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AVP, Quality Improvement & Risk Adjustment (Kansas)
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- The AVP, Quality Improvement & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject matter expert for the health plan.
- Prepares, in collaboration and support with MHI Quality, required documentation for state Performance Improvement Projects.
- Key stakeholder to MHI RQES for planning and implementing evidence-based quality intervention strategies and initiatives that meet state and federal intervention rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina strategic plans.
- Communicates and partners with MHI RQES and Plan Network leadership to support establishing QI benchmarks and requirements for VBC contracts.
- Responsible for partnering with MHI RQES and VP Stars in developing the local Medicare Stars work plan and executes on interventions that will improve CAHPS, HEDIS and HOS scores.
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