Senior Medicaid Quality Improvement Program Manager

Medica's Senior Medicaid Quality Improvement Program Manager will work in close partnership with our product and quality teams to provide leadership & oversight related to Medicaid improvement goals and initiatives. Our Program Manager directs execution of programs that will allow Medica to meet DHS Medicaid quality requirements, achieve DHS withhold goals, and achieve superior quality ratings for Medicaid products.

Key Accountabilities:

• Making decisions on the analysis of Minnesota Medicaid withhold elements

• Identifying opportunities for program improvements

• Designing and managing initiatives to support these improvements and analyzing financial impacts

• Managing and mitigating potential impact to other initiatives and strategies within Medica, including in other product lines

Qualifications:

• Bachelor's Degree or equivalent combination of education and work experience

• 7+ years of experience required in the field

• Project management and/or program management experience required

• Demonstrated Medicaid experience required

• Health plan quality experience strongly preferred; will also consider provider quality experience in lieu of health plan experience

• Experience with developing and giving presentations to internal and external stakeholders

• Experience with STARS and/or HEDIS quality measures

Skills and Abilities:

• Ability to analyze data and use this data to formulate and execute on strategy. As well as prioritize initiatives and opportunities based on business need

• Ability to work and make decisions autonomously and with limited supervision

• Solution and detail oriented with advanced program and project management skills

• Strong proficiency with Microsoft office tools

• Word, PowerPoint, and Excel

• Attention to detail with ability to analyze member reports and recommend action to leadership

• Excellent collaborator and able to influence and direct work contributions from non-direct reports to meet critical program deliverables and timelines

• Excellent communication skills both written and verbal - able to communicate information efficiently to both internal and external program and product stakeholders

This position is a Hub role, which requires an employee to occasionally come onsite to the designated office

• Minnetonka, MN - for applicable heads-up work. Frequency is determined by business need as decided by leadership.

The full salary range for this position is $85,000 - $145,700. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.