Senior Health Plan Interventions Lead (Travel Required)

Molina Healthcare; Boise (ID); Remote; USD 70,000 - 100,000; Full time

Job summary

Molina Healthcare in Boise, ID seeks a Senior Quality Interventions Specialist to lead clinical quality member interventions across Medicare, Marketplace, and Medicaid. You will develop, implement, and monitor programs, ensuring compliance with NCQA regulations and regulatory standards.

The role requires strong data analysis, writing, and communication skills, with responsibilities including reporting, staff training, and collaboration with internal teams and community partners.

Qualifications

• Minimum 3 years in health care and 2 years in health plan quality interventions in a managed care setting or equivalent.
• Strong business writing and data interpretation skills.
• Solid knowledge of HEDIS and NCQA requirements.
• Ability to work independently in a fast-paced environment.
• Excellent verbal and written communication abilities.

Responsibilities

• Develop and implement member intervention initiatives across lines of business.
• Monitor intervention activities and present results to management.
• Write narrative reports and document program findings.
• Maintain documentation for program milestones and deadlines.
• Support quality improvement activities and provide training to staff.

Skills

Data analysis

HEDIS knowledge

NCQA knowledge

Business writing

Written communication

MS Office

Education

RN license (optional)

CPHQ certification (preferred)

CHCA certification (preferred)

Bachelor’s degree in healthcare

Tools

MS Office

Job description

Molina Healthcare in Boise, ID seeks a Senior Quality Interventions Specialist to lead clinical quality member interventions across Medicare, Marketplace, and Medicaid. You will develop, implement, and monitor programs, ensuring compliance with NCQA regulations and regulatory standards.

The role requires strong data analysis, writing, and communication skills, with responsibilities including reporting, staff training, and collaboration with internal teams and community partners.