Director, Health Plan Quality Program Management & Performance (Remote in New Yo
Full-time
US
Oct 24, 2026
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About the Role
JOB DESCRIPTION Job Summary Leads and directs team responsible for quality management and quality performance improvement activities. Responsible for overseeing, planning, and implementing new and existing health plan quality improvement activities to maintain compliance with quality program requirements and reporting and monitoring for key quality program activities, and provides support and implementation of National Committee for Quality Assurance (NCQA) accreditation surveys and federal/state quality improvement compliance activities, including compliance with Healthcare Effectiveness Data and Information Set (HEDIS) regulations. Essential Job Duties Directs team responsible for the implementation of key quality program management strategies, including initiation and management of quality program management activities, surveys, audits, and other activities to meet state, federal and National Committee for Quality Assurance (NCQA) regulatory requirements. • Oversees and leads health plan quality program management and performance activities in compliance with state, federal, and NCQA quality requirements. • Represents the senior leadership team at internal Molina national and regional meetings; serves as subject matter expert for the health plan at state meetings, and actively oversees the completion of effective performance improvement projects. • Collaborates with the national analytics and strategic teams to present and evaluate quality performance management program (Q