Program Manager - Healthcare Quality (Remote)

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Written by AI from the job title and company, not by Molina Healthcare, so some details may not match this job. The employer's own page has the real description.

Job Overview

The Program Manager - Healthcare Quality at Molina Healthcare is responsible for overseeing and enhancing the quality of healthcare services delivered to our members. This role encompasses program planning, execution, and evaluation to ensure continuous improvement in healthcare operations. The Program Manager will collaborate with cross-functional teams to implement quality initiatives, analyze performance metrics, and develop strategic plans aimed at optimizing healthcare outcomes and member satisfaction. Moreover, they will ensure compliance with healthcare standards and regulations while fostering a culture of quality and accountability across the organization.

Job Responsibilities

• Lead the design, implementation, and evaluation of quality improvement programs across healthcare services.
• Analyze performance data and metrics to identify areas for improvement and develop actionable plans.
• Collaborate with clinical and operational teams to ensure adherence to quality standards and regulatory compliance.
• Facilitate and coordinate training sessions and workshops to enhance quality awareness and practice among staff.
• Prepare reports and presentations for senior management, highlighting program successes, challenges, and recommendations.
• Engage with stakeholders, including payers and regulatory bodies, to ensure alignment on quality initiatives and education.
• Monitor industry trends and benchmarks to stay informed on best practices in healthcare quality management.

Qualifications

• Master’s degree in Public Health, Healthcare Administration, Nursing, or a related field.
• A minimum of 5 years of experience in program management within the healthcare sector.
• Strong understanding of healthcare quality metrics, performance improvement methodologies, and regulatory compliance.
• Proficient in data analysis tools and quality management software.
• Excellent communication skills, with the ability to articulate complex information to diverse audiences.
• Demonstrated leadership capabilities and experience managing cross-functional teams.
• Quality Improvement certification (e.g., Lean, Six Sigma) is preferred.

Technologies & Tools

The Program Manager - Healthcare Quality utilizes various technologies and tools to enhance program management and data analysis. Key systems may include electronic health record (EHR) platforms, quality management software, data visualization tools (such as Tableau or Power BI), and performance tracking software. Proficiency in Microsoft Office Suite, especially Excel for data analysis, is essential. Knowledge of statistical analysis software (such as SAS or SPSS) is advantageous to support the evaluation and reporting of quality initiatives.

Ideal Candidates

Ideal candidates for the Program Manager - Healthcare Quality position embody strong analytical thinking and problem-solving skills, allowing them to navigate complex healthcare environments effectively. They possess the ability to work independently as well as collaboratively, demonstrating excellent interpersonal skills and emotional intelligence. A passion for quality improvement and dedication to enhancing healthcare delivery are essential attributes. Moreover, candidates should have adaptability, resilience, and a proactive approach to addressing challenges, driving meaningful change within the organization.