Okay, I've searched for Senior Risk & Quality Performance Manager roles in Miami, FL within the healthcare industry, for remote positions, requiring 4+ years of experience, and a bachelor's degree. I have found 27 positions for you.

Sure. Here's the analysis:

Job Analysis:

The Senior Risk & Quality Performance Manager role is fundamentally designed to drive measurable improvements in Molina Healthcare's Risk & Quality Solutions through strategic project execution and data-driven insights. The candidate is expected to manage complex initiatives that span data collection strategies, analytics, and reporting to enhance risk adjustment, quality measure performance, and patient experience metrics like CAHPS, all while ensuring compliance with regulatory standards. This role demands a deep blend of program management expertise and healthcare data analytics, particularly with systems related to risk adjustment and HEDIS. The emphasis on collaborating across multiple teams—including Health Plan Risk, Quality leaders, and external vendors—indicates a matrixed organizational environment requiring strong interpersonal and communication skills. The candidate must navigate ambiguity in healthcare data complexities, optimize electronic health record integrations, and proactively manage risks to meet project goals. Success in this position looks like delivering timely, quality programs that close care gaps, simplify complex healthcare data into actionable recommendations, and align closely with the strategic objectives of the Risk & Quality Solutions team. Anticipated challenges include balancing multiple stakeholder priorities, ensuring data integrity across disparate data sources, and adapting rapidly to evolving healthcare regulations and quality measures. The requirement for both technical skills—such as SQL querying and Azure analytics—and soft skills like clear communication and leadership partnering reflects the need for a versatile professional capable of both detailed technical execution and high-level strategic thinking.

Company Analysis:

Lensa operates at the intersection of career technology and talent acquisition innovation, using machine learning and data science to transform the job search experience. While the role is for Molina Healthcare, the job posting through Lensa highlights a tech-savvy, data-driven approach that likely permeates how Molina seeks and manages talent for critical roles. Molina Healthcare is a significant player in the healthcare industry focused on delivering risk and quality solutions within a complex regulatory environment. The company's reliance on multi-disciplinary collaboration and sophisticated data analytics aligns well with the candidate’s responsibilities. Molina is likely a mission-oriented organization that values agility, precision, and partnership across hierarchical boundaries—evidenced by the need to communicate with leadership and external vendors, and to adapt flexibly within the team. The culture will expect a proactive, energetic individual with a growth mindset who thrives in a fast-paced, matrixed environment where cross-functional cooperation and continuous improvement are vital. The role’s visibility to leadership and its strategic importance in program outcome success suggest that the candidate will have significant impact and a chance to influence Molina’s evolving healthcare quality initiatives. Overall, this is a position well-suited for someone eager to bridge data analytics expertise with healthcare risk adjustment strategy within an organization aiming to deliver measurable, impactful improvements to patient care and regulatory compliance.

Absolutely. Here are some mock interview questions that could come up:

• Behavioral: Tell me about a time when you led a complex project involving multiple stakeholders with competing priorities. How did you ensure alignment and successful delivery?
• Behavioral: Describe a situation where you had to analyze complex healthcare data to identify risk or quality gaps. What was your approach and what impact did your findings have?
• Behavioral: Give an example of how you handled a situation where a program was at risk of missing its objectives. What steps did you take to mitigate the risk?
• Behavioral: Can you share an experience where you had to simplify and communicate technical or complex data insights to non-technical leadership or partners?
• Technical: How would you approach managing and optimizing data ingestion from EHR and HIE systems to improve quality measure accuracy?
• Technical: Explain your experience with SQL or Microsoft Azure in the context of risk adjustment and quality reporting. Can you describe a specific query or analysis you performed?
• Technical: Walk me through your method of monitoring and forecasting Risk/Quality rates to support program decision-making.
• Technical: What role does knowledge of healthcare claim coding standards (e.g., CPT, LOINC, SNOMED) play in your work with Risk and Quality data?
• Situational: Imagine you identify conflicting data trends that could affect Molina’s risk adjustment targets. How would you investigate and address this issue across departments?
• Situational: You’re managing a project that requires rapid pivoting due to regulatory changes affecting quality measures. How do you adjust your strategy and communicate these changes?
• Situational: Suppose a critical external vendor delays delivery of key data impacting a Risk & Quality program timeline. How would you handle this challenge?
• Company Fit: Why are you interested in contributing to Molina Healthcare’s Risk & Quality Solutions specifically?
• Company Fit: How does Molina’s mission and approach to healthcare quality resonate with your own professional values and experiences?
• Company Fit: Given Molina’s matrixed environment, how do you ensure effective cross-functional collaboration and stakeholder engagement?
• Questions to Ask Interviewer: How does the Risk & Quality Solutions team currently measure success, and what are the most pressing challenges you hope the Senior Manager will address?
• Questions to Ask Interviewer: Can you describe the typical career path for someone in this role and how Molina supports professional growth?
• Questions to Ask Interviewer: How does Molina foster collaboration between technical data teams and clinical or provider partners to drive quality improvements?