Manager, Operations -System Operations (Remote)

Molina Healthcare; Davenport (IA); Remote; USD 80,000 - 189,000; Full time

Job summary

A healthcare service provider in Davenport, Iowa, is seeking a leader for its operational units. The role involves overseeing claims processing and provider services, ensuring compliance with contractual obligations. Candidates should have a Bachelor's degree and significant management experience in high-volume processing environments. This position offers a competitive salary range of $80,412 - $188,164 annually.

Benefits

Competitive benefits and compensation package

Equal Opportunity Employer

Qualifications

• 3 years supervision/management experience in Claims Processing or Provider Services.
• 5 years progressive experience in a Medicaid or Medicare environment.
• Experience in system migrations.

Responsibilities

• Leads operational units management staff for compliance with contract requirements.
• Oversees budget responsibilities of operational work units.
• Achieves service level agreements under supervision.

Skills

Leadership

Budget management

Claims processing

Provider services

Salesforce

SAP

System migrations

Education

Bachelor's Degree or equivalent experience

Tools

Salesforce

EvolveNxt

SAP

Genesys

Job description

Job Description

Job Summary

Provides leadership and direction to MMS Operational Units management staff (e.g., Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network), for management and supervision of daily functional operations to insure compliance to contract requirements.

Knowledge/Skills/Abilities

• Oversees budget responsibilities of Operational work units for client and internal personnel.

• Serves as primary point of contact for all matters related to Operational Units. Responsible for achievement of Service Level Agreements and other contractual requirements under assigned areas of supervision.

• Develops budget inputs for areas of responsibility.

• Attends/facilitates meetings as appropriate for day-to-day activities/responsibilities of Operational Units.

• Establishes annual performance goals with assigned department managers, in conjunction with the Director, Account Management so that department goals support overall account level objectives.

• Responsible for the achievement and maintenance of excellent working relationship with client and all levels of internal personnel..

Job Qualifications

Required Education

Bachelor's Degree or equivalent experience

Required Experience

3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume transaction processing/call center type management responsibility.

5 years progressive experience supporting a Medicaid,.Medicare and Marketplace or large claims processing environment with multi-functional work units and tasks.

Experience in Salesforce, EvolveNxt, SAP, Genesys

Experience System Migrations

Preferred Experience

6 – 8 years working in a claims processing system.

Health care environment experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $80,412 - $188,164 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.