Senior Level Health Program Manager Jobs
Senior level health program manager jobs put experienced professionals in charge of program strategy, cross-functional team leadership, and accountability for population health outcomes at scale. Openings concentrate in Education, Medical Devices, and Technology & Software, with a mix of on-site, hybrid, and remote positions available, and employers like SGS, AbbVie, and Oracle hiring at this level now.
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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 (QPMP) activities.
- Maintains structure and processes for quality program management, including maintenance and modification of quality policies and procedures, management and oversight of committee and workgroup structure, document management, report completion, and tracking of key deliverables.
- Prepares written reports and documents that clearly outline the quality program activities and ensure that member and provider feedback is incorporated into quality program management meetings, outcomes from these activities are documented, and continuous quality improvement tools are used to highlight the processes, interventions, and remeasurements are conducted to meet improvement goals.
- Maintains ongoing revision of policies and procedures reflective of state, federal and NCQA requirements for all quality program management functions by overseeing the ongoing incorporation and modification of requirements in state-specific policy addendums.
- Manages training and education of quality program management and performance staff in alignment with regulatory requirements.
- Ensures all quality program management and performance staff are well-versed in the requirements of the quality program and day-to-day work processes to support compliance with state contracts, policies and procedures, and program requirements.
- Implements tracking and trending of quality program requirements on an ongoing basis, including operational key performance indicators (KPIs), process reviews, and gap analyses.
- Utilizes proven quality improvement methods, such as the plan-do-study-act (PDSA) cycle, to facilitate individual, team, and organizational process improvement.
- Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of quality/department-specific goals.
- Same-day out-of-office travel approximately 0-25% of the time may be required, depending on health plan/state-specific needs.
- Multi-day out of town overnight travel approximately 0-20% of the time may be required, depending upon health plan/state-specific needs.
REQUIRED QUALIFICATIONS
- At least 8 years of experience in health care, with at least 5 years of experience in health plan quality improvement, or equivalent combination of relevant education and experience.
- At least 3 years management/leadership experience.
- Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
- Advanced knowledge and understanding of HEDIS/NCQA.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) improvement experience.
- Healthcare Effectiveness Data and Information Set (HEDIS) reporting/collection experience.
- Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
- State quality improvement (QI) experience.
- Solid business writing experience.
- Strong strategic-thinking skills.
- Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.
- Critical-thinking, problem-solving and analytical skills.
- Attention to detail and organizational skills.
- Ability to implement process improvement initiatives and drive change.
- Ability to work independently in a fast-paced, deadline-driven environment.
- Ability to work in a cross-functional highly matrixed organization.
- Project management experience.
- Excellent verbal and written communication skills.
- Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
PREFERRED QUALIFICATIONS
- Demonstrated experience in leading significant cross-functional work.
- Provider credentialing and subcontractor monitoring experience.
- Certified Professional in Health Quality (CPHQ).
- Certified HEDIS Compliance Auditor (CHCA).
- Registered Nurse (RN). If licensed, license must be active and unrestricted in state of practice.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
PAY RANGE
- Pay Range: $97,299 - $227,679 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 (QPMP) activities.
- Maintains structure and processes for quality program management, including maintenance and modification of quality policies and procedures, management and oversight of committee and workgroup structure, document management, report completion, and tracking of key deliverables.
- Prepares written reports and documents that clearly outline the quality program activities and ensure that member and provider feedback is incorporated into quality program management meetings, outcomes from these activities are documented, and continuous quality improvement tools are used to highlight the processes, interventions, and remeasurements are conducted to meet improvement goals.
- Maintains ongoing revision of policies and procedures reflective of state, federal and NCQA requirements for all quality program management functions by overseeing the ongoing incorporation and modification of requirements in state-specific policy addendums.
- Manages training and education of quality program management and performance staff in alignment with regulatory requirements.
