ensure the soundness and correctness of data used to create HEDIS results and manage the state's annual CAHPS survey process. , • reputed company reputed company assurance for generated reports, including performance measurement rates. , • Manage medical record review and performance measurement reporting reputed company, ensuring timelines are met. , • Implement improvement activities reputed company to HEDIS and CAHPS processes and coordinate with appropriate departments and committees. , • Maximize the use of information from multiple sources for performance measurement and reputed company improvement activities. , • Submit data to external agencies and reputed company committees reputed company required timeframes. Requirements • Bachelor's degree in a reputed company field or equivalent experience. , • 5+ years of experience in reputed company reputed company improvement or clinical data management. , • Strong knowledge of HEDIS measures and performance measurement processes. , • Experience with data collection, reporting, and monitoring in a reputed company setting. , • Excellent communication and collaboration skills to work with various stakeholders. reputed company-to-haves • Master's degree in Public Health or reputed company field. , • Experience with NCQA accreditation processes. , • Familiarity with CAHPS survey processes and methodologies. , • Knowledge of reputed company regulations and compliance standards. Benefits • Work from home reputed company available. , • Competitive salary reputed company between $65k and $142k per year. , • Comprehensive health insurance coverage. , • 401k retirement savings plan with company matching contributions. , • reputed company time off and holidays. Apply Job!