Healthcare Services Ops Lead – Care Management & Transitions

Molina Healthcare, Inc.; Florida; On-site; USD 75,000 - 105,000; Full time

Job summary

Molina Healthcare, Inc. leads and supervises a team supporting non-clinical healthcare services activities across care management, care review, utilization management, transitions of care, behavioral health, LTSS, and related programs.

The role ensures members reach desired outcomes through integrated care across the continuum and contributes to overarching strategy for quality and cost-effective member care.

Qualifications

• 5+ years of healthcare operations or administrative experience.
• Strong analytic and problem-solving abilities.
• Excellent verbal and written communication skills.
• Ability to multi-task and meet deadlines.
• Detail-oriented with strong time-management and organizational skills.
• Ability to build relationships and collaborate cross-functionally.
• Proficiency with Microsoft Office suite.

Responsibilities

• Supervises healthcare services operations support team members within Molina's clinical/healthcare services function.
• Researches and analyzes the workflow of the department, and offers suggestions for improvement; assists with implementation.
• Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
• Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
• Assists in the development and implementation of internal desktop processes and procedures.
• Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.

Skills

Operations leadership

Analytical thinking

Organizational skills

Time management

Communication skills

Cross-functional collaboration

Attention to detail

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. leads and supervises a team supporting non-clinical healthcare services activities across care management, care review, utilization management, transitions of care, behavioral health, LTSS, and related programs.

The role ensures members reach desired outcomes through integrated care across the continuum and contributes to overarching strategy for quality and cost-effective member care.