Quality Performance & Initiatives, Leader, Quality Data Engagement
Company: MVP Health Care
Location: Rochester
Posted on: October 13, 2021
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Job Description:
Quality Performance & Initiatives, Leader, Quality Data
Engagement
Headquarters Office, 625 State Street, Schenectady, New York,
United States of America
Wednesday, September 29, 2021
Over 35 years strong and fueled by 1,700 smart, passionate
employees across New York state and Vermont, MVP is full of
opportunities to grow. We are a nationally recognized,
award-winning leader for a reason. The beating heart of our company
is a wide range of employees from a diverse set of backgrounds-tech
people, numbers people, even people people-working together to make
health insurance better. If you are ready to join a thriving,
mission-driven company where you can create your own opportunities
and make a positive difference-it's time to make a healthy career
move to MVP!
Status: Full-time, Exempt
MVP's Quality department focuses on improving the clinical
well-being of MVP members by focusing on improving key metrics of
care. The Quality department is seeking a fast paced, driven, and
highly detailed candidate for the position of Leader, Quality Data
Engagement . This position reports to the Senior Leader, Quality
Measurement and Improvement, and is responsible for leading MVP's
Healthcare Effectiveness Data and Information Set (HEDIS) strategy
and operations. This includes increasing and optimizing clinical
data collection to continually improve HEDIS performance, clinical
data abstraction, and program coordination internally and
externally. Applies both subject matter and technical expertise to
support HEDIS strategies and goals to achieve high measure
performance. Analyzes HEDIS and other quality data results and
identifies performance improvement opportunities. Supports Quality
improvement and innovation efforts by supporting intervention
design, member / provider engagement, and evaluation of
effectiveness efforts. Performs other duties as assigned.
This position can be worked as a hybrid position (a combination of
work from home and work in the office) or worked full-time onsite
in an MVP office location.
POSITION QUALIFICATIONS
Minimum Education:
Bachelor's degree required. Nursing degree or other allied health
professional license preferred.
Other advanced health-related/business degree or directly related
health plan quality experience may be considered
Master's Degree preferred
Minimum Experience:
Minimum of 3 years prior supervisory/management experience
required
5 years of experience in clinical quality required
Experience in HEDIS/QARR/STARS in a managed care environment
required
Experience working with claims and/or other medical management
focused systems preferred
Project management experience preferred
Required Skills
About MVP
MVP Health Care is a nationally recognized, not-for-profit health
insurer caring for more than 700,000 members in New York and
Vermont. Committed to the complete well-being of our members and
the communities we serve, MVP makes health insurance more
convenient, more supportive, and more personal. We are powered by
the ideas and energy of more than 1,700 diverse, employees from all
backgrounds, committed to having a positive impact on the health
and wellness of everyone we serve. MVP Health Care is an
Affirmative Action/ Equal Employment Opportunity (PDF). We recruit,
employ, train, compensate, and promote without regard to race,
religion, creed, color, national origin, age, gender, sexual
orientation, marital status, disability, genetic information,
veteran status, or any other basis, e.g., Pay Transparency (PDF),
and the EEO is the Law Poster and Supplement protected by
applicable federal, state or local law. Any person with a
disability needing special accommodations to the application
process, please contact Human Resources at hr@mvphealthcare.com
Please apply and learn more - including how you may become a proud
member of our team.
Other details
Apply Now
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clinical well-being of MVP members by focusing on improving key
metrics of care. The Quality department is seeking a fast paced,
driven, and highly detailed candidate for the position of Leader,
Quality Data Engagement. This position reports to the Senior
Leader, Quality Measurement and Improvement, and is responsible for
leading MVP's Healthcare Effectiveness Data and Information Set
(HEDIS) strategy and operations. This includes increasing and
optimizing clinical data collection to continually improve HEDIS
performance, clinical data abstraction, and program coordination
internally and externally. Applies both subject matter and
technical expertise to support HEDIS strategies and goals to
achieve high measure performance. Analyzes HEDIS and other quality
data results and identifies performance improvement opportunities.
Supports Quality improvement and innovation efforts by supporting
intervention design, member / provider engagement, and evaluation
of effectiveness efforts. Performs other duties as assigned. This
position can be worked as a hybrid position (a combination of work
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allied health professional license preferred. Other advanced
health-related/business degree or directly related health plan
quality experience may be considered Master's Degree preferred
Minimum Experience:Minimum of 3 years prior supervisory/management
experience required 5 years of experience in clinical quality
required Experience in HEDIS/QARR/STARS in a managed care
environment required Experience working with claims and/or other
medical management focused systems preferred Project management
experience preferred Required Skills Excellent oral and written
communication skills including the ability to interact
professionally with all levels of the organizationStrong
analytical, reporting and problem-solving skillsStrong
management/leadership skillsStrong organization skills and
prioritizing abilityTeam orientedAbility to work independently,
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Keywords: MVP Health Care, Rochester , Quality Performance & Initiatives, Leader, Quality Data Engagement, Other , Rochester, New York
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