Lead Overreader, HEDIS/Quality Improvement

Are you passionate about improving healthcare quality and outcomes? Do you have strong attention to detail and enjoy diving into data? If so, Molina Healthcare is seeking a dynamic and driven individual to join our team as a Lead Overreader for HEDIS/Quality Improvement. As the Lead Overreader, you will play a crucial role in ensuring the accuracy and completeness of HEDIS and quality improvement data. Your expertise and leadership will be key in identifying areas for improvement and driving initiatives to enhance the overall quality of care for our members. If you have a strong background in healthcare quality and are looking for a challenging and rewarding opportunity, we encourage you to apply. Oversee and lead the HEDIS/Quality Improvement data overreading process. Ensure accuracy and completeness of HEDIS and quality improvement data by conducting thorough reviews and analysis. Collaborate with cross-functional teams to identify areas for improvement and develop action plans to address any gaps or deficiencies. Train and mentor team members to ensure consistency and accuracy in data overreading. Develop and implement quality improvement initiatives based on data analysis and industry best practices. Monitor and track progress of quality improvement initiatives and provide regular updates to leadership. Conduct regular audits to ensure compliance with HEDIS and other quality standards. Stay up-to-date on industry trends and changes in quality measures to ensure Molina Healthcare remains in compliance. Serve as a subject matter expert on HEDIS and quality improvement, providing guidance and support to other departments as needed. Communicate with internal and external stakeholders to provide updates on data accuracy and quality improvement efforts. Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job Apply To this Job