Senior Health Plan Interventions & Quality Lead

Molina Talent Acquisition; Iowa; Remote; USD 70.000 - 90.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Equal Opportunity Employer

Zusammenfassung

Molina Healthcare in Iowa seeks a senior quality interventions specialist to design and implement member and community interventions across Medicare, Marketplace and Medicaid programs. You will collect data, monitor outcomes, and report results to drive continuous improvement in program delivery.

Responsibilities include writing narrative reports, coordinating with departments, and building relationships with community-based organizations to support high-quality care.

Qualifikationen

• 3+ years in health care and 2+ years in health plan quality interventions in managed care or equivalent experience.
• Solid business writing experience.
• Proficiency with data analysis, manipulation and interpretation.
• Knowledge of HEDIS and NCQA.
• Strong analytical and critical-thinking skills.
• Detail-oriented with good organizational skills.
• Ability to adapt to change and work independently in a fast-paced environment.
• Effective verbal and written communication; proficient with standard software.

Aufgaben

• Implements evidence-based member intervention strategies and manages interventions across programs.
• Monitors timely completion of activities and presents results to management.
• Writes narrative reports describing programs, results, and limitations.
• Maintains documentation for program milestones and deadlines.
• Participates in quality improvement activities across departments.
• Builds relationships with community-based organizations to support quality care.
• Evaluates activities to identify improvement opportunities.
• Raises gaps to quality leadership and supports related projects.
• Provides training and support to team members.

Kenntnisse

Healthcare experience

Quality improvement

Data analysis

HEDIS knowledge

NCQA knowledge

Communication skills

Problem-solving

Attention to detail

Ausbildung

Bachelor's degree or equivalent

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare in Iowa seeks a senior quality interventions specialist to design and implement member and community interventions across Medicare, Marketplace and Medicaid programs. You will collect data, monitor outcomes, and report results to drive continuous improvement in program delivery.

Responsibilities include writing narrative reports, coordinating with departments, and building relationships with community-based organizations to support high-quality care.