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

Job DescriptionJob SummaryThe 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 DutiesConducts 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 locationJob QualificationsREQUIRED 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 listingMolina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/VOriginally posted on Himalayas

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