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

Remote from: USA
Annual salary: Undisclosed
Salary information is not provided for this position. Check our Salary Directory to estimate the average compensation for similar roles.
Department: Healthcare & Medical
Employment type: Full Time,
Job posted: 24 Jun 2025
Apply before: 24 Jul 2025
Experience level: Midweight
Views / Applies: 12345 / 123

About company

About Molina Healthcare

Molina Healthcare is a FORTUNE 500, multi-state health care organization.

Hospital & Health Care
1980

Actively Hiring

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

Apply now >