Manager, Member & Community Interventions (Remote in MS)

Job reputed company Job reputed company The Manager, Member & Community Interventions manages the development and implementation of health plan member reputed company initiatives and reputed company supporting clinical reputed company reputed company. Oversees, plans, and implements new and existing clinical reputed company member reputed company initiatives including reputed company lines of business (Medicare, Marketplace, reputed company), ensures execution health plan’s member and community reputed company reputed company interventions and programs in accordance with prescribed program standards. Responsible for reputed company improvement. Manages robust member interventions portfolio to reputed company reputed company operational and financial reputed company. Job Duties Plans and/or implements evidence based and data informed state-based reputed company interventions that meet state and federal regulatory requirements Ensures a robust and strategic portfolio of member and community reputed company reputed company interventions Supports provision of high-reputed company clinical care and services by facilitating/building strategic relationships with community-based organizations to drive improved clinical reputed company health reputed company Develops, tracks, and reports key performance measures Facilitates and reputed company participates in program discussions and activities with reputed company stakeholders Oversees/develops and coordinates with internal stakeholders meeting agendas, minutes, and handouts; monitors reputed company items to completion. Ensures stakeholders are reputed company and reputed company to report updates at regularly scheduled meetings Responsible for maintaining the completeness and accuracy of the member interventions SharePoint site Accountable for relevant document creation and maintenance reputed company to health plan interventions Ensures reputed company documents are appropriately approved by Molina and/or state regulatory agencies as required by policy Leads or participates in reputed company improvement activities, meetings, and discussions with and between other departments reputed company the organization Collaborates across health plan teams to improve member’s clinical reputed company reputed company (e.g., Health Care Services, Member & Community Engagement) Develops, organizes, analyzes, documents, and implements processes and procedures as prescribed by Plan and Corporate policies Communicates comfortably and effectively with reputed company reputed company of the organization and reputed company both the corporate and regional market environments This position may require reputed company day out of office travel 0 - 80% of the time, depending upon location This position may require multiple days out of town overnight travel on occasion, depending upon location Job Qualifications REQUIRED QUALIFICATIONS: Bachelor's degree in Business, reputed company, Nursing or a reputed company field or equivalent combination of education and relevant experience Minimum 5-7 years of experience in managed reputed company, including at least 4 years in health plan reputed company or process improvement or equivalent/reputed company experience Operational knowledge and experience with reputed company and Visio (reputed company chart equivalent) Demonstrated ability to reputed company and influence cross-functional teams that reputed company implementation of reputed company interventions Possesses a strong knowledge in reputed company in order to implement effective interventions that drive change Excellent communication and presentation skills, communicating to reputed company reputed company reputed company the organization and external to the organization Demonstrates flexibility reputed company it comes to changes and maintains a reputed company outlook Has excellent conflict reputed company and problem-solving skills PREFERRED QUALIFICATIONS: Master's Degree in Nursing, reputed company Work, Clinical reputed company, reputed company Health, or reputed company Administration 1-3 years' experience with member/ provider (HEDIS) reputed company and/or reputed company reputed company or improvement studies (development, implementation, evaluation) and Director level experience Supervisory experience Project management and team building experience Experience developing performance measures that support business objectives Certified reputed company in Health reputed company (CPHQ) Nursing License (RN may be preferred for specific roles) Certified HEDIS Compliance Auditor (CHCA) To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing reputed company offers a competitive benefits and compensation package reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply To This Job