We are looking for a Quality Administrator, to join us in leading our organization forward.

McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. 

McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive.  As an employee of MIG, 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.

McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members.  Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org.

MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.  Learn more about MDwise, Inc. at https://www.mdwise.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.

This is a hybrid position with requirements to come onsite as scheduled, Indianapolis, IN.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

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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: 25004650 Daily Work Times: 8:30 am - 5:00 pm Hours Per Pay Period: 80 On Call: No Weekends: No