Experienced Quality Improvement Specialist - Healthcare Quality Interventions and Compliance Expert

Introduction to Molina Healthcare Molina Healthcare is a leading organization in the healthcare industry, dedicated to providing high-quality services to its members. Our mission is to improve the health and well-being of our members by delivering exceptional healthcare solutions. We are committed to fostering a culture of excellence, innovation, and collaboration, and we are seeking a talented and experienced Specialist, Quality Interventions/QI Compliance to join our team. Job Summary The Specialist, Quality Interventions/QI Compliance will play a critical role in overseeing, planning, and implementing new and existing healthcare quality improvement initiatives and education programs. This position requires a strong and diverse skillset in relevant areas, including quality improvement, compliance, and project management. The successful candidate will have the opportunity to work remotely and contribute to the development and implementation of quality improvement strategies that drive success and improve healthcare outcomes. Key Responsibilities Implement key quality strategies, including initiation and management of provider, member, and/or community interventions, preparation for Quality Improvement Compliance surveys, and other federal and state required quality activities Monitor and ensure that key quality activities are completed on time and accurately, presenting results to key departmental management and other Molina departments as needed Write narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions Create, manage, and/or compile the required documentation to maintain critical quality improvement functions Lead quality improvement activities, meetings, and discussions with and between other departments within the organization Evaluate project/program activities and results to identify opportunities for improvement Surface to Manager and Director any gaps in processes that may require remediation Perform other tasks, duties, projects, and programs as assigned Essential Qualifications To be successful in this role, the candidate will require: Bachelor's Degree or equivalent combination of education and work experience Minimum 3 years' experience in healthcare with 1 year experience in health plan quality improvement, managed care, or equivalent experience Demonstrated solid business writing experience Operational knowledge and experience with Excel and Visio (flow chart equivalent) Preferred Qualifications Preferred candidates will have: Preferred field: Clinical Quality, Public Health, or Healthcare 1 year of experience in Medicare and in Medicaid Certified Professional in Health Quality (CPHQ) Nursing License (RN may be preferred for specific roles) Certified HEDIS Compliance Auditor (CHCA) Skills and Competencies The successful candidate will possess: Strong analytical and problem-solving skills Excellent communication and interpersonal skills Ability to work independently and as part of a team Strong project management skills, with the ability to prioritize tasks and manage multiple projects simultaneously Knowledge of quality improvement principles and methodologies Experience with data analysis and reporting Career Growth Opportunities and Learning Benefits Comprehensive training and development programs Opportunities for career advancement and professional growth A collaborative and supportive work environment Recognition and reward for outstanding performance Work Environment and Company Culture Molina Healthcare is a dynamic and innovative organization that values diversity, equity, and inclusion. Our company culture is built on the principles of: Respect and empathy for our members and employees A commitment to excellence and quality A culture of innovation and continuous improvement A collaborative and supportive work environment Compensation, Perks, and Benefits We offer a competitive benefits and compensation package, including: Attractive salary range: $20.73 - $42.55 per hour Comprehensive health insurance Retirement savings plan Paid time off and holidays Opportunities for professional growth and development Conclusion If you are a motivated and experienced quality improvement professional looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. As a Specialist, Quality Interventions/QI Compliance at Molina Healthcare, you will have the opportunity to make a meaningful contribution to the healthcare industry and improve the lives of our members. Apply now and take the first step towards a fulfilling and successful career with our organization. Apply for this job