Remote Health Plan Quality & Compliance Manager

Molina Healthcare; Michigan; Remote; USD 66,000 - 130,000; Full time

Job summary

Molina Healthcare is seeking a Health Plan Quality Program Mgt & Performance Manager to lead quality management initiatives from a remote setting while residing in Michigan. The role emphasizes NCQA accreditation preparation, HEDIS compliance, and cross‑functional collaboration to meet state and federal standards.

Ideal candidates bring extensive health plan quality improvement experience, strong data analysis capabilities, and proven project management skills to deliver timely, accurate results

Qualifications

• 6+ years of healthcare experience with at least 4 years in health plan quality improvement.

Responsibilities

• Drives quality program management to ensure regulatory compliance.
• Represents SME for quality projects and initiatives and ensures regulatory requirements are met.
• Prepares and finalizes quality program documentation and meeting materials with clear follow-up actions.
• Oversees preparation for quality improvement reports, audits, surveys, and NCQA/ federal/state activities.
• Monitors key quality activities and presents results to leaders and committees.

Skills

HEDIS/NCQA

Data analysis

Project management

Communication

Attention to detail

Education

RN

Tools

Excel

Job description

Molina Healthcare is seeking a Health Plan Quality Program Mgt & Performance Manager to lead quality management initiatives from a remote setting while residing in Michigan. The role emphasizes NCQA accreditation preparation, HEDIS compliance, and cross‑functional collaboration to meet state and federal standards.

Ideal candidates bring extensive health plan quality improvement experience, strong data analysis capabilities, and proven project management skills to deliver timely, accurate results