Care Management Processor (REMOTE) - TX ONLY

Molina Healthcare; Town of Texas (WI); On-site; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking an administrative support specialist to assist the care management team. This role helps deliver integrated care across the continuum, handling scheduling, data entry, correspondence, and coordination of member services under care managers.

Ideal candidates have at least 1 year in health care administration, strong attention to detail, proficiency with Microsoft Office, excellent communication, and solid organizational skills. CMA is preferred but not required.

Qualifications

• 1 year of administrative support in health care or equivalent.
• Strong attention to detail and problem-solving skills.
• Proficiency with Microsoft Office or similar software.
• Excellent customer service, time-management, and organizational skills.
• Clear verbal and written communication skills.

Responsibilities

• Provide administrative support for care management tasks, scheduling, and correspondence.
• Assist in case assignment, member screening, and data entry.
• Review data to identify member needs and support care plans under supervision of care managers.
• Schedule member visits with care managers as needed.
• Coordinate member services per member benefit plan.

Skills

Administrative support

Microsoft Office

Customer service

Time management

Attention to detail

Communication skills

Problem solving

Clerical support

Education

Certified Medical Assistant (CMA)

Tools

Outlook

Word

Excel

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: $14.9 - $29.06 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.