Care Management Processor

Molina Healthcare, Inc.; Saint Petersburg (FL); On-site; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare, Inc. in Saint Petersburg, Florida is seeking an administrative support professional to assist the care management team in delivering integrated care.

The role focuses on scheduling, data entry, correspondence, and coordination of member services to support quality and cost-effective care. The position requires the ability to review case levels, assist in care manager assignments, and maintain clear communication with members, providers, and internal teams.

Qualifications

• At least 1 year of administrative support experience in health care.
• 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.

Responsibilities

• Provides administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone support for care management services.
• Assists in initial review of assigned case levels and in case management assignments to care managers.
• Reviews data to identify member needs and assists in implementing care plans under supervision of care managers.
• Schedules member visits with care managers as needed.
• Screens members according to Molina policies and assists in identifying appropriate member services.
• Coordinates required member services in accordance with member benefit plans.
• Promotes internal and external communication to enhance care management effectiveness.
• Processes member and provider correspondence.

Skills

Attention to detail

Problem solving

Customer service

Time management

Organizational skills

Verbal communication

Written communication

Education

CMA

Tools

Microsoft Office

Job description

JOB DESCRIPTION Job SummaryProvides 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.