Senior Program Director - Risk & Quality Solutions

Molina Healthcare; Arizona; Remote; USD 88,000 - 172,000; Full time

Job summary

Molina Healthcare is seeking a senior risk and quality professional to support enterprise risk and quality solutions across health plans. The role emphasizes collaboration with leadership to implement best practices and achieve risk/quality performance goals.

The position requires extensive managed care experience, strong analytical skills, and the ability to lead cross-functional teams in a matrixed environment. Competitive benefits and compensation apply.

Qualifications

• 8+ years in managed care with risk adjustment or quality experience.
• 3+ years of leadership or management experience.
• Proficiency in risk adjustment methodologies and data interpretation.

Responsibilities

• Provide risk and quality support to state health plans using RQS best practices.
• Lead risk/quality programs and collaborate with leadership to meet goals.
• Escalate gaps and work with teams to resolve barriers to execution.
• Develop business case methodologies and coordinate implementation of strategies.
• Collaborate with corporate and health plan teams on risk/quality activities.

Skills

Risk adjustment

Quality management

Data analysis

Project management

Leadership

Cross-functional collaboration

Communication

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a senior risk and quality professional to support enterprise risk and quality solutions across health plans. The role emphasizes collaboration with leadership to implement best practices and achieve risk/quality performance goals.

The position requires extensive managed care experience, strong analytical skills, and the ability to lead cross-functional teams in a matrixed environment. Competitive benefits and compensation apply.