Job Description

Job Summary

Ensures the health plan meets it’s Community Reinvestment obligations under the Medicaid and HIDE SNP contracts while supporting the needs of the communities served across its footprint. Leads strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Utilizes market research and analysis to increase community engagement in key business decisions.

Job Duties

• Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan’s Community Reinvestment and In Lieu of Service billing strategies

• Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community.

• Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements

• Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member’s needs

• Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and In Lieu of Service (ILOS) billing requirements

• Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities.

• Generate leads from referrals and local-tactical research and prospecting. Schedule individual meetings and group presentations from assigned/self-generated leads.

• Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc.

• Develops strategies to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration.

Job Qualifications

REQUIRED EDUCATION:

Bachelor's Degree or equivalent experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

• 5-7 years experience in business development, community relations or health care related activities

• Demonstrated ability in relationship building and cross-sector collaboration

• Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and experience with practical application of those concepts

• Knowledge of In Lieu of Service (ILOS) policy and claims billing processes

• Travel across State of Michigan, up to 25% of time required

PREFERRED EDUCATION:

Master’s Degree in Public Health, Public Policy or Healthcare Administration preferred.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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Pay Range: $59,810.6 - $129,589.63 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.