Member Interventions & Quality Improvement Specialist

Molina Talent Acquisition; San Antonio (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Quality Interventions Specialist to support clinical quality member interventions across Medicare, Marketplace, and Medicaid programs. You will develop and implement intervention initiatives, collect data, monitor KPIs, and report outcomes to drive continuous improvement in intervention processes.

This role requires solid writing, data analysis, and NCQA/HEDIS knowledge, with travel as needed (0-20%, possibly longer).

Qualifications

• 2+ years in health care with quality interventions
• Strong writing and data interpretation skills
• Knowledge of HEDIS and NCQA regulations
• Able to work independently in fast-paced environment
• Proficiency in MS Office and relevant software

Responsibilities

• Implements evidence-based member intervention strategies
• Monitors timely completion and presents results
• Writes narrative reports interpreting regulatory specifications
• Documents milestones, deadlines, and deliverables
• Participates in quality improvement activities
• Supports relationships with community-based organizations
• Evaluates projects to identify improvement opportunities
• Flags gaps to quality leadership
• Travel 0-20% as needed
• Overnight travel may be required on occasion

Skills

Data analysis

Writing ability

Attention to detail

MS Office

NCQA knowledge

Job description

Molina Healthcare is seeking a Quality Interventions Specialist to support clinical quality member interventions across Medicare, Marketplace, and Medicaid programs. You will develop and implement intervention initiatives, collect data, monitor KPIs, and report outcomes to drive continuous improvement in intervention processes.

This role requires solid writing, data analysis, and NCQA/HEDIS knowledge, with travel as needed (0-20%, possibly longer).