AVP, National Member Quality Interventions

JOB DESCRIPTION Job Summary Provides strategy and leadership to team responsible for enterprise-wide member quality interventions. Responsible for building, delivering, and implementing Molina member facing programs. Oversees health plan quality programs, and implements new and existing health care quality improvement initiatives and education programs to meet quality and risk adjustment goals. Ensures maintenance of quality programs for members in accordance with prescribed quality standards. Oversees data collection, reporting and monitoring for key performance measurement activities and member facing intervention programs, clinical performance, Healthcare Effectiveness Data and Information Set (HEDIS) compliance, and risk adjustment operations across all lines of business, including Medicare, Medicaid, and Marketplace. Essential Job Duties • Supports strategy development, vision and direction for enterprise-wide quality member interventions. Demonstrates accountability for pe...