Health Plan Quality & Compliance Lead

McLaren; Flint (MI); On-site; USD 70,000 - 95,000; Full time

Job summary

McLaren Health Plan (MHP) seeks a Quality Administrator to drive quality improvement initiatives and coordinate regulatory activities. You will present updates to quality staff and committees, help design targeted actions, and oversee HEDIS, NCQA, CAHPS and state projects.

The role requires a bachelor’s degree in health care, business, or related field and 4+ years in regulated health care or managed care with quality management experience. Full‑time schedule in Michigan with on‑site duties.

Qualifications

• Bachelor's degree in health care, business or related field.
• Four years' experience in a government regulated health org or managed care with 2+ years in quality management (HEDIS/NCQA).

Responsibilities

• Provide updates to MIG quality staff and committees on recommendations and actions.
• Coordinate development and implementation of quality interventions and operations.
• Oversee regulatory and contractual responsibilities including HEDIS, NCQA, state projects, audits.

Skills

Quality management

HEDIS

NCQA

Regulated health care experience

Education

Bachelor's degree in health care, business or related field

Master's degree in health care related field

Job description

McLaren Health Plan (MHP) seeks a Quality Administrator to drive quality improvement initiatives and coordinate regulatory activities. You will present updates to quality staff and committees, help design targeted actions, and oversee HEDIS, NCQA, CAHPS and state projects.

The role requires a bachelor’s degree in health care, business, or related field and 4+ years in regulated health care or managed care with quality management experience. Full‑time schedule in Michigan with on‑site duties.