Senior RN, Quality Program & Performance Leader

Molina Talent Acquisition; Phoenix (AZ); On-site; USD 90,000 - 120,000; Full time

Job summary

Molina Healthcare is seeking a senior-level quality management professional in Arizona to provide clinical support to quality programs, audits, data analysis, and improvement initiatives. The role focuses on safe, efficient, and compliant member care and requires an active AZ RN license and at least 3 years in health care with 1 year in quality management.

The position emphasizes adherence to state requirements, cross-functional collaboration, and timely investigations.

Qualifications

• 3+ years in health care with at least 1 year in quality management and clinical quality investigations
• Active and unrestricted RN license in Arizona
• Experience with quality auditing, peer review and process improvement
• Strong attention to detail, critical thinking and problem solving
• Ability to work cross-collaboratively in a matrixed organization
• Excellent verbal and written communication skills
• Proficiency in MS Office and related software

Responsibilities

• Lead or support senior quality investigations and audits to ensure timely and accurate completion
• Track and trend reportable incidents, quality events, member concerns and mortalities
• Conduct quality monitoring audits of medical records, services and sites
• Present results to departmental leadership and other stakeholders as needed
• Help implement quality strategies requiring near real-time clinical decision making
• Develop and revise policies reflecting state contract requirements and program needs
• Support day-to-day quality management processes and identify improvement opportunities
• Escalate process gaps to leadership and contribute clinician perspectives to remediation efforts

Skills

Attention to detail

Critical thinking

Problem solving

Verbal communications

Written communications

Microsoft Office proficiency

Education

RN license (Arizona)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a senior-level quality management professional in Arizona to provide clinical support to quality programs, audits, data analysis, and improvement initiatives. The role focuses on safe, efficient, and compliant member care and requires an active AZ RN license and at least 3 years in health care with 1 year in quality management.

The position emphasizes adherence to state requirements, cross-functional collaboration, and timely investigations.