Lead Delegation Oversight Perf Manager
Apply NowCompany: Molina Healthcare
Location: Akron, OH 44312
Description:
Job Description
Job Description
Job Duties
Ensures compliance with all contractual, State and Federal performance standards of Molina's most complex and high-risk, high maintenance delegated subcontractors which provide covered services and administer benefits across multiple States;
Review of performance reports and monitor key performance indicators (KPIs) to ensure compliance with contractual and regulatory service level agreements (SLAs)
Administration of corrective action plans (CAPs) to remediate delegated subcontractor deficiencies
Assess financial penalties on delegated subcontractors in accordance with contractual requirements
Performs detailed analysis of National and State delegated vendor contracts on behalf of the department to ensure that all contractual requirements and performance metrics for which the department has responsibility to oversee have been accurately identified and recorded for effective monitoring and oversight
Assists department Director in standardization of State delegation oversight and performance management SOPs and activities
Administration of change management process
Compilation and presentation of delegated subcontractor performance metrics at quarterly Delegation Oversight Committee meetings
Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided
Develops and maintains detailed project plans to include milestones, tasks, and target/actual dates of completion
Build strong partnership with Health Plan leaders, business owners, SMEs and other internal department staff
Assist with the collection of documentation from multiple sources in preparation for internal and regulator audits
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree or equivalent combination of education and experience
REQUIRED EXPERIENCE:
5+ years' experience that includes demonstrated track record of accomplishments overseeing more complex delegated subcontractors/subcontractors straddling multiple States and/or LOBs or equivalent related experience
Proficient in reviewing and understanding delegated vendor contracts
Strong problem-solving, root cause analysis, and process improvement skills
Excellent communication skills, time management, organizational and prioritization skills
Ability to manage multiple stakeholders and competing priorities
PREFERRED EDUCATION:
Masters of MBA
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
PMP or Six Sigma Green Belt certification
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Description
Job Duties
Ensures compliance with all contractual, State and Federal performance standards of Molina's most complex and high-risk, high maintenance delegated subcontractors which provide covered services and administer benefits across multiple States;
Review of performance reports and monitor key performance indicators (KPIs) to ensure compliance with contractual and regulatory service level agreements (SLAs)
Administration of corrective action plans (CAPs) to remediate delegated subcontractor deficiencies
Assess financial penalties on delegated subcontractors in accordance with contractual requirements
Performs detailed analysis of National and State delegated vendor contracts on behalf of the department to ensure that all contractual requirements and performance metrics for which the department has responsibility to oversee have been accurately identified and recorded for effective monitoring and oversight
Assists department Director in standardization of State delegation oversight and performance management SOPs and activities
Administration of change management process
Compilation and presentation of delegated subcontractor performance metrics at quarterly Delegation Oversight Committee meetings
Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided
Develops and maintains detailed project plans to include milestones, tasks, and target/actual dates of completion
Build strong partnership with Health Plan leaders, business owners, SMEs and other internal department staff
Assist with the collection of documentation from multiple sources in preparation for internal and regulator audits
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree or equivalent combination of education and experience
REQUIRED EXPERIENCE:
5+ years' experience that includes demonstrated track record of accomplishments overseeing more complex delegated subcontractors/subcontractors straddling multiple States and/or LOBs or equivalent related experience
Proficient in reviewing and understanding delegated vendor contracts
Strong problem-solving, root cause analysis, and process improvement skills
Excellent communication skills, time management, organizational and prioritization skills
Ability to manage multiple stakeholders and competing priorities
PREFERRED EDUCATION:
Masters of MBA
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
PMP or Six Sigma Green Belt certification
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.