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 requirementsWrites (and/or reviews) narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventionsCreates, manages, and/or compiles the required documentation to maintain critical quality improvement functionsParticipates in quality improvement activities, meetings, and discussions with and between other departments within the organizationSurfaces to the Manager and/or Director any gaps in processes that may require remediationCommunicates clearly and concisely and is able to tailor messaging to diverse audiencesDemonstrates flexibility when it comes to changes and maintains a positive outlookPerforms other tasks, duties, projects, and programs as assignedThis position may require same-day out-of-office travel approximately 0 - 50% of the time, depending on the locationThis 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 experienceMin. 2-3 years of experience in healthcare with 1-year of experience in health plan quality improvement, managed care, or equivalent experienceDemonstrated solid business writing experienceOperational knowledge and experience with Excel and Visio (flow chart equivalent)

PREFERRED QUALIFICATIONS:

Degree in Preferred field: Nursing, Clinical Quality, Public Health, or Healthcare AdministrationActive, 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.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 06/24/2025