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Senior Specialist, Member & Community Interventions - Remote

Posted 4 days ago
All others
Full Time
NM, USA

Overview

The Sr Specialist, Member & Community Interventions oversees and implements clinical quality member intervention initiatives across various healthcare lines, ensuring compliance and continuous improvement.

In Short

  • Lead specialist for member intervention initiatives.
  • Implement evidence-based intervention strategies.
  • Monitor key member intervention activities.
  • Write reports to interpret regulatory specifications.
  • Compile documentation to maintain program milestones.
  • Participate in quality improvement activities.
  • Facilitate relationships with community organizations.
  • Evaluate project activities for improvement opportunities.
  • Support high-quality clinical care and services.
  • May require travel 0 - 80% of the time.

Requirements

  • Bachelor's Degree or equivalent experience.
  • 3 years in healthcare, 2 years in member interventions.
  • Solid business writing experience.
  • Operational knowledge of Excel and Visio.
  • Flexibility and positive outlook.
  • Excellent problem-solving skills.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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