Sr Specialist, Quality Program Management and Performance (Remote in IA)

Molina Healthcare; Davenport (IA); Remote; USD 52,000 - 102,000; Full time

Job summary

A leading healthcare organization is seeking a Senior Specialist in Quality Program Management to implement and oversee quality improvement activities. The role involves compliance with regulatory requirements, collaboration across departments, and leading quality initiatives. Ideal candidates will have a Bachelor's degree and significant experience in healthcare quality improvement.

Qualifications

• Minimum 3 years of experience in healthcare, 2 years in quality improvement.
• Demonstrated solid business writing experience.

Responsibilities

• Leads quality improvement activities and manages documentation.
• Monitors key quality activities and prepares reports.

Skills

Business Writing

Data Reporting

Analysis

Education

Bachelor's Degree

Tools

Excel

Visio

Job description

Sr Specialist, Quality Program Management and Performance (Remote in IA)

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Sr Specialist, Quality Program Management and Performance (Remote in IA)

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Job Summary

The Senior 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. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides guidance for other specialists within the department and/or collaboratively with other departments to ensure quality programs meet regulatory requirements.

Job Description

Job Summary

The Senior 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. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides guidance for other specialists within the department and/or collaboratively with other departments to ensure quality programs meet regulatory requirements.

Job Duties

• Acts as a lead specialist to provide project-, program-, and/or initiative-related direction and guidance for other specialists within the department and/or collaboratively with other departments to ensure quality programs meet regulatory requirements
• Implements key quality program activities that maintain quality compliance, including maintaining responsibility for preparing and finalizing quality program management committee and other meeting documentation, which capture thorough discussion and participation of attendees, follow-up actions, and next steps, in a clear and understandable way
• Oversees quality program management activities, which include preparation for quality improvement audits, surveys, and other federal and state-required quality activities
• Monitors and ensures that key quality activities are completed on time and accurately to present results to key departmental management and other Molina departments, and to formal committees and subcommittees as needed
• Writes narrative reports and works with departmental specialists (as appropriate) to interpret regulatory specifications, explain programs and results of programs, and document findings
• Maintains quality program management project plan to ensure state (and/or federal and NCQA-related) requirements are documented during the year
• Works with the Manager and/or Director to maintain up-to-date addendums to quality policies and procedures that clearly document state-specific activities and requirements in collaboration with the national teams
• Creates, manages, and/or compiles the required documentation to maintain critical quality improvement functions
• Leads quality improvement activities, meetings, and discussions with and between other departments within the organization
• Evaluates project/program activities and results to identify opportunities for improvement
• Surfaces to the Manager and/or Director any gaps in processes that may require remediation
• Other tasks, duties, projects, and programs assigned
• This position may require same-day out-of-office travel 0 - 50% of the time, depending upon the location
• This position may require multiple days’ out of town overnight travel 0 - 20% of the time, depending upon location
  
  

Job Qualifications

REQUIRED QUALIFICATIONS:

• Bachelor's Degree or equivalent combination of education and work experience
• Min. 3 years of experience in healthcare with a minimum of 2 years 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: Clinical Quality, Public Health, or Healthcare
• 5 years of experience in health plan quality management
• Experience with data reporting, analysis, and/or interpretation
• Active, unrestricted Certified Professional in Health Quality (CPHQ)
• Active, unrestricted Nursing License (RN may be preferred for specific roles)
• Active, unrestricted Certified HEDIS Compliance Auditor (CHCA)
  
  

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: $52,176 - $101,744 / ANNUAL

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

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Hospitals and Health Care

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