Quality Administrator, Michigan

About Us McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan's largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio. Quality Administrator, Michigan Michigan, Flint Non-Health Professional McLaren Integrated HMO Group 26002954 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 Quality Administrator, 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 Summary:

Responsible for routinely providing updates to all MIG quality staff and the applicable Quality Committees concerning recommendations and suggested courses of action pertinent to the efficient operation of the Quality Improvement Performance Plan (QPIP). Responsible for proposing targeted actions, aiding in the development of the interventions and coordinating the implementation of all quality operations. Coordinates specific regulatory and contractual responsibilities of assigned HMO including, but not limited to, HEDIS, CAHPS, NCQA Standard compliance, state performance projects, site audits and any other regulatory agencies. #LI-KH1

Qualifications:

Required:

Bachelor's degree in health care, business or a related field. Four (4) years' experience with a government regulated health organization or a managed care setting with at least two (2) years' experience performing complex quality management activities including

HEDIS, NCQA

etc.

Preferred:

Master's degree in health care related field. 6 (six) years' experience with a government regulated health organization or a managed care setting with at least three (3) years' experience performing complex quality management activities including

HEDIS, NCQA

etc. Recent related work experience at an established HMO.

Additional Information Schedule:

Full-time Requisition ID:

26002954

Daily Work Times:

8:30 am - 5:00 pm

Hours Per Pay Period:

80

On Call:

No Weekends:

No McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.