McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.

We are looking for a Director, Quality Programs, 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 Overview:

The Director of Quality Programs is responsible for developing, implementing, and leading quality program strategies, policies, and best practices for McLaren Health Plan (MHP) across the Michigan lines of business. This role provides leadership and strategic direction including planning, organizing, directing, evaluating, and optimizing all quality initiatives and outcomes. Responsibilities include but are not limited to development and execution of the Quality Performance Improvement Plan (QPIP); HEDIS, CAHPS, and Stars performance; strategic planning; regulatory representation, reporting, and communication; pay-for-performance programs; and quality improvement initiatives that maximize member outcomes and provider engagement. The Director works across the organization to ensure an integrated approach to clinical, operational, and analytical functions to achieve optimal quality performance and compliance with state, federal, and accreditation standards.

This is a hybrid position with requirements to come onsite as scheduled, Flint, MI.

#LI-AK1

• Bachelor’s degree in nursing, health care, or related field.
• Valid unrestricted RN License; or certified professional in health care quality.
• Five (5) years’ experience in a progressively more responsible leadership role with experience and knowledge of Managed Care functions with at least three (3) years’ experience in a management role leading or assisting in all phases of effective supervision.
• Five (5) years in health plan quality management operations.

• Five (5) years’ experience in a senior HMO leadership position with experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions.

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.