Executive Leader, Integrated Healthcare Services

Molina Healthcare; Las Vegas (NV); On-site; USD 162,000 - 316,000; Full time

Job summary

Molina Healthcare in Las Vegas seeks an executive to lead multiple health services teams, directing care management, utilization review, and LTSS to achieve optimal outcomes and cost efficiency.

The role partners with executive leadership to align strategy with Molina's goals, ensuring high-quality, integrated member care across the continuum. Strong regulatory acumen and message to stakeholders are essential.

Qualifications

• Strong customer service skills and member-centric focus.
• Ability to lead across multidisciplinary teams and manage change.
• Experience navigating regulatory and accrediting standards.

Responsibilities

• Provide executive strategy and leadership for care management, utilization management, and LTSS.
• Collaborate with CMO and medical director to optimize clinical policies and cost targets.
• Oversee program implementation and ensure alignment with contractual standards and accreditation.
• Monitor staffing, productivity, and service levels to maintain quality and cost-efficiency.
• Lead cross-functional teams to improve care coordination and patient outcomes.
• Represent Molina in external meetings with regulators and provider groups.

Skills

Leadership

Data analysis

Communication

Problem solving

Education

RN/LVN/LPN/LCSW/LPCC/LMFT/LMSW licensure (state-specific)

Healthcare management certifications (CCM/CPHM/CPHQ)

Tools

Microsoft Office

Job description

Molina Healthcare in Las Vegas seeks an executive to lead multiple health services teams, directing care management, utilization review, and LTSS to achieve optimal outcomes and cost efficiency.

The role partners with executive leadership to align strategy with Molina's goals, ensuring high-quality, integrated member care across the continuum. Strong regulatory acumen and message to stakeholders are essential.