- Ensures all quality program management and performance staff are well-versed in the requirements of the quality program and day-to-day work processes to support compliance with state contracts, policies and procedures, and program requirements.
- Implements tracking and trending of quality program requirements on an ongoing basis, including operational key performance indicators (KPIs), process reviews, and gap analyses.
- Utilizes proven quality improvement methods, such as the plan-do-study-act (PDSA) cycle, to facilitate individual, team, and organizational process improvement.
- Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of quality/department-specific goals.
- Same-day out-of-office travel approximately 0-25% of the time may be required, depending on health plan/state-specific needs.
- Multi-day out of town overnight travel approximately 0-20% of the time may be required, depending upon health plan/state-specific needs.
REQUIRED QUALIFICATIONS
- At least 8 years of experience in health care, with at least 5 years of experience in health plan quality improvement, or equivalent combination of relevant education and experience.
- At least 3 years management/leadership experience.
- Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
- Advanced knowledge and understanding of HEDIS/NCQA.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) improvement experience.
- Healthcare Effectiveness Data and Information Set (HEDIS) reporting/collection experience.
- Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
- State quality improvement (QI) experience.
- Solid business writing experience.
- Strong strategic-thinking skills.
- Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.
- Critical-thinking, problem-solving and analytical skills.
- Attention to detail and organizational skills.
- Ability to implement process improvement initiatives and drive change.
- Ability to work independently in a fast-paced, deadline-driven environment.
- Ability to work in a cross-functional highly matrixed organization.
- Project management experience.
- Excellent verbal and written communication skills.
- Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
PREFERRED QUALIFICATIONS
- Demonstrated experience in leading significant cross-functional work.
- Provider credentialing and subcontractor monitoring experience.
- Certified Professional in Health Quality (CPHQ).
- Certified HEDIS Compliance Auditor (CHCA).
- Registered Nurse (RN). If licensed, license must be active and unrestricted in state of practice.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
PAY RANGE
- Pay Range: $97,299 - $227,679 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Find JobsSenior Level Health Program Manager Job Market
Who's Hiring
Top Industries Hiring
- Education
- Medical Devices
- Technology & Software
- Healthcare & Medical Services
- Biotechnology & Pharmaceuticals
Senior Level Health Program Manager Jobs: Frequently Asked Questions
How do I get a senior level health program manager job?
Employers at this level look for demonstrated ownership of complex, multi-stakeholder programs with measurable health outcomes. Candidates who stand out can point to experience leading cross-functional teams, managing program budgets, and driving quality improvement initiatives. A track of translating data into strategic decisions, along with any relevant certifications in public health or healthcare management, strengthens an application considerably.
Which companies hire senior level health program managers?
Companies hiring senior level health program managers right now include SGS, AbbVie, and Oracle, based on current listings on Migrate Mate as of November 2026. At this level, hiring tends to come from large health systems, managed care organizations, federal and state agencies, and established nonprofits running population health or community benefit programs.
Are there remote senior level health program manager jobs?
Yes, though availability varies by employer and program type. About 40% of senior level health program manager openings are remote or hybrid as of November 2026, reflecting broader flexibility in health program administration roles. Positions tied to direct care delivery, community outreach, or facility-based programs are more likely to require on-site or regional presence.
What makes a health program manager role senior level?
Senior level roles are defined by scope and ownership. Rather than executing tasks within a defined framework, senior health program managers set program direction, own performance against strategic goals, and are accountable for outcomes across entire initiatives or regions. They also mentor junior staff, lead cross-functional collaboration, and represent the program to executive leadership, funders, or regulatory bodies.
Which industries hire the most senior level health program managers?
Senior level health program manager roles concentrate in Education, Medical Devices, and Technology & Software, based on current listings on Migrate Mate as of November 2026. These sectors drive demand because they operate large-scale health initiatives, face regulatory accountability for population outcomes, and require seasoned leaders who can manage complexity across payers, providers, and community partners.