Senior Health Plan & Community Interventions Lead

Molina Healthcare; Long Beach (CA, ID); Remote; USD 49,000 - 96,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a senior-level clinician quality interventions professional in Long Beach, CA to develop and implement member intervention initiatives across Medicare, Marketplace, and Medicaid programs. You will collect data, monitor activities, report outcomes, and drive continuous improvement within NCQA-aligned standards.

The role requires strong writing, data analysis skills, and ability to work independently in a fast-paced environment.

Qualifications

• 3+ years in health care with 2+ years in health plan quality interventions in a managed care setting or equivalent
• Strong business writing experience
• Proficiency with data analysis, manipulation and interpretation
• Knowledge of HEDIS and NCQA
• Critical-thinking and analytical skills
• Attention to detail and organizational skills
• Ability to navigate change with flexibility and a positive outlook
• Ability to work independently in a fast-paced, deadline-driven environment
• Effective verbal and written communication skills
• Microsoft Office proficiency and ability to learn new information systems

Responsibilities

• Implements evidence-based and data-informed member intervention strategies
• Monitors and ensures timely completion of activities and presents results to management
• Writes narrative reports to interpret regulatory specifications and outcomes
• Maintains documentation for program milestones and deliverables
• Participates in quality improvement activities and cross-department discussions
• Supports provision of high-quality care by building relationships with community organizations
• Evaluates activities to identify opportunities for improvement
• Raises gaps in processes to quality leadership
• Provides training and support to team members
• Demonstrates flexibility with change management
• Willingness for travel (0-80% state-specific) and occasional multi-day trips

Skills

Data analysis

Business writing

Communication

Problem-solving

Attention to detail

Independent work

Education

CPHQ certification

CHCA certification

RN license (active)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a senior-level clinician quality interventions professional in Long Beach, CA to develop and implement member intervention initiatives across Medicare, Marketplace, and Medicaid programs. You will collect data, monitor activities, report outcomes, and drive continuous improvement within NCQA-aligned standards.

The role requires strong writing, data analysis skills, and ability to work independently in a fast-paced environment.