Senior Program Director, Quality Improvement & NCQA

Molina Healthcare; United States; Remote; USD 120,000 - 170,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a senior quality improvement leader to drive QI programs and NCQA accreditation readiness across plans. The role emphasizes data-driven management, program oversight, and collaboration with corporate and state health plans to improve HEDIS metrics and overall quality performance.

The position requires extensive experience in health plan quality improvement, strong leadership, and proven ability to implement nationwide quality interventions and reporting tools.

Qualifications

• At least 8 years in health care with at least 5 years in health plan quality improvement/compliance.
• At least 3 years of management/leadership experience.
• Deep knowledge of the quality discipline, including metrics and performance standards.
• Advanced knowledge of HEDIS/NCQA, including NCQA accreditation experience.
• CAHPS improvement experience.
• HEDIS reporting/collection experience.
• Medicare Stars program experience.
• Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
• Experience developing performance measures that support business objectives.
• State quality improvement experience.
• Strong business writing, strategic-thinking, data analysis, problem-solving, and organizational skills.
• Preferred qualifications include CPHQ, CHCA, RN licensing where applicable.

Responsibilities

• Leads quality programs and initiatives, providing strategic direction for NCQA accreditation and QI compliance.
• Advises senior leaders on quality strategies and objectives across functions.
• Manages QI programs and interventions in collaboration with senior leadership.
• Collaborates with corporate functions and state health plans to drive QI activities.
• Leads corporate quality initiatives with timely follow-up and stakeholder communications.
• Monitors key quality indicators and tracks program effectiveness.
• Develops and implements automated reporting and intervention tools.
• Provides training and support to new and existing quality team members.

Skills

Quality Improvement

HEDIS/NCQA knowledge

CAHPS improvement

Data analysis & reporting

Leadership/management

Project management

Cross-functional collaboration

Communication skills

MS Office / Excel

Job description

Molina Healthcare is seeking a senior quality improvement leader to drive QI programs and NCQA accreditation readiness across plans. The role emphasizes data-driven management, program oversight, and collaboration with corporate and state health plans to improve HEDIS metrics and overall quality performance.

The position requires extensive experience in health plan quality improvement, strong leadership, and proven ability to implement nationwide quality interventions and reporting tools.