Quality Management Analyst

Liberty Dental Plan Careers•, OK

6d•$73,000 - $80,000•Remote

About The Position

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. About the Role 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.

Requirements

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.

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.
Advanced proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook, and Access.
Experience with reporting and data visualization tools such as Power BI is preferred.

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.

Benefits

Competitive pay structure and savings options to help you reach your financial goals.
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.