Head of Integrated Healthcare Services & Care Coordination

Molina Healthcare, Inc.; Reno (NV); On-site; USD 162,000 - 316,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is seeking an executive leader to drive strategy and coordination across care management, utilization management, behavioral health, LTSS, and related programs.

You will align clinical and business objectives, lead multidisciplinary teams, and ensure high-quality, cost-effective member care. The role requires extensive managed care experience, strong leadership, and the ability to navigate complex regulatory landscapes while delivering superior outcomes and value for

Qualifications

• 12+ years in healthcare with 10+ years in managed care roles
• 7+ years of management/leadership experience
• Active licensure if required by state contract/regulation
• Experience with applicable state/federal regulations
• Strong customer service and member-centric focus
• Data analysis and critical thinking
• Ability to manage multiple deadlines
• Strong organizational and problem-solving skills
• Collaborate cross-functionally in a matrixed org
• Lead through change and drive process improvements
• Excellent written and verbal communication
• Proficiency in Microsoft Office

Responsibilities

• Provide executive strategy and leadership for healthcare services teams
• Set strategic clinical, quality, and financial measures
• Ensure regulatory compliance and integration of the Molina clinical model
• Oversee a fully integrated service model across care management, LTSS, and behavioral health
• Develop and monitor standardized care coordination protocols
• Ensure staffing levels and monitor staff productivity and KPIs
• Collaborate with CMO and medical director to manage clinical policies
• Develop initiatives to reduce medical expenses while improving quality
• Oversee program implementation and performance monitoring
• Represent Molina in external meetings with regulators and partners
• Promote interdisciplinary collaboration and continuous improvement

Skills

Leadership

Data analysis

Communication

Customer service

Problem solving

Cross-functional collaboration

Education

RN/LCSW/LMFT/LPCC/LMSW etc.

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking an executive leader to drive strategy and coordination across care management, utilization management, behavioral health, LTSS, and related programs.

You will align clinical and business objectives, lead multidisciplinary teams, and ensure high-quality, cost-effective member care. The role requires extensive managed care experience, strong leadership, and the ability to navigate complex regulatory landscapes while delivering superior outcomes and value for