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Director, Health Plan Quality Program Management & Performance (Remote in New Yo

Molina Healthcare · United States · US

Quality Improvement
Remote
Nurse
Demand80
Career growth78
Healthcare fit74
Remote potential82
5-year outlook
Senior payer quality leadership roles generally offer competitive compensation, but exact pay depends on location, experience, and Molina's internal band. This is not an entry-level salary path and likely values managed care quality leadership experience.
Clinical license
Not required
Applicant reach
narrow
Seniority
executive
Employment type
full-time
Date found
2026-10-24

Intelligence details

Flexible work details

Side income
Classified as side-income friendly
Engagement type
Contract
Hours
Variable hours
Eligible countries
United States
License jurisdiction
US
Profession fit
Nurse
Rate period
Annual

Why this was classified this way

  • contract

Listing via Himalayas.

Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.

Why this is worth applying to

Worth applying only if you have health plan/payer quality, NCQA/HEDIS, and team leadership experience. Clinicians without managed care quality exposure may find this a stretch despite relevant clinical quality knowledge.

Who should apply

Physician, nurse, pharmacist, or allied health quality leaders with managed care, NCQA accreditation, HEDIS, regulatory compliance, or clinical quality improvement experience who are moving into payer quality leadership.

CV angle

Frame real clinical governance, audit, quality metric, regulatory compliance, and multidisciplinary team leadership experience. Quantify quality improvement projects, HEDIS/NCQA exposure, performance dashboards, gap analyses, and compliance outcomes without inventing payer-specific experience.

Skills to highlight

  • NCQA accreditation
  • HEDIS
  • Quality program management
  • Performance improvement projects
  • Regulatory compliance
  • KPI tracking and gap analysis
  • PDSA
  • Team leadership

Role summary

Leads a health plan quality team responsible for NCQA accreditation, HEDIS and regulatory compliance, quality performance improvement, policies and procedures, reporting, audits, and staff management.

We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.