Specialist, Member & Community Interventions (Remote in MA)

Molina Healthcare; Long Beach (CA); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization in Long Beach is seeking a candidate to implement member intervention strategies and monitor key activities. Ideal candidates will have an associate's degree and relevant healthcare experience. Strong business writing and problem-solving skills are required. This role offers competitive compensation and the opportunity for career advancement within a collaborative environment.

Benefits

Competitive compensation and benefits package

Opportunity for career advancement

Qualifications

• 1-3 years of experience in healthcare.
• Experience in health plan quality member interventions or managed care required.
• Demonstrated solid business writing experience.

Responsibilities

• Implement evidence-based member intervention strategies.
• Monitor and ensure timely completion of intervention activities.
• Write narrative reports documenting findings.

Skills

Problem-solving skills

Business writing experience

Operational knowledge of Excel

Operational knowledge of Visio

Education

Associate’s degree or equivalent

Bachelor’s Degree in Nursing or related fields

Job description

Overview

Industry: Healthcare Services

Why consider this job opportunity

• Competitive compensation and benefits package
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on community health outcomes
• Flexibility for same-day out-of-office travel, with potential overnight travel opportunities

Responsibilities

• Implement evidence-based member intervention strategies and manage community interventions
• Monitor and ensure timely completion of key member intervention activities
• Write narrative reports interpreting regulatory specifications and documenting findings
• Participate in quality improvement activities and discussions with other departments
• Evaluate project/program activities to identify opportunities for improvement

Qualifications

• Associate’s degree or equivalent combination of education and work experience
• 1-3 years of experience in healthcare, including 1 year in health plan quality member interventions or managed care
• Demonstrated solid business writing experience
• Operational knowledge and experience with Excel and Visio
• Excellent problem-solving skills

Preferred Qualifications

• Bachelor’s Degree in Nursing, Social Work, Clinical Quality, Public Health, or Healthcare Administration
• 1 year of experience in Medicare and Medicaid managed care
• Certified Professional in Health Quality (CPHQ)
• Nursing License (RN may be preferred for specific roles)
• Certified HEDIS Compliance Auditor (CHCA)

#HealthcareServices #QualityImprovement #CareerOpportunity #CommunityHealth #CompetitiveBenefits

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