Senior Quality Improvement Lead (RN)

Molina Healthcare; United States; Remote; USD 49,000 - 100,000; Full time

Job summary

Molina Healthcare seeks a senior quality professional to provide clinical support to the quality team, contributing to quality improvement programs, audits, and compliance activities to help ensure safe, efficient, and cost-effective member care.

Please update your resume with any quality of care investigations experience; such investigations will be an important part of this position. Position focuses on real-time clinical decision-making and documentation review.

Qualifications

• At least 3 years in health care with a minimum of 2 years supporting quality improvement initiatives.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Quality auditing, peer review, and process improvement experience.
• Knowledge of HEDIS and NCQA.
• Strong attention to detail, critical-thinking, and problem solving skills.
• Ability to work cross-collaboratively in a highly matrixed organization.

Responsibilities

• Provides project, program, and/or initiative related guidance within the quality department and collaborates with other departments.
• Implements quality strategies requiring near real-time clinical decision-making and supports related interventions.
• Monitors timely completion of quality activities and presents results to leadership.
• Writes narrative reports to interpret regulatory specifications and document program results.
• Creates and maintains documentation for critical quality improvement functions.
• Leads quality improvement meetings and collaborates with other departments.

Skills

Attention to detail

Critical thinking

Communication skills

Time management

Multi-tasking

Education

RN license

Tools

Microsoft Office

Job description

Molina Healthcare seeks a senior quality professional to provide clinical support to the quality team, contributing to quality improvement programs, audits, and compliance activities to help ensure safe, efficient, and cost-effective member care.

Please update your resume with any quality of care investigations experience; such investigations will be an important part of this position. Position focuses on real-time clinical decision-making and documentation review.