Quality Performance Lead: Data, Analytics & Improvement

Molina Healthcare; Northern (KY); Hybrid; USD 60,000 - 130,000; Full time

Job summary

Molina Healthcare is seeking a qualified professional to lead quality performance initiatives across the enterprise. The role focuses on data collection strategy, analytics, reporting, and improvement of quality outcomes in collaboration with health plan leaders.

Responsibilities include overseeing data ingestion, ensuring data integrity in EHR/HIE systems, and driving improvement opportunities while maintaining regulatory compliance and strong stakeholder relationships.

Qualifications

• At least 3 years of program/project management experience in quality.
• Health care experience or demonstrated functional quality knowledge.
• Ability to simplify and clearly communicate complex concepts.
• Proficiency with data analysis, manipulation, interpretation, and reporting.
• Strong quantitative, problem-solving, and analytical skills.
• Attention to detail and organizational skills.
• Ability to work cross-collaboratively in a highly matrixed organization.
• Effective verbal, written and presentation communication skills.
• Microsoft Office suite (including Excel) and ability to learn/navigate new software programs.

Responsibilities

• Collaborates with health plan quality leaders to improve outcomes through data collection, analytics, and reporting for quality metrics.
• Monitors quality-related projects from inception through delivery.
• Oversees quality data ingestion activities to improve EHR/HIE data accuracy.
• Analyzes quality data and identifies improvement opportunities.
• Ensures compliance with regulatory audit guidelines to maximize HEDIS audit success.
• Partners with cross-functional teams to ensure data quality delivery.
• Creates and updates quality program documentation for enterprise access.
• Proactively communicates quality status to stakeholders, highlighting progress, risks and issues.
• Meets customer expectations and maintains strong relationships.

Skills

Program management

Quality improvement

Data analysis

Cross-functional collaboration

Communication skills

Microsoft Excel

Regulatory knowledge

Tools

SQL Server

Azure SQL

Job description

Molina Healthcare is seeking a qualified professional to lead quality performance initiatives across the enterprise. The role focuses on data collection strategy, analytics, reporting, and improvement of quality outcomes in collaboration with health plan leaders.

Responsibilities include overseeing data ingestion, ensuring data integrity in EHR/HIE systems, and driving improvement opportunities while maintaining regulatory compliance and strong stakeholder relationships.