Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Please fill out an application on our company page, linked below, to be considered for this position.

Benefits:

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Required Skills, Experience & Education:

• Bachelor’s degree in Social Work, Public Health, or related field, or equivalent work experience.
• Strong customer service, written & verbal communication skills.
• Knowledge of medical terminology.
• Proficiency using software programs such as Microsoft Word, Excel, Outlook, PowerPoint, Access, and Teams.
• Strong organizational and time management skills.
• Ability to problem solve, retain information, and attend to details.
• Ability to multi-task and work independently.
• Ability to maintain confidentiality and project a professional business image telephonically and in person.

Preferred Qualifications

• Experience in the healthcare industry
• Experience in quality improvement

Primary Functions:

• Assists the Health Promotion Quality Improvement Specialists with process improvement interventions spanning multiple subject areas, including improving member experience, chronic conditions, maternity and child wellness, preventive screenings, and utilization.
  • Interprets literature reviews of peer-reviewed articles, studies and meta-analysis related to best practices and interventions, for various preventive screenings and gap-in-care.
  • Collects data and conducts analysis on interventions for HEDIS and CAHPS quality improvement projects.
  • Builds, writes, and reviews reports for multiple regulatory and non-regulatory purposes, including fulfillment of NCQA accreditation surveys, CMS requirements, and CAHPS surveys.
  • Participates in coordination and presentation of quality performance improvement projects, both regulatory and non-regulatory.
• Assists in planning, implementation, and evaluation of the Quality Improvement Team’s communications strategy from a member, provider, and community perspective.
  • Develops new and updates old communications for a variety of settings, including member-facing, health educational community campaigns, and direct provider-focused initiatives.
  • Coordinates review across multiple other business areas to ensure high quality products.
  • Plans, coordinates, and evaluates distribution of various communications, including mail, email, and other digital formats.
  • Collaborates with data teams to develop impact reporting of communication initiatives.
• Performs inbound and outbound multi-modal communication to members to address healthcare inquiries, utilization, benefit inquiries, and gaps in care.
  • Support members’ disease management activities and preventive screenings.
  • Provide member health education as appropriate regarding condition-specific issues.
  • Refer members to appropriate health promotion programs.
  • Communicate with providers and office staff regarding member needs.
  • Refers members to community-based organizations.
  • Utilizes customized database systems for documentation of member contact, status, and outcomes.
• Performs other assigned duties.

• Hybrid office environment and work from home, with extensive close PC and keyboard work, constant sitting, and frequent phone work. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need.​​​​​​
• Internally with multiple departments. Externally with Moda Health customers, vendors, program administrators, regional clinic and hospital staff, pharmacies, community partners and provider offices.
   

Together, we can be more. We can be better.
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Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. 

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.