Quality Performance Manager: Healthcare Analytics & Improvement

Molina Healthcare; United States; Remote; USD 60,000 - 130,000; Full time

Job summary

Provides subject matter expertise for Molina Healthcare's quality performance solutions team. Collaborates across the enterprise to plan, coordinate, and manage resources, and execute quality performance improvement initiatives in alignment with strategic objectives.

Key duties include data collection strategy, analytics, reporting, and monitoring to improve outcomes, with a focus on HEDIS, CAHPS, SDOH, and compliance with regulatory guidelines.

Qualifications

• 3+ years of program/project management experience in quality or equivalent
• Health care experience or quality knowledge
• Proficiency in data analysis, manipulation, interpretation and reporting
• Strong quantitative, critical-thinking and problem-solving skills
• Attention to detail and organizational skills
• Ability to work cross-collaboratively in a matrixed organization
• Effective verbal, written and presentation communication
• MS Office suite proficiency and ability to learn new software

Responsibilities

• Collaborates with health plan quality leaders to improve outcomes by managing quality data collection strategy, analytics, and reporting.
• Monitors quality-related projects from inception through delivery.
• Oversees quality data ingestion activities to improve data completeness and accuracy.
• Analyzes quality data and identifies performance improvement opportunities.
• Ensures compliance with quality-related regulatory audit guidelines and improves HEDIS audit success.
• Partners with cross-functional teams to ensure data quality delivery.
• Creates, reviews, and updates quality program documentation.
• Proactively communicates regular quality status reports to stakeholders.
• Meets customer expectations and maintains relationships.

Skills

Program / project management

Quality data analysis

Cross-functional collaboration

Excellent communication

Excel proficiency

SQL

Azure

Tools

SQL

Azure

EHR/HIE data

Job description

Provides subject matter expertise for Molina Healthcare's quality performance solutions team. Collaborates across the enterprise to plan, coordinate, and manage resources, and execute quality performance improvement initiatives in alignment with strategic objectives.

Key duties include data collection strategy, analytics, reporting, and monitoring to improve outcomes, with a focus on HEDIS, CAHPS, SDOH, and compliance with regulatory guidelines.