Quality Performance Manager — HEDIS, CAHPS & SQL

Molina Healthcare; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Molina Healthcare seeks a Quality Program Manager to lead data-driven quality initiatives focused on HEDIS, CAHPS, and related analytics. The role collaborates with multiple departments to plan and execute improvement projects aligned with strategic goals.

Responsibilities include data ingestion oversight, auditing readiness, and cross-functional stakeholder communication. Experience with healthcare quality standards and SQL-based analysis is preferred. Equal opportunity employer.

Qualifications

• 3+ years of program/project management experience in quality.
• Health care experience or demonstrated functional quality knowledge.
• Intellectual agility and ability to simplify and clearly communicate complex concepts.
• Proficiency with data analysis, manipulation, interpretation, and reporting.
• Strong quantitative aptitude, critical-thinking, 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 by managing quality data collection strategy, analytics, and reporting for quality rate trending, provider quality measurement, CAHPS and survey analytics, health equity and SDOH, and vendor engagement.
• Monitors quality-related projects from inception through delivery.
• Oversees quality data ingestion activities through validation, issue identification, and documentation to improve completeness and accuracy of EHR/HIE data.
• Analyzes quality data and identifies potential performance improvement opportunities.
• Ensures compliance with quality regulatory audit guidelines and improves HEDIS audit success.
• Partners with cross-functional teams to ensure data quality delivery through transformations and identifying quality gaps.
• Creates, reviews, and updates quality program documentation and ensures accessibility across the enterprise.
• Communicates regular quality status reports highlighting progress, risks, and issues.
• Meets customer expectations and maintains strong relationships.

Skills

Program management

Quality assurance

Data analysis

Cross-functional collaboration

Communication skills

Attention to detail

Problem solving

Excel proficiency

Tools

SQL Server

Microsoft Excel

Job description

Molina Healthcare seeks a Quality Program Manager to lead data-driven quality initiatives focused on HEDIS, CAHPS, and related analytics. The role collaborates with multiple departments to plan and execute improvement projects aligned with strategic goals.

Responsibilities include data ingestion oversight, auditing readiness, and cross-functional stakeholder communication. Experience with healthcare quality standards and SQL-based analysis is preferred. Equal opportunity employer.