Director, National Quality & Risk Solutions

Molina Healthcare; United States; Remote; USD 120,000 - 180,000; Full time

Job summary

Molina Healthcare seeks a senior Quality Systems leader to manage performance managers, oversee data and improvement initiatives, and ensure alignment with quality strategies, regulatory requirements, and enterprise priorities.

You will collaborate with corporate quality leaders and health plans to develop meaningful reporting, analytics, and data quality strategies that close gaps in care and drive timely, compliant project delivery across programs.

Qualifications

• 7+ years of program/project management in quality with NCQA/HEDIS experience.
• 1+ year of management/leadership experience.
• Knowledge of value drivers in managed care and health care quality.
• Experience running queries in SQL or Azure for data analysis.

Responsibilities

• Lead Quality Systems team, ensuring alignment with quality strategies and goals.
• Support NCQA and state regulatory submissions.
• Develop data-focused strategies to improve data ingestion completeness and accuracy.
• Collaborate with cross-functional teams to present recommendations and drive issue resolution.

Skills

Program management

Quality data analysis

Cross-functional leadership

Communication skills

Regulatory knowledge

Tools

SQL

Microsoft Azure

Azure Databricks

Job description

Molina Healthcare seeks a senior Quality Systems leader to manage performance managers, oversee data and improvement initiatives, and ensure alignment with quality strategies, regulatory requirements, and enterprise priorities.

You will collaborate with corporate quality leaders and health plans to develop meaningful reporting, analytics, and data quality strategies that close gaps in care and drive timely, compliant project delivery across programs.