Data Entry Question and Answer

$150 $49

Remote Question and Answer

$150 $49

Virtual Assistant Question and Answer

$150 $49

Content Moderator Question and Answer

$150 $49

Customer Service Question and Answer

$150 $49

Video Game Tester Question and Answer

$150 $49

Manager, Member & Community Interventions (Remote in MS)

Other Jobs To Apply

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

Back to blog

Yelp Question and Answer

$150 $49

Amzon Question and Answer

$150 $49

Netflix Question and Answer

$150 $49

Disney Question and Answer

$150 $49

Apple Question and Answer

$150 $49

Southwest Airline Q & A

$150 $49

Delta Airline Q & A

$150 $49

Costco Question and Answer

$150 $49

American Question and Answer

$150 $49

Walmart Question and Answer

$150 $49

Tesla Question and Answer

$150 $49

Google Question and Answer

$150 $49

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...