Specialist, Quality Program Management & Performance (Remote)

Job description

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 a...