Quality Program Administrator

Job Details

Job Location:

Western Region - CA 92782

Make an Impact on Healthcare Quality and Compliance as a Quality Program Administrator

Are you passionate about improving healthcare quality, driving regulatory compliance, and leading meaningful initiatives that positively impact member outcomes? 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.

Hybrid for employees near Las Vegas, NV or Tustin, CA; remote consideration for those outside commuting distance.

The Quality Program Administrator serves as a subject matter expert for quality programs and provides program and project management support to the Quality and Utilization Management Department. This position plays a key role in supporting Medicaid and Medicare compliance initiatives, coordinating cross-functional quality improvement efforts, monitoring program performance, and ensuring regulatory requirements are effectively implemented and maintained.

This is an excellent opportunity for a detail-oriented professional who enjoys project management, regulatory compliance, data analysis, and collaborating with diverse stakeholders to drive measurable improvements.

• 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.

• 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…