Manager, Health Plan Member & Community Interventions

JOB DESCRIPTION ****Employee for this role must reside in Mississippi**** Job Summary Leads and manages team responsible for clinical quality member intervention activities. Responsible for the developing and implementing new and existing member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid, etc.). Executes health plan member and community quality-focused interventions and programs in accordance with established program standards, and federal/state/National Committee for Quality Assurance (NCQA) regulations. Conducts data collection, monitors intervention activity including key performance measurement activities, reports intervention outcomes, and supports continuous improvement of intervention processes and outcomes. Essential Job Duties • Develops and implements evidence-based and data informed state-based quality interventions that meet state and federal regulatory requirements. • Manages a robust and strategic portfolio of mem...