Provides senior level support for health education activities.
This position is focused on Asthma care and is seeking experience in asthma instruction with a preferred AE-C. Please make sure to include any experience in this qualifier on your resume. This is for a pediatric population.
• Develops, implements and evaluates health education programs for members within the Molina network and the broader community.
• Provides oversight and assistance to providers in meeting health education contract requirements.
• Serves as a resource for health educators in the resolution of issues that may arise during the implementation of quality improvement (QI) interventions.
• Identifies, designs, implements, and evaluates health education interventions to meet the needs of the targeted population based on priorities established by the department and current contracts.
• Conducts population, geographic, and member-specific needs assessments.
• Coordinates the health education services assessment of Independent Physician Association (IPAs) and medical groups as required and collaborates with other quality improvement (QI) staff on oversight.
• Represents as a liaison to internal departments, community-based organizations (CBOs), social service agencies and public health departments to ensure that Molina resource information is current and available.
• Participates in the development of internal resources in collaboration with other departments identified in the annual work plan.
• Reviews and updates health education materials and programs, including preventive care guidelines, incentive packets, the health plan website and communications to providers.
• Successfully engages members in health promotion via direct member calls.
• Coordinates care of members from call tracking boxes and health education voicemails, including connecting members to appropriate programs and resources.
• May collaborate with various grant recipients, state and local entities that work toward improving the health of Molina members.
• Participates in QI planning and project work to further QI goals (e.g., Healthcare Effectiveness Data and Information Set (HEDIS) activities, strategic planning, and special projects).
• Provides input on the design and functionality of all utilized databases.
• May serve as the designated QI representative at various external activities to include immunization, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), chronic condition collaborative and other work group meetings.
• Provides training and support to new and existing health education team members.
• This position may require same day out of office travel 0 - 80% of the time, depending upon state-specific needs.
• This position may require multi-day overnight travel on occasion, depending upon state-specific needs.
• At least 3 years of experience in a health education-related capacity, and at least 1 of year experience working with a wide range of member populations within a managed care setting, or equivalent combination of relevant education and experience.
• Ability to build relationships with community-based organizations (CBOs).
• Strong customer service skills.
• Knowledge of available community resources.
• Knowledge and understanding of HEDIS and NCQA.
• Critical-thinking, problem-solving and analytical skills.
• Ability to navigate change with flexibility and a positive outlook.
• Effective verbal, written and interpersonal communication skills.
• Microsoft Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs.
• Experience with Medicaid, Medicare, and/or Marketplace government-sponsored programs.
• Experience working with the Medicaid population.
• Certified Health Education Specialist (CHES).
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