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Sebastian Downs

@sebastiandowns

Healthcare program lead at Molina Healthcare developing Ohio’s 2026–2028 population health strategy and statewide chronic disease initiatives.

United States
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At Molina Healthcare, I’m leading development of Ohio’s 2026–2028 Population Health Management Strategy and statewide diabetes and hypertension improvement initiatives. I also launched the Cross-Market Chronic Conditions Collaborative, bringing quality leaders from 15 Molina health plans together to share intervention strategies and improvement opportunities.

I direct statewide Medicaid quality improvement work focused on HEDIS performance, regulatory reporting, and community-based interventions. My work includes building partnerships with healthcare systems, public health agencies, and community organizations to address chronic disease management, health equity, food insecurity, and access to care.

Previously, at Anthem BCBS, I led quality improvement initiatives for Ohio Medicaid members with chronic conditions and collaborated on statewide initiatives supporting Next Generation Ohio Medicaid Managed Care. My earlier experience includes coordinating research operations at Nationwide Children’s Hospital and working in clinical laboratory and patient support roles at OhioHealth.

Experience

Work history, roles, and key accomplishments

Molina Healthcare logoMH
Current

Senior Specialist, Member & Community Interventions (Healthcare Program Lead)

Dec 2024 - Present (1 year 10 months)

Leads development of Molina Ohio's Population Health Management Strategy and statewide quality improvement initiatives. Directs cross-functional workgroups and strategic partnerships to improve HEDIS performance and member outcomes.

Education

Degrees, certifications, and relevant coursework

UC

University of Cincinnati

Master of Health Administration, Health Administration

2021 - 2022

Grade: 4.0

Master of Health Administration (MHA) degree from the University of Cincinnati, completed with a final GPA of 4.0.

TU

The Ohio State University

Bachelor of Science, Neuroscience

2015 - 2019

Bachelor of Science in Neuroscience (Pre-PA Track) with a minor in Philosophy from The Ohio State University.

Tech stack

Software and tools used professionally

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