Remote Director, Healthcare Utilization & Care Management

Jobtome; Seattle (WA); Remote; USD 88,000 - 198,000; Full time

Job summary

Molina Healthcare is seeking a senior healthcare services leader to oversee performance across utilization management, behavioral health, and special programs. The role emphasizes implementing standardized protocols and fostering integrated care coordination to meet regulatory and contractual requirements.

The position may involve hands‑on leadership, staff development, and ensuring alignment with quality standards and customer service excellence across states and programs.

Qualifications

• 8+ years in health care, with 5+ years in managed care.
• 3+ years of management/leadership experience.
• RN/LPN/LCSW license active where required by state contract/regulation.
• Strong customer service, member‑centric focus and communication skills.

Responsibilities

• Oversees performance for health services functions: utilization management, behavioral health, and/or special programs.
• Implements standardized protocols for integrated care coordination and management.
• Promotes interdepartmental collaboration to enhance clinical services.
• May function as a hands‑on leader, assessing systems and day‑to‑day operations.
• Ensures staffing levels and maintains customer satisfaction by monitoring productivity.

Skills

Healthcare experience

Leadership experience

Customer service

Communication skills

Project management

MS Office proficiency

Cross-functional collaboration

Education

RN/LPN/LCSW license

Clinical licensure/certification

Tools

MS Office

Job description

Molina Healthcare is seeking a senior healthcare services leader to oversee performance across utilization management, behavioral health, and special programs. The role emphasizes implementing standardized protocols and fostering integrated care coordination to meet regulatory and contractual requirements.

The position may involve hands‑on leadership, staff development, and ensuring alignment with quality standards and customer service excellence across states and programs.