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HomeCompaniesHckd Fa Us2 Oraclecloud Com CX 1Risk & Quality Performance Manager

Risk & Quality Performance Manager

Hckd Fa Us2 Oraclecloud Com CX 1 · United States; Remote Employees, Long Beach, CA, US · Remote · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyHckd Fa Us2 Oraclecloud Com CX 1
TitleRisk & Quality Performance Manager
Normalized title-
Department / teamQuality & Risk Adjustment
LocationUnited States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-04-20 / 2026-05-31
Changed / last seen2026-05-31 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from Hckd Fa Us2 Oraclecloud Com CX 1.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
Department jobsActive postings in Quality & Risk Adjustment.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyHckd Fa Us2 Oraclecloud Com CX 1
Source8214b818-efda-4f30-9713-cac0e888e0f9
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description Job Description Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS’s strategic objectives. This position supports the onboarding and management of supplemental clinical data from external vendors and HIEs, with a strong emphasis on interpreting, validating, and integrating CCD‑A XML and HL7‑based data formats. Job Duties • Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors. • Monitor projects from inception through successful delivery. • Oversee Risk/Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR/HIE and supplemental data. • Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect. • Draw actionable conclusions, and make decisions as needed while collaborating with other teams. • Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. • Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps. • Proactively communicate risks and issues to stakeholders and leadership. • Create, review, and approve program documentation, including plans, reports, and records. • Ensure documentation is updated and accessible to relevant parties. • Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues. Job Qualifications REQUIRED EDUCATION: Bachelor’s degree or equivalent combination of education and experience REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 2+ years of program and/or project management experience in risk adjustment and/or quality • 2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems • 2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners • Familiarity with running queries in Microsoft Azure or SQL server • Healthcare experience and functional risk adjustment and/or quality knowledge • Mastery of Microsoft Office Suite including Excel and Project • Experience partnering with various levels of leadership across complex organizations • Strong quantitative aptitude and problem solving skills • Intellectual agility and ability to simplify and clearly communicate complex concepts • Excellent verbal, written and presentation capabilities • Energetic and collaborative PREFERRED EDUCATION: Graduate degree or equivalent combination of education and experience PREFERRED EXPERIENCE: • Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements • Experience working in a cross-functional, highly matrixed organization • SQL proficiency • Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc. • Experience with CCD XMLs and HL7 files. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired 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.

Full job record

Job IDe6fec67845ca373e6d6da416ab880446c35648a2
Org ID6fcfe228-ec8c-4e31-bf8d-2e5d2cb49f0a
Source ID8214b818-efda-4f30-9713-cac0e888e0f9
Board ID8214b818-efda-4f30-9713-cac0e888e0f9
Provideroracle_hcm
Provider Job Key2036892
TitleRisk & Quality Performance Manager
Normalized Title
Statusactive
Activeyes
Location TextUnited States; Remote Employees, Long Beach, CA, US
DepartmentQuality & Risk Adjustment
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
Region
City
Salary RawDescription Job Description Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS’s strategic objectives. This position supports the onboarding and management of supplemental clinical data from external vendors and HIEs, with a strong emphasis on interpreting, validating, and integrating CCD‑A XML and HL7‑based data formats. Job Duties • Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors. • Monitor projects from inception through successful delivery. • Oversee Risk/Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR/HIE and supplemental data. • Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect. • Draw actionable conclusions, and make decisions as needed while collaborating with other teams. • Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. • Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps. • Proactively communicate risks and issues to stakeholders and leadership. • Create, review, and approve program documentation, including plans, reports, and records. • Ensure documentation is updated and accessible to relevant parties. • Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues. Job Qualifications REQUIRED EDUCATION: Bachelor’s degree or equivalent combination of education and experience REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 2+ years of program and/or project management experience in risk adjustment and/or quality • 2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems • 2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners • Familiarity with running queries in Microsoft Azure or SQL server • Healthcare experience and functional risk adjustment and/or quality knowledge • Mastery of Microsoft Office Suite including Excel and Project • Experience partnering with various levels of leadership across complex organizations • Strong quantitative aptitude and problem solving skills • Intellectual agility and ability to simplify and clearly communicate complex concepts • Excellent verbal, written and presentation capabilities • Energetic and collaborative PREFERRED EDUCATION: Graduate degree or equivalent combination of education and experience PREFERRED EXPERIENCE: • Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements • Experience working in a cross-functional, highly matrixed organization • SQL proficiency • Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc. • Experience with CCD XMLs and HL7 files. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired 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.
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2036892
Apply URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2036892
First Seen At2026-05-31 18:03:56Z
Last Seen At2026-06-06 11:30:43Z
Last Checked At2026-06-06 11:30:43Z
Last Changed At2026-05-31 18:03:56Z
Inactive At
Source Posted At2026-04-20 18:16:01Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=hckd.fa.us2.oraclecloud.com|CX_1/date=2026-06-06/2026-06-06T11-30-00-878Z-5a444c553533de92339bc7e174bf6b5a8b1de72b0bf53453749588ed04e6f9bf.json
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Extensions
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