Manager, Clinical Quality Interventions - RN Required (Remote)

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.

Plans and/or implements Quality interventions that meet state and federal intervention rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. Develops and implements targeted interventions related to performance improvement, including member and provider outreach to improve care and service. Serves as operations and implementation lead for Molina Plan quality improvement interventions using a defined roadmap, timeline, and key performance indicators. Collaborates with the national intervention collaborative analytics and strategic teams to deliver proposed interventions for review and evaluation. Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national intervention collaborative analytics and strategic teams about key deliverables, timelines, barriers, and escalated issues that need immediate attention. Presents concise summaries, key takeaways, and action steps about Molina plan intervention strategy to national, regional and plan meetings. Demonstrates ability to lead and influence cross-functional teams that oversee implementation of quality interventions. Possesses a strong knowledge in quality to implement effective interventions that drive change. Functions as key lead for interventions including qualitative analysis, reporting and development of program materials, templates, or policies. Provides on-going support to manage and maintain the integrity of established programs/processes and member/provider outreach initiatives. Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with health care providers.