Lead, Healthcare Services Operations Support (Non-Clinical)

Molina Healthcare; Massachusetts; On-site; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider is seeking a Lead, Healthcare Services Operations Support professional to provide non-clinical healthcare services support. The ideal candidate will have at least 4 years of related experience and strong customer service, organizational, and communication skills. This position includes responsibilities such as training staff, evaluating performance, and resolving operational issues. Competitive hourly pay offered.

Benefits

Competitive benefits and compensation package

Qualifications

• At least 4 years of operations or administrative experience in health care.
• Excellent customer service skills.
• Strong analytic and problem-solving abilities.
• Strong time-management and organizational skills.
• Strong verbal and written communication skills.
• Microsoft Office proficiency.

Responsibilities

• Assist in training of staff according to department standards.
• Evaluate work performance of healthcare services department staff.
• Act as a supportive resource to healthcare services department staff.
• Resolve problems and complaints in day-to-day operations.
• Maintain a minimal caseload as determined by leadership.
• Ensure communication and adherence to appropriate guidelines.
• Collaborate with healthcare services leadership on issues.
• Monitor staff workload for adherence to policies and timelines.
• Participate in the department auditing program.
• Act as a liaison to internal and external customers.

Skills

Customer service skills

Analytic abilities

Problem-solving abilities

Time-management skills

Organizational skills

Verbal communication skills

Written communication skills

Microsoft Office proficiency

Education

4+ years of operations or administrative experience in healthcare

Tools

Microsoft Office Suite

Job description

Overview

Lead, Healthcare Services Operations Support (Non-Clinical)

Provides lead level non-clinical healthcare services support for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Responsibilities

• Assists in training of staff according to department standards, policies and procedures.
• Evaluates work performance of healthcare services department staff; consults with leadership to devise and implement corrective action as necessary to improve staff performance.
• Acts as a supportive resource to healthcare services department staff, assisting in devising/implementing strategies of assignment delegation and facilitating department processes and communicating/coordinating activities.
• Resolves problems and complaints that may arise in day-to-day operations that involve healthcare services department staff; communicates findings to leadership for resolution.
• Maintains a minimal caseload (as determined by leadership).
• Ensures communication and adherence to appropriate guidelines and support staff with daily operational and administrative compliance activities.
• Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing issues, system and program needs.
• Monitors healthcare services department staff workload for adherence to the department policies, procedures, guidelines and deadlines; ensures oversight and direction of individuals primarily responsible and timely completion.
• Actively participates in department auditing program to review and communicate findings with staff and identify opportunities for improved quality and compliance.
• Acts as liaison to both internal and external customers on behalf of both Molina and healthcare services department areas.
• Conducts in a professional manner at all times; maintains confidentiality, cooperation, effective workplace relationships and adheres to company code of conduct.
• Attends/participates in departmental, company-wide, and external committees, task forces, or work groups as assigned.
• Shares monthly quality and productivity scores with individual staff for awareness.

Essential Job Duties

• Assists in training of staff according to department standards, policies and procedures.
• Evaluates work performance of healthcare services department staff; consults with leadership to devise and implement corrective action as necessary to improve staff performance.
• Acts as a supportive resource to healthcare services department staff, assisting in devising/implementing strategies of assignment delegation and facilitating department processes and communicating/coordinating activities.
• Resolves problems and complaints that may arise in day-to-day operations that involve healthcare services department staff; communicates findings to leadership for resolution.
• Maintains a minimal caseload (as determined by leadership).
• Ensures communication and adherence to appropriate guidelines and support staff with daily operational and administrative compliance activities.
• Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing issues, system and program needs.
• Monitors healthcare services department staff workload for adherence to the department policies, procedures, guidelines and deadlines; ensures oversight and direction of individuals primarily responsible and timely completion.
• Actively participates in department auditing program to review and communicate findings with staff and identify opportunities for improved quality and compliance.
• Acts as liaison to both internal and external customers on behalf of both Molina and healthcare services department areas.
• Conducts in a professional manner at all times; maintains confidentiality, cooperation, effective workplace relationships and adheres to company code of conduct.
• Attends/participates in departmental, company-wide, and external committees, task forces, or work groups as assigned.
• Shares monthly quality and productivity scores with individual staff for awareness.

Required Qualifications

• At least 4 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience in an administrative support or medical assistant role in health care, or equivalent combination of relevant education and experience.
• Excellent customer service skills.
• Strong analytic and problem-solving abilities.
• Strong time-management and organizational skills.
• Strong verbal and written communication skills.
• Microsoft Office suite proficiency (including Excel), and applicable software program(s) proficiency.

Preferred Qualifications

• Certified Medical Assistant (CMA).

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $20.74 - $40.44 / HOURLY