Specialist, Quality Program Management & Performance (Remote in NM)

Lensa; Albuquerque (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Specialist in Quality Program Management and Performance. This role focuses on implementing quality improvement activities and ensuring compliance with regulatory requirements. The successful candidate will possess a Bachelor's degree and relevant healthcare experience. Join a collaborative team committed to enhancing healthcare quality and making a significant impact in the community.

Qualifications

• Bachelor's Degree or equivalent combination of education and work experience.
• 2-3 years in healthcare with 1 year in quality improvement.
• Solid business writing experience.

Responsibilities

• Conducts quality program management activities in compliance with regulatory requirements.
• Monitors key quality activities and ensures timely completion.
• Creates and manages documentation for quality improvement functions.

Skills

Business writing

Quality improvement

Communication

Flexibility

Education

Bachelor's Degree

Tools

Excel

Visio

Job description

Specialist, Quality Program Management & Performance (Remote in NM)

3 days ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Pay found in job post

Retrieved from the description.

Base pay range

$21.82/hr - $42.55/hr

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare.

Job Description

Job Summary

The Specialist, Quality Program Management and Performance implements new and existing healthcare quality improvement activities to maintain compliance with quality program requirements and reporting and monitoring for key quality program activities. Provides support for projects, programs, and/or initiatives within the department and/or collaboratively with other departments to ensure quality programs meet regulatory requirements.

Job Duties

• Conducts quality program management activities in compliance with state (and federal and NCQA requirements, as appropriate)
• Monitors and ensures that key quality activities are completed on time and accurately to present results to key departmental management and other Molina departments as needed to meet regulatory requirements
• Writes (and/or reviews) narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions
• Creates, manages, and/or compiles the required documentation to maintain critical quality improvement functions
• Participates in quality improvement activities, meetings, and discussions with and between other departments within the organization
• Surfaces to the Manager and/or Director any gaps in processes that may require remediation
• Communicates clearly and concisely and is able to tailor messaging to diverse audiences
• Demonstrates flexibility when it comes to changes and maintains a positive outlook
• Performs other tasks, duties, projects, and programs as assigned
• This position may require same-day out-of-office travel approximately 0 - 50% of the time, depending on the location
• This position may require multiple day out of town overnight travel approximately 0 - 20% of the time, depending upon location
  
  

Job Qualifications

REQUIRED QUALIFICATIONS:

• Bachelor's Degree or equivalent combination of education and work experience
• Min. 2-3 years of experience in healthcare with 1-year of experience in health plan quality improvement, managed care, or equivalent experience
• Demonstrated solid business writing experience
• Operational knowledge and experience with Excel and Visio (flow chart equivalent)
  
  

Preferred Qualifications

• Degree in Preferred field: Nursing, Clinical Quality, Public Health, or Healthcare Administration
• Active, unrestricted Certified Professional in Health Quality (CPHQ)
• Active, unrestricted Nursing License (RN may be preferred for specific roles)
  
  

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing

Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $21.82 - $42.55 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
  
  

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x

Specialist, Quality Program Management & Performance (Remote in NM)

Albuquerque, NM $21.82 - $42.55 4 days ago

Bernalillo County, NM $68,700 - $123,700 2 weeks ago

Quality Critical Incident Clinical Coordinator

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.