Quality Program Lead – Medicaid & Medicare

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

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.