Specialist, Member & Community Interventions (REMOTE) - Texas Only

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

Job summary

A leading healthcare organization is seeking candidates for a role focused on member intervention strategies. Responsibilities include assessing and improving health quality initiatives in the community. Ideal candidates possess an associate's degree and relevant healthcare experience, along with strong problem-solving skills and proficiency in business writing. This position offers a competitive benefits package and opportunities for career advancement.

Benefits

Career advancement opportunities

Competitive benefits and compensation

Flexible travel options

Supportive work environment

Qualifications

• 1-3 years of experience in healthcare; at least 1 year in quality member interventions.
• Solid business writing experience.
• Operational knowledge of Excel and Visio.

Responsibilities

• Implement evidence-based member intervention strategies.
• Monitor, complete key member intervention activities.
• Write narrative reports on regulatory specifications.

Skills

Problem Solving

Business Writing

Intervention Strategies

Education

Associate’s Degree

Bachelor’s Degree in Nursing, Social Work, or similar

Tools

Excel

Visio

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Engage in meaningful work that supports community health initiatives
- Flexibility for same-day travel and occasional overnight travel
- Supportive and collaborative work environment
- Chance to make a positive impact on member and community health outcomes

What to Expect (Job 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 program findings
- Participate in quality improvement activities and discussions across departments
- Evaluate project activities to identify opportunities for improvement

What is Required (Qualifications):
- Associate’s degree or equivalent combination of education and work experience
- 1-3 years of experience in healthcare with at least 1 year in health plan quality member interventions or managed care
- Solid business writing experience
- Operational knowledge and experience with Excel and Visio (flow chart equivalent)
- Excellent problem-solving skills

How to Stand Out (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 #CommunityHealth #CareerOpportunity #CompetitiveBenefits

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