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Specialist, Member & Community Interventions - Remote

Posted 5 days ago
Healthcare
Full Time
MI, USA

Overview

The Specialist, Member & Community Interventions implements clinical quality member intervention initiatives across various lines of business, ensuring adherence to program standards and continuous improvement.

In Short

  • Implements evidence-based member intervention strategies.
  • Monitors intervention activities and reports outcomes.
  • Writes reports interpreting regulatory specifications.
  • Manages documentation for program milestones.
  • Participates in quality improvement activities.
  • Builds relationships with community organizations.
  • Evaluates project activities for improvement opportunities.
  • Identifies gaps in processes for remediation.
  • Demonstrates flexibility and a positive outlook.
  • May require travel up to 80% of the time.

Requirements

  • Associate’s degree or equivalent experience.
  • 1-3 years in healthcare with experience in quality member interventions.
  • Solid business writing experience.
  • Operational knowledge of Excel and Visio.
  • 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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