About This Role
This role is for a specialist who will implement and maintain healthcare quality improvement activities. The core purpose is to ensure compliance with quality program requirements, reporting, and monitoring for key quality program activities. The position provides support for projects, programs, and initiatives to ensure quality programs meet all regulatory requirements.
Responsibilities
- Conduct quality program management activities in compliance with state (and federal and NCQA requirements, as appropriate)
- Monitor and ensure 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
- Write (and/or review) narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions
- Create, manage, and/or compile the required documentation to maintain critical quality improvement functions
- Participate in quality improvement activities, meetings, and discussions with and between other departments within the organization
- Surface to the Manager and/or Director any gaps in processes that may require remediation
- Communicate clearly and concisely and be able to tailor messaging to diverse audiences
- Demonstrate flexibility when it comes to changes and maintain a positive outlook
- Perform other tasks, duties, projects, and programs as assigned
Requirements
- Bachelor's Degree or equivalent combination of education and work experience
- Minimum 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)
Nice to have:
- Degree in 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)
Benefits
- Competitive benefits and compensation package
Important Details
- Travel: May require same-day out-of-office travel approximately 0-50% of the time, depending on the location
- Travel: May require multiple day out of town overnight travel approximately 0-20% of the time, depending upon location
About the Company
Molina Healthcare offers a competitive benefits and compensation package.
