Care Management Processor

Molina Healthcare; Florida; On-site; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking an administrative support professional in Florida to assist the care management team. You will handle case assignment support, scheduling, data review, and correspondence processing to facilitate integrated care delivery.

Ideal candidates bring at least 1 year in healthcare administration, strong MS Office skills, and excellent communication and customer service abilities. CMA is preferred; the role emphasizes detail-oriented, efficient support.

Qualifications

• At least 1 year of administrative support experience in health care.
• Strong attention to detail and problem-solving skills.
• Proficiency with Microsoft Office (Outlook, Word, Excel) or equivalent.
• Excellent customer service, time-management, and organizational skills.
• Strong verbal and written communication skills.
• CMA certification preferred.

Responsibilities

• Provides non-clinical administrative support to the care management function.
• Assists in case management assignment and scheduling for care teams.
• Reviews data to identify member needs and supports care plans.
• Schedules member visits with care managers.
• Coordinates member services per benefit plans.
• Processes member and provider correspondence.
• Promotes internal and external communication for care management effectiveness.

Skills

Customer service

Time management

Communication

Attention to detail

Problem-solving

Education

Certified Medical Assistant (CMA)

Tools

Microsoft Office

Job description

JOB DESCRIPTION

Job Summary

Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members.
• Facilitates initial review of assigned case levels and assists in case management assignment to care managers.
• Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan.
• Schedules member visits with care managers as needed.
• Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services.
• Coordinates required member services in accordance with member benefit plan.
• Promotes communication both internally and externally to enhance effectiveness of care management services.
• Processes member and provider correspondence.

Required Qualifications

• At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
• Strong attention to detail.
• Problem-solving skills.
• Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
• Excellent customer service skills.
• Time-management and organizational skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Certified Medical Assistant (CMA).

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $15 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.