Manager, Member & Community Interventions (Remote in MS)

Job description

Job Description Job Summary: The Manager, Member & Community Interventions manages the development and implementation of health plan member focused initiatives and projects supporting clinical quality outcomes. Oversees, plans, and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid), ensures execution health plan’s member and community quality focused interventions and programs in accordance with prescribed program standards. Responsible for continuous improvement. Manages robust member interventions portfolio to achieve positive operational and financial outcomes. Job Duties: - Plans and/or implements evidence based and data informed state-based Quality interventions that meet state and federal regulatory requirements - Ensures a robust and strategic portfolio of member and community quality focused interventions - Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based organizations to drive improved clinical quality health outcomes - Develops, tracks, and reports key performance measures - Facilitates and actively...