Quality Program Administrator

Liberty Dental Plan; Tustin (CA); Hybrid; USD 73,000 - 80,000; Full time

Benefits offered by this job

401(k) with employer match

Roth IRA options

Dental coverage

Vision insurance

Life and AD&D insurance

Flexible Spending Accounts

Wellness programs

EAP, paid time off, holidays

Tuition reimbursement

Remote or hybrid work options

Job summary

Liberty Dental Plan is seeking a Quality Program Administrator to support Medicaid and Medicare quality programs and ensure regulatory compliance. The role focuses on program governance, data analysis, and collaboration across Compliance, Operations, Clinical, and Provider Relations teams.

The ideal candidate has strong project management, analytical, and communication skills, with a background in healthcare administration and familiarity with CMS/NCQA/URAC standards.

Qualifications

• 2 to 5 years of project management experience.
• Experience with Medicaid/Medicare programs and regulatory requirements is a plus.

Responsibilities

• Develop expertise in government contractual and regulatory requirements for Medicaid and Medicare.
• Coordinate contract readiness activities and support responses to audits.
• Lead and facilitate projects to monitor quality program performance.
• Create work plans with timelines, milestones, and deliverables.
• Track performance metrics using dashboards and reporting tools.
• Identify and implement process improvements to enhance program effectiveness.

Skills

Project management

Regulatory compliance

Data analysis

Communication skills

Cross-functional collaboration

Power BI

Microsoft Office

Education

Bachelor's degree in Healthcare Administration or related field

Tools

Power BI

Microsoft Office Suite

Job description

Make an Impact on Healthcare Quality and Compliance as a Quality Program AdministratorAre you passionate about improving healthcare quality, driving regulatory compliance, and leading meaningful initiatives that positively impact member outcomes? Liberty Dental Plan is seeking a highly organized and analytical Quality Program Administrator to support critical Medicaid and Medicare quality programs while helping ensure operational excellence across the organization.

Hybrid for employees near Las Vegas, NV or Tustin, CA; remote consideration for those outside commuting distance.

About The Role

The Quality Program Administrator serves as a subject matter expert for quality programs and provides program and project management support to the Quality and Utilization Management Department. This position plays a key role in supporting Medicaid and Medicare compliance initiatives, coordinating cross-functional quality improvement efforts, monitoring program performance, and ensuring regulatory requirements are effectively implemented and maintained.

This is an excellent opportunity for a detail-oriented professional who enjoys project management, regulatory compliance, data analysis, and collaborating with diverse stakeholders to drive measurable improvements.

What You\'ll Do

Quality Program Management & Compliance

• Develop expertise in government contractual and regulatory requirements related to Medicaid and Medicare programs.
• Research, interpret, and operationalize new and updated regulatory requirements to ensure compliance.
• Support program governance efforts and ensure timely implementation of quality initiatives.
• Coordinate contract readiness activities and support responses to internal and external audits.

Project Management & Continuous Improvement

• Lead and facilitate projects that monitor and evaluate quality program performance.
• Develop comprehensive work plans, including timelines, milestones, deliverables, and accountability measures.
• Collaborate across Compliance, Operations, Clinical, and Provider Relations teams to achieve quality objectives.
• Track performance metrics through dashboards and reporting tools.
• Identify and implement process improvement opportunities that enhance program effectiveness and efficiency.

Data Analysis & Reporting

• Conduct quantitative and qualitative analyses of quality program data.
• Evaluate trends, performance outcomes, and improvement opportunities.
• Prepare and submit required quality reports, evaluations, work plans, and regulatory deliverables.
• Present findings and recommendations to stakeholders and leadership.

Quality Oversight & Accreditation Support

• Monitor quality standards, accreditation requirements, and operational compliance activities.
• Support performance improvement initiatives and corrective action planning.
• Participate in vendor and delegated entity oversight activities.
• Help ensure compliance with applicable quality, regulatory, and accreditation standards.

Information Security & Professional Responsibilities

• Protect and safeguard Protected Health Information (PHI) in accordance with company policies and procedures.
• Maintain a safe, productive, and professional work environment.
• Perform additional duties as assigned in support of departmental and organizational goals.

What You\'ll Bring

Required Qualifications

• Bachelor\'s degree in Healthcare Administration or a related field, or equivalent combination of education and experience preferred.
• 2 to 5 years of project management experience.
• Strong organizational skills with the ability to manage multiple priorities in a fast-paced, deadline-driven environment.
• Excellent analytical, reporting, and problem-solving capabilities.
• Outstanding written, verbal, and interpersonal communication skills.

Preferred Qualifications

• Experience in Dental Managed Care, Healthcare Quality, Medicaid, Medicare, or Program Management.
• Knowledge of government program operations, contractual obligations, and regulatory requirements.
• Familiarity with CMS, NCQA, URAC, or similar compliance and accreditation standards.
• Experience facilitating cross-functional meetings, training programs, or quality improvement initiatives.
• Ability to analyze large data sets, identify trends, and communicate actionable insights.
• Bilingual communication skills are a plus.

Technical Skills

• Advanced proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook, and Access.
• Experience with reporting and data visualization tools such as Power BI is preferred.

Why Join Liberty Dental Plan?

At Liberty Dental Plan, you\'ll have the opportunity to contribute to initiatives that directly support quality care, regulatory excellence, and improved member experiences. You\'ll collaborate with dedicated professionals across multiple departments, gain exposure to high-impact projects, and play a vital role in advancing organizational quality goals.

If you\'re a proactive professional who thrives on organization, collaboration, compliance, and continuous improvement, we\'d love to hear from you.

Qualifications

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That\’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

Our first-class benefits package supports employees and their dependents with:

• Competitive pay structure and savings options to help you reach your financial goals.
• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
• Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
• 100% employer-paid dental coverage for employees and eligible dependents.
• Vision insurance with low-cost premiums for employee-only coverage and dependents.
• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
• Flexible Spending Accounts for healthcare and dependent care expenses.
• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
• Long-term disability coverage.
• Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
• Employee Assistance Program (EAP) to support mental health and well-being.
• Generous vacation and sick leave policies, with the ability to roll over unused time.
• 10 paid company holidays.
• Tuition reimbursement for eligible educational expenses.
• Remote or hybrid work options available for various positions.

Compensation

In the spirit of pay transparency, the base salary range for this position is $73,000 - $80,000, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.

Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.