Quality Systems Lead, National Risk & Quality Solutions

Molina Healthcare; Northern (KY); Hybrid; USD 88,000 - 160,000; Full time

Benefits offered by this job

Competitive benefits and compensation

Job summary

Molina Healthcare seeks a senior leader to manage Quality Systems performance managers, ensuring accountability for people performance, delivery outcomes, and execution of quality system initiatives across a portfolio of data and programs.

You will oversee a data-focused program, NCQA/HEDIS submissions, analytics, and cross-functional collaboration to improve data quality, reporting accuracy, and regulatory compliance, while guiding teams to meet timelines and strategic priorities.

Qualifications

• 7+ years of program/project management experience in quality, including experience with HEDIS or related data reporting.
• 1+ year of management/leadership experience.
• Deep knowledge of health care quality, regulatory requirements, and data standards.
• Experience running queries in SQL Server or Azure environments.

Responsibilities

• Lead Quality Systems performance managers and teams to meet quality strategies and regulatory requirements.
• Oversee NCQA and state regulatory submissions.
• Design data-focused strategies to improve data ingestion and completeness.

Skills

Project management

Quality analytics

Leadership

Data analysis

SQL

Cross-functional collaboration

Communication

Excel

Tools

SQL Server

Microsoft Azure

Job description

Molina Healthcare seeks a senior leader to manage Quality Systems performance managers, ensuring accountability for people performance, delivery outcomes, and execution of quality system initiatives across a portfolio of data and programs.

You will oversee a data-focused program, NCQA/HEDIS submissions, analytics, and cross-functional collaboration to improve data quality, reporting accuracy, and regulatory compliance, while guiding teams to meet timelines and strategic priorities.