Quality Systems & Performance Manager

Molina Talent Acquisition; United States; Remote; USD 110.000 - 150.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Equal Opportunity Employer

Zusammenfassung

Molina Healthcare is seeking a Quality Systems leader to oversee performance managers and guide quality initiatives across our portfolio. You will ensure teams are resourced, aligned with regulatory requirements, and delivering against quality strategies and enterprise priorities.

You will drive data quality, support NCQA and state submissions, and collaborate with corporate quality leaders and health plans to deliver meaningful reporting, analytics, and improvements in quality performance.

Qualifikationen

• 7+ years in program/project management in quality, with HEDIS-related experience.
• 1+ year of leadership/management experience implied by role scope.
• Deep knowledge of health care quality drivers and industry standards.

Aufgaben

• Lead the Quality Systems team, set expectations, coach, and align with quality strategies.
• Support NCQA and state regulatory submissions through data-driven processes.
• Design data-focused strategies to improve data ingestion accuracy and completeness.
• Collaborate with leaders and health plans to develop reporting and analytics.
• Oversee project plans, schedules, resources, and on-time delivery within regulatory bounds.
• Identify barriers, prioritize issues, and mitigate risks across programs.
• Ensure issues are resolved via cross-functional collaboration and escalation when needed.
• Draw conclusions and present recommendations to stakeholders on quality issues.
• Conduct regular quality reviews and audits to maintain high standards.
• Address discrepancies promptly to ensure program success.
• Develop data quality strategies to close care gaps.
• Communicate portfolio status, risks, and remediation with leadership.
• Foster a collaborative, high-performing team and support development.

Kenntnisse

Quality systems management

HEDIS knowledge

SQL

Azure

Data analysis

Leadership

Regulatory compliance

Cross-functional collaboration

Advanced Excel

Tools

SQL Server

Microsoft Azure

Excel

HIE data systems

Jobbeschreibung

Molina Healthcare is seeking a Quality Systems leader to oversee performance managers and guide quality initiatives across our portfolio. You will ensure teams are resourced, aligned with regulatory requirements, and delivering against quality strategies and enterprise priorities.

You will drive data quality, support NCQA and state submissions, and collaborate with corporate quality leaders and health plans to deliver meaningful reporting, analytics, and improvements in quality performance.