Remote opportunity•Posted 10/4/2026, 3:40:50 AM
M
Molina Healthcare
Manager, National Risk & Quality Solutions - NCQA
Remote•Remote
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About this role
Job Description Job Summary Leads and manages Quality Systems performance managers, demonstrating accountability for people performance, delivery outcomes, and execution of quality system initiatives. Oversees a portfolio of quality data and performance improvement activities, ensuring teams are resourced, aligned, and operating in accordance with quality strategies, regulatory requirements, and enterprise priorities. Job Duties
- Manages the Quality Systems team, including setting expectations, monitoring performance, providing coaching and feedback, and ensuring alignment with quality strategies and department specific goals.
- Supports the annual quality data submission process, including National Committee for Quality Assurance (NCQA) and state regulatory submissions.
- Manages, designs, and develops data-focused strategies to improve completeness and accuracy of data ingestion activities including supplemental and Health Information Exchange (HIE) data.
- Collaborates with corporate quality leaders and health plans to improve program performance by supporting development of meaningful reporting and analytics including but not limited to: quality rate trending and forecasting, provider quality performance, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and other survey analytics, and health equity.
- Oversees development of quality project plans and schedules, assigns resources, and ensures deliverables are met on time, within scope, and in compliance with regulatory requirements.
- Identifies potential barriers to quality project plans and develops mitigation strategies.
- Ensures complex problems are addressed and resolved by the team through effective prioritization, escalation, and cross-functional collaboration.
- Draws actionable conclusions and collaborates with cross-functional teams to present recommendations/solutions to identify quality issues.
PREFERRED QUALIFICATIONS
- Experience leading in a cross-functional, highly matrixed organization, preferably within a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs.
- History of excelling in roles impacting quality.
- Advanced knowledge/experience related to National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data Information Set (HEDIS), Centers for Medicare and Medicaid Services (CMS), and state-specific regulatory submission requirements.
- Microsoft Azure Databricks and SQL mastery.
- Project Management Professional (PMP).
- Six Sigma Green Belt or Black Belt certification, and/or comparable coursework. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Posting details
Remote
Yes
Employment type
Full-time
Workplace type
Remote
Source
remotejobsorg
First seen
10/4/2026, 8:10:26 AM
Last seen
10/4/2026, 8:10:26 AM