National Quality Performance Lead - Data & Impact

Molina Healthcare, Inc.; Oregon; Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is seeking a consultant-level professional to lead the most complex quality performance initiatives, guiding peers and partnering with leadership to align with quality strategies and regulatory requirements.

You will own data-driven quality programs, oversee data ingestion and issue resolution, and drive improvements across HEDIS, CAHPS, and health equity initiatives in a collaborative, cross-functional environment.

Qualifications

• At least 5 years of program/project management experience in quality with HEDIS activities exposure.
• Deep knowledge of managed care value drivers and quality in health care.
• Strong data analysis, reporting, and interpretation skills.
• Experience running queries in SQL and data platforms like Azure.
• Proven ability to lead cross-functional teams and drive projects to completion.

Responsibilities

• Lead complex quality data analysis and reporting, supporting quality rate trends and provider performance.
• Ensure programs are delivered on time, within scope, and within resources.
• Provide SME guidance and partner with leadership on design and planning.

Skills

Program management

Quality domain knowledge

Data analysis

SQL

Azure

Cross-functional leadership

Regulatory knowledge

Communication skills

HEDIS knowledge

NCQA knowledge

PMO experience

Healthcare claims concepts

Excel

CMS rules

Tools

SQL Server

Azure Databricks

Excel

Job description

Molina Healthcare, Inc. is seeking a consultant-level professional to lead the most complex quality performance initiatives, guiding peers and partnering with leadership to align with quality strategies and regulatory requirements.

You will own data-driven quality programs, oversee data ingestion and issue resolution, and drive improvements across HEDIS, CAHPS, and health equity initiatives in a collaborative, cross-functional environment.