Senior Health Plan Interventions & Quality Improvement Lead

Molina Healthcare, Inc.; Oregon; Hybrid; USD 90,000 - 130,000; Full time

Job summary

Join Molina Healthcare in Oregon as a senior quality interventions professional responsible for developing and implementing member intervention initiatives across lines of business. You will drive data-informed strategies, monitor outcomes, and collaborate with CBOs and internal partners to improve NCQA/HEDIS results.

The ideal candidate has 3+ years in health care and 2+ years in health plan quality interventions, strong writing and data analysis skills, and the ability to work independently in

Qualifications

• At least 3 years in health care and at least 2 years in health plan quality member interventions.
• Demonstrated solid business writing experience.
• Proficiency in data analysis, manipulation and interpretation.
• Intermediate knowledge of HEDIS and NCQA.
• Critical-thinking, problem-solving 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 suite and applicable software programs proficiency.

Responsibilities

• Implements evidence-based and data-informed member intervention strategies across lines of business.
• Monitors adherence to timelines and presents results to management and other departments.
• Writes narrative reports interpreting regulatory specifications and program results.
• Creates and maintains documentation for program milestones and deliverables.
• Participates in quality improvement activities and cross-department discussions.
• Supports quality-related projects and builds relationships with community-based organizations.
• Evaluates activities to identify opportunities for improvement.
• Identifies gaps in processes and raises them to quality leadership.
• Provides training and support to team members and adapts to change.

Skills

Healthcare experience

Quality improvement

Data analysis

HEDIS/NCQA knowledge

Written communication

Project management

MS Office proficiency

Independent work

Education

RN (preferred)

Job description

Join Molina Healthcare in Oregon as a senior quality interventions professional responsible for developing and implementing member intervention initiatives across lines of business. You will drive data-informed strategies, monitor outcomes, and collaborate with CBOs and internal partners to improve NCQA/HEDIS results.

The ideal candidate has 3+ years in health care and 2+ years in health plan quality interventions, strong writing and data analysis skills, and the ability to work independently in