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ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT

Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.

Supervisor, Clinical Data Acquisition (Remote)

Molina Healthcare
AZ, United States; Arizona; Warren, Michigan; Buffalo, New York; Kenosha, Wisconsin; Rio Rancho, New Mexico; Fort Worth, Texas; Tucson, Arizona; Roswell, New Mexico; Caldwell, Idaho; West Valley City, Utah; Nampa, Idaho; Ann Arbor, Michigan; Spokane, Washington; Michigan; Washington; Georgia; Wisconsin; Nebraska; Grand Rapids, Michigan; Lincoln, Nebraska; Sioux City, Iowa; Boise, Idaho; Davenport, Iowa; New York; San Antonio, Texas; Cleveland, Ohio; Santa Fe, New Mexico; Albuquerque, New Mexico; Louisville, Kentucky; Columbus, Ohio; Macon, Georgia; Akron, Ohio; Albany, New York; Austin, Texas; Idaho; Orem, Utah; Meridian, Idaho; Las Cruces, New Mexico; Provo, Utah; Vancouver, Washington; Houston, Texas; Covington, Kentucky; Utah; Kearney, Nebraska; Cedar Rapids, Iowa; Augusta, Georgia; Atlanta, Georgia; Bellevue, Nebraska; Tacoma, Washington; St. Petersburg, Florida; Racine, Wisconsin; Iowa City, Iowa; Bellevue, Washington; Florida; Madison, Wisconsin; Chandler, Arizona; Mesa, Arizona; Rochester, New York; Miami, Florida; Idaho Falls, Idaho; Layton, Utah; New Mexico; Syracuse, New York; Lexington-Fayette, Kentucky; Cincinnati, Ohio; Des Moines, Iowa; Columbus, Georgia; Orlando, Florida; Detroit, Michigan; Dayton, Ohio; Iowa; Phoenix, Arizona; Salt Lake City, Utah; Sterling Heights, Michigan; Dallas, Texas; Tampa, Florida; Yonkers, New York; Grand Island, Nebraska; Milwaukee, Wisconsin; Scottsdale, Arizona; Owensboro, Kentucky; Savannah, Georgia; Green Bay, Wisconsin; Omaha, Nebraska; Jacksonville, Florida; Bowling Green, Kentucky; Everett, Washington; Texas; Ohio; Kentucky
Job ID 2034365
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JOB DESCRIPTION

Job Summary

Molina’s Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.

Job Duties

  • The Supervisor, HEDIS/Quality Reporting supervises staff who contribute to one or more of these quality improvement functions: HEDIS Performance Measurement and Quality Reporting.
  • Supervises staff who have the responsibility for the implementation of HEDIS activities, including the identification, collection and abstraction of medical records and other data in support of annual HEDIS project management and ongoing review of medical records submitted by providers.
  • Implements Molina Healthcare goals and/or oversees local processes for HEDIS and/or Quality Reporting.
  • Participates in meetings with the corporate HEDIS team, vendors and/or HEDIS auditors. Works with QI management to provide medical record vendor oversight.
  • Provides data collection and/or report development support for Quality Improvement studies and performance improvement project.
  • Ensures all data-intensive HEDIS and/or reporting activities are accomplished timely and accurately. 
  • Identifies and oversees new supplemental data sources for use in HEDIS reporting.
  • Coordinates HEDIS and QI related projects to meet customers' expectations.
  • Ensures standard rate validations are completed in conjunction with reporting.
  • Works with other Health Plan and/or Corporate departments (e.g., Risk Adjustment) to ensure prospective and/or retrospective chart reviews and completed timely and accurately.
  • Effectively oversees internal and/or external vendor communications by collaborating and disseminating reports, defining program descriptions, and / or sharing analytical findings.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

  • Bachelor’s degree in related field or equivalent experience, OR completion of any of the following programs:
    • Registered Nurse (RN) or State Licensed Vocational Nurse (LVN), or
    • Registered Health Information Technician (RHIT)

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

• Min. 4 years experience in healthcare Quality/HEDIS projects/audits

• 2+ years of experience in HEDIS medical records collection and abstraction

• 2+ years of medical record review experience

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

  • Bachelor’s degree in related field or equivalent experience, OR completion of any of the following programs:
    • Registered Nurse (RN) or State Licensed Vocational Nurse (LVN), or
    • Registered Health Information Technician (RHIT)

PREFERRED EDUCATION:

Preferred field:  Clinical Quality, Public Health or Healthcare.

PREFERRED EXPERIENCE:

• CAHPS improvement experience

• State QI experience

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

• Certified Professional in Health Quality (CPHQ)

• Nursing License (RN may be preferred for specific roles)

• Certified HEDIS Compliance Auditor (CHCA)

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $117,809 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type Full Time Posting Date 10/22/2025

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