Managed Care Quality Manager, MI - Hybrid

Manager, Quality

We are looking for a Manager, Quality, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee of MIG, 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.

McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https : / / www.mclarenhealthplan.org . MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https : / / www.mdwise.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 is a hybrid position with requirements to come onsite as scheduled, Flint, MI.

Equal Opportunity Employer of Minorities / Females / Disabled / Veterans

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Qualifications : Required :

• 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).

Preferred :

Additional Information :