Manager, Operations -System Operations (Remote)

Molina Healthcare; Tacoma (WA); Remote; USD 80,000 - 189,000; Full time

Job summary

A leading healthcare provider in Tacoma seeks an experienced manager to provide leadership and direction to operational units. This role involves overseeing budgeting, ensuring compliance with contractual requirements, and fostering excellent relationships with clients and staff. Ideal candidates have a Bachelor’s degree and extensive management experience in claims processing or provider services. Competitive compensation offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 3 years supervision/management experience in Claims Processing or Provider Services.
• 5 years experience in Medicaid, Medicare, or high volume claims processing.
• Experience in System Migrations.

Responsibilities

• Provides leadership and direction to management staff.
• Oversees budget responsibilities of operational work units.
• Responsible for achievement of Service Level Agreements.

Skills

Leadership

Budget management

Communication

Education

Bachelor's Degree or equivalent experience

Tools

Salesforce

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.