Care Management Processor

Molina Healthcare; Texas; On-site; USD 35,000 - 55,000; Full time

Job summary

Molina Healthcare is seeking an administrative support professional to assist the care management team and contribute to integrated care delivery. You will handle scheduling, data entry, correspondence, and call center tasks to support member services.

The role emphasizes accuracy, customer service, and collaboration with care managers to coordinate member services. Experience in healthcare administration is preferred; CMA is a plus.

Qualifications

• 1+ year of administrative support experience in health care.
• Excellent attention to detail and problem-solving abilities.
• Strong customer service orientation with good written and verbal communication.
• Proficient with Microsoft Office suite (Outlook, Word, Excel).
• Solid time-management and organizational skills.

Responsibilities

• Provides administrative support for care management, including case assignment, scheduling, data entry, and clerical tasks.
• Assists in initial review of case levels and assignment to care managers.
• Reviews data to identify member needs and supports care plan implementation.
• Schedules member visits with care managers as needed.
• Screens members per Molina policies and coordinates member services.
• Promotes internal and external communication to enhance care management effectiveness.
• Processes member and provider correspondence and handles inbound call center duties.

Skills

Attention to detail

Problem-solving

Customer service

Time management

Communication skills

Verbal communication

Tools

Outlook

Word

Excel

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.
• Call center, 100% inbound calls

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