Healthcare Services Manager – Care Delivery & Coordination

Molina Healthcare, Inc.; Milwaukee (WI); Presencial; USD 110.000 - 150.000; Jornada completa

Descripción de la vacante

Molina Healthcare, Inc. in Milwaukee seeks an experienced healthcare services leader to manage a multidisciplinary team across care management, utilization management, behavioral health, LTSS, and related programs.

You will drive integrated care delivery to achieve quality outcomes and cost-effective member services. The role emphasizes staff leadership, regulatory compliance, and collaboration with senior leadership, providers, and internal teams.

Formación

• 7+ years in healthcare, with 3+ years in managed care.
• 1+ year of management/leadership experience.
• Active licensure as RN/LPN/LCSW/LMFT/LPCC/LMSW where required.
• Strong customer service and member-centered focus.
• Ability to lead across diverse settings and manage deadlines.
• Proficient in Microsoft Office.

Responsabilidades

• Oversees team performance across care management, utilization management, and LTSS.
• Leads integrated, proactive healthcare services management per Molina model.
• Acts as hands-on leader assessing systems and operations.
• Ensures staffing levels and monitors productivity.
• Implements program activities in line with standards and regulations.
• Maintains provider relationships and coordinates care delivery.
• Analyzes care access and utilization metrics and reports to leadership.
• Hires, trains, and develops staff, travel may be required.

Conocimientos

Customer service

Leadership

Communication

Care management

Problem solving

Cross-functional collaboration

Educación

RN/LVN/LMSW licensure options

Clinical licensure/certification as required by state contract

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare, Inc. in Milwaukee seeks an experienced healthcare services leader to manage a multidisciplinary team across care management, utilization management, behavioral health, LTSS, and related programs.

You will drive integrated care delivery to achieve quality outcomes and cost-effective member services. The role emphasizes staff leadership, regulatory compliance, and collaboration with senior leadership, providers, and internal teams.