Quality Management Analyst

Summary

Liberty Dental Plan is seeking a highly organized and analytical Quality Program Administrator to support critical Medicaid and Medicare quality programs while helping ensure operational excellence across the organization. The role involves serving as a subject matter expert for quality programs, providing program and project management support, and ensuring compliance with regulatory requirements.

Responsibilities

• Develop expertise in government contractual and regulatory requirements related to Medicaid and Medicare programs
• Research, interpret, and operationalize new and updated regulatory requirements to ensure compliance
• Support program governance efforts and ensure timely implementation of quality initiatives
• Coordinate contract readiness activities and support responses to internal and external audits
• Lead and facilitate projects that monitor and evaluate quality program performance
• Develop comprehensive work plans, including timelines, milestones, deliverables, and accountability measures
• Collaborate across Compliance, Operations, Clinical, and Provider Relations teams to achieve quality objectives
• Track performance metrics through dashboards and reporting tools
• Identify and implement process improvement opportunities that enhance program effectiveness and efficiency
• Conduct quantitative and qualitative analyses of quality program data
• Evaluate trends, performance outcomes, and improvement opportunities
• Prepare and submit required quality reports, evaluations, work plans, and regulatory deliverables
• Present findings and recommendations to stakeholders and leadership
• Monitor quality standards, accreditation requirements, and operational compliance activities
• Support performance improvement initiatives and corrective action planning
• Participate in vendor and delegated entity oversight activities
• Help ensure compliance with applicable quality, regulatory, and accreditation standards
• Protect and safeguard Protected Health Information (PHI) in accordance with company policies and procedures
• Maintain a safe, productive, and professional work environment
• Perform additional duties as assigned in support of departmental and organizational goals

Skills

• Bachelor's degree in Healthcare Administration or a related field, or equivalent combination of education and experience preferred
• 2 to 5 years of project management experience
• Strong organizational skills with the ability to manage multiple priorities in a fast-paced, deadline-driven environment
• Excellent analytical, reporting, and problem-solving capabilities
• Outstanding written, verbal, and interpersonal communication skills
• Advanced proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook, and Access
• Experience in Dental Managed Care, Healthcare Quality, Medicaid, Medicare, or Program Management
• Knowledge of government program operations, contractual obligations, and regulatory requirements
• Familiarity with CMS, NCQA, URAC, or similar compliance and accreditation standards
• Experience facilitating cross-functional meetings, training programs, or quality improvement initiatives
• Ability to analyze large data sets, identify trends, and communicate actionable insights
• Bilingual communication skills are a plus
• Experience with reporting and data visualization tools such as Power BI is preferred

Qualifications

Must Haves

• Bachelor's degree in Healthcare Administration or a related field, or equivalent combination of education and experience preferred
• 2 to 5 years of project management experience
• Strong organizational skills with the ability to manage multiple priorities in a fast-paced, deadline-driven environment
• Excellent analytical, reporting, and problem-solving capabilities
• Outstanding written, verbal, and interpersonal communication skills
• Advanced proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook, and Access

Nice to Haves

• Experience in Dental Managed Care, Healthcare Quality, Medicaid, Medicare, or Program Management
• Knowledge of government program operations, contractual obligations, and regulatory requirements
• Familiarity with CMS, NCQA, URAC, or similar compliance and accreditation standards
• Experience facilitating cross-functional meetings, training programs, or quality improvement initiatives
• Ability to analyze large data sets, identify trends, and communicate actionable insights
• Bilingual communication skills are a plus
• Experience with reporting and data visualization tools such as Power BI is preferred

Benefits

• Competitive and attractive benefit packages for our employees
• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines
• Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
• 100% employer-paid dental coverage for employees and eligible dependents.
• Vision insurance with low-cost premiums for employee-only coverage and dependents.
• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
• Flexible Spending Accounts for healthcare and dependent care expenses.
• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
• Long-term disability coverage.
• Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
• Employee Assistance Program (EAP) to support mental health and well-being.
• Generous vacation and sick leave policies, with the ability to roll over unused time.
• 10 paid company holidays.
• Tuition reimbursement for eligible educational expenses.
• Remote or hybrid work options available for various positions.