Head of Integrated Healthcare Services

Molina Healthcare, Inc.; Nevada; On-site; USD 162,000 - 316,000; Full time

Job summary

Molina Healthcare is seeking an executive leader to drive strategy and oversee multidisciplinary teams across care management, utilization management, LTSS and behavioral health. The role focuses on improving member outcomes while achieving budget and quality targets.

The position requires extensive healthcare leadership experience, strong regulatory knowledge, and ability to lead large teams in a complex payer environment. Extensive travel may be required.

Qualifications

• At least 12 years of health care experience, including at least 10 years of managed care.
• At least 7 years of management/leadership experience.
• Licensed nursing or equivalent clinical license as required by state contract or regulation.
• Experience working with state, federal and third-party regulations.
• Strong customer service and stakeholder management skills.

Responsibilities

• Supports executive health plan or enterprise strategy development and direction.
• Determines strategic clinical, quality, and financial measures for success.
• Oversees integrated care management, utilization management and LTSS programs.
• Ensures compliant, fully integrated service models and cost-efficient outcomes.
• Leads staff development and ensures adequate staffing and productivity metrics.
• Keeps senior leadership informed of operational issues and remediation plans.
• Promotes cross-department collaboration to improve care continuity.

Skills

Executive leadership

Strategic planning

Data analysis

Regulatory compliance

Cross-functional collaboration

Communication skills

Education

RN license

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an executive leader to drive strategy and oversee multidisciplinary teams across care management, utilization management, LTSS and behavioral health. The role focuses on improving member outcomes while achieving budget and quality targets.

The position requires extensive healthcare leadership experience, strong regulatory knowledge, and ability to lead large teams in a complex payer environment. Extensive travel may be required.