Massachusetts Licensed Quality RN

Molina Healthcare, Inc.; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare organization is seeking a Senior Specialist in Quality Program Management & Performance to conduct quality investigations and ensure compliance with healthcare standards. The ideal candidate has at least 3 years of healthcare experience and an active RN license. This position is remote but based in Massachusetts, offering opportunities for professional growth and excellence in quality care.

Qualifications

• Minimum 3 years of healthcare experience, 1 year in quality management.
• Active and unrestricted RN license in the state of practice.
• Experience in quality auditing and process improvement.

Responsibilities

• Conducts quality of care investigations and ensures compliance.
• Performs audits and quality monitoring across services.
• Implements quality strategies and evaluates for improvement.

Skills

Quality auditing

Process improvement

Knowledge of HEDIS standards

Knowledge of NCQA standards

Education

Active Registered Nurse license

Job description

A company is looking for a Senior Specialist, Quality Program Management & Performance RN (Remote in MA).

Key Responsibilities

• Conducts quality of care investigations and ensures compliance with state requirements
• Performs audits and quality monitoring activities across various healthcare services
• Implements quality strategies and evaluates program activities for improvement opportunities

Required Qualifications

• At least 3 years of healthcare experience, including 1 year in quality management
• Active and unrestricted Registered Nurse license in the state of practice
• Experience in quality auditing, peer review, and process improvement
• Knowledge of HEDIS and NCQA standards
• Experience in behavioral health may be required based on state regulations