Manager, Clinical Quality Interventions - RN Required (Remote)

Lensa; Cincinnati (OH); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading healthcare organization is looking for a Manager of Clinical Quality Interventions to oversee quality improvement initiatives and ensure compliance with standards. This remote position requires an active RN license and significant experience in managed healthcare. The successful candidate will collaborate with various teams to implement effective interventions that enhance clinical care and service quality.

Qualifications

• 5+ years in managed healthcare, including 2 years in health plan quality improvement.
• Active, unrestricted RN License required.

Responsibilities

• Develop and monitor healthcare quality interventions.
• Lead the Interventions Joint Operations Committee.
• Evaluate intervention effectiveness and report to leadership.

Skills

Leadership

Collaboration

Communication

Education

Master's Degree in a clinical field

Tools

Excel

Visio

Job description

Manager, Clinical Quality Interventions - RN Required (Remote)

Molina Healthcare is seeking a qualified professional for the role of Manager, Clinical Quality Interventions. This position involves overseeing healthcare quality improvement initiatives, data collection, reporting, and ensuring compliance with quality standards. The role requires collaboration with various teams and leadership to develop and implement effective interventions that improve clinical care and service quality.

Key Responsibilities

• Develop, implement, and monitor healthcare quality interventions aligned with state and federal regulations.
• Coordinate resources, training, and stakeholder engagement to ensure successful intervention strategies.
• Lead and facilitate the Interventions Joint Operations Committee, representing Molina Plan Senior Leadership.
• Collaborate with analytics and strategic teams to evaluate intervention effectiveness and report to leadership.
• Communicate progress, barriers, and key findings to senior management and stakeholders.
• Lead qualitative analysis, reporting, and development of program materials and policies.
• Support high-quality clinical care through strategic relationships with healthcare providers.

Minimum Requirements

• Active, unrestricted RN License.
• 5+ years in managed healthcare, including at least 2 years in health plan quality improvement.
• 2+ years of management experience leading healthcare quality teams.
• Operational knowledge of Excel and Visio.

Preferred Qualifications

• Master's Degree or higher in a clinical field, Public Health, or Healthcare.
• 3+ years' experience with member/provider outreach and quality intervention studies.
• Supervisory, project management, and team-building experience.
• Certifications: CPHQ, CHCA preferred.

This is a full-time, mid-senior level position with a pay range of $77,969 - $155,508 annually. The role is remote, and candidates should have relevant healthcare quality experience and RN licensure.