Teams at Molina Healthcare Inc.

Leads national healthcare quality performance initiatives, including HEDIS reporting, quality data collection, analytics, forecasting, regulatory compliance, and performance improvement. Oversees data ingestion and quality strategies involving EHR, HIE, and supplemental data; resolves complex issues; coordinates cross-functional stakeholders and vendors; manages program deliverables, risks, documentation, and audit readiness. Provides subject matter expertise and guidance across quality initiatives.

Leads quality systems teams and manages quality data, performance improvement initiatives, regulatory submissions, analytics, audits, and project portfolios. Oversees HEDIS and NCQA-related activities, develops strategies to improve data completeness and close care gaps, manages resources and deliverables, mitigates risks, and communicates recommendations to leadership. Hires, coaches, and develops staff while ensuring compliance with healthcare quality strategies and managed care requirements.

Leads national risk and quality solutions for state health plans, providing managed-care expertise, coordinating implementation of action plans, identifying barriers, and driving performance improvement initiatives. Partners with health plan and corporate stakeholders, develops business cases and strategies, supports compliance, and facilitates risk and quality programs. The role requires extensive managed-care experience, risk adjustment knowledge, data analysis, project management, leadership, and familiarity with CMS initiatives, HEDIS, and NCQA.