Coeur d'Alene, ID7 days ago
Job Duties** + Acts as a lead specialist to provide project, program, and/or initiative related direction and guidance for other specialists within the department and/or collaboratively with other departments + Implements evidence-based and data-informed member intervention strategies, which may include initiating and managing member and/or community interventions (e.g., removing barriers to care) and other federal and state-required quality activities + Monitors and ensures that key member intervention activities are completed on time and accurately to present results to key departmental management and other Molina departments as needed + Writes narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions + Creates, manages, and/or compiles the required documentation to maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between other departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based organizations + Evaluates project/program activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation + Other tasks, duties, projects, and programs as assigned + This position may require same-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 or equivalent combination of education and work experience. **Job Description** **Job Summary** The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid).