Quality Performance Lead – HEDIS, CAHPS & Data Analytics

Molina Healthcare; United States; Remote; USD 60,000 - 119,000; Full time

Job summary

Molina Healthcare is seeking a quality performance and data analytics professional to drive initiatives focused on HEDIS, CAHPS and SQL. You will collaborate with health plan quality leaders to improve outcomes, manage data strategies, and ensure compliance with regulatory guidelines.

The role emphasizes data validation, reporting, and partnership with cross-functional teams to deliver quality improvements and audit readiness across enterprise programs.

Qualifications

• 3+ years of program/project management experience in quality or equivalent
• Healthcare quality knowledge or experience preferred
• Strong analytical, communication, and organizational skills
• Proficiency with data analysis, manipulation, interpretation and reporting
• Ability to work cross-functionally in a matrixed organization

Responsibilities

• Lead quality data collection strategy, analytics and reporting for quality rate trending, provider quality measurement and CAHPS.
• Oversee quality data ingestion, validation, and documentation to improve EHR/HIE data accuracy.
• Identify performance improvement opportunities from quality data analysis.
• Ensure compliance with quality audit guidelines and improve HEDIS audit success.
• Collaborate with cross-functional teams to ensure data quality delivery and close care gaps.
• Create and maintain quality program documentation and reports.
• Provide regular status updates to stakeholders on progress, risks and issues.

Skills

Project management

Quality knowledge

Data analysis

SQL basics

Cross-functional collaboration

Communication

Excel proficiency

Education

PMP

Six Sigma Green Belt/Black Belt

Tools

Microsoft Office

Excel

Job description

Molina Healthcare is seeking a quality performance and data analytics professional to drive initiatives focused on HEDIS, CAHPS and SQL. You will collaborate with health plan quality leaders to improve outcomes, manage data strategies, and ensure compliance with regulatory guidelines.

The role emphasizes data validation, reporting, and partnership with cross-functional teams to deliver quality improvements and audit readiness across enterprise programs.