Executive Leader, Integrated Healthcare Services

Molina Healthcare, Inc.; Nevada; On-site; USD 150,000 - 230,000; Full time

Job summary

Molina Healthcare, Inc. seeks an accomplished executive to provide strategic leadership across care management, utilization management, behavioral health, LTSS and related programs.

The role partners with executive leadership to align delivery with business goals, while fostering integrated care and population health outcomes. The incumbent will guide strategic clinical and financial metrics, ensure regulatory compliance, and drive program initiatives that reduce costs and improve member care

Qualifications

• At least 12 years of health care experience, including 10+ years in managed care.
• 7+ years of management/leadership experience.
• Clinical licensure and/or certification required only if mandated by state contract/regulation.
• Strong regulatory, quality and cost-containment focus.

Responsibilities

• Supports strategy development and direction for health care services (HCS) functions.
• Determines strategic clinical, quality and financial measures for success.
• Facilitates integrated health services management with regulatory compliance.
• Oversees staffing, service levels and performance metrics to ensure quality and cost targets.
• Collaborates with CMO and medical directors to manage clinical policies and cost-quality goals.
• Manages budgets and drives initiatives to reduce medical expenses while improving outcomes.

Skills

Data analysis

Critical thinking

Customer service

Communication

Education

Nursing license (RN/LVN/LPN)

Tools

Microsoft Office Suite

Job description

Molina Healthcare, Inc. seeks an accomplished executive to provide strategic leadership across care management, utilization management, behavioral health, LTSS and related programs.

The role partners with executive leadership to align delivery with business goals, while fostering integrated care and population health outcomes. The incumbent will guide strategic clinical and financial metrics, ensure regulatory compliance, and drive program initiatives that reduce costs and improve member care