Senior Healthcare Services Manager

Molina Healthcare, Inc.; Orlando (FL); On-site; USD 66,000 - 130,000; Full time

Job summary

Molina Healthcare, Inc. in Florida seeks a healthcare services leader to supervise a multidisciplinary team across care management, utilization management, behavioral health, and LTSS. You will drive integrated delivery, ensure regulatory compliance, and improve member outcomes and cost efficiency.

You will lead, develop and monitor staff performance, coordinate with senior leaders, and promote collaboration to sustain high-quality, access-focused care for Molina members.

Qualifications

• At least 5 years of health care experience with 2 years in managed care or equivalent.
• RN/LVN/LPN or licensed social work/therapy licensure; active and unrestricted as required.
• Strong customer service focus and member-centric approach.
• Ability to work across diverse populations and settings.
• Ability to manage multiple deadlines with solid organizational skills.
• Excellent written and verbal communication; cross-functional collaboration.
• Proficient with Microsoft Office and basic software tools.

Responsibilities

• Oversees team performance in care management, utilization management, LTSS, or related functions.
• Facilitates integrated, proactive healthcare services management with compliance to standards.
• Provides hands-on leadership, assesses systems, and enhances day-to-day operations.
• Ensures staffing and service levels; tracks productivity and performance indicators.
• Implements program activities per regulatory, contract, and accreditation requirements.
• Ensures care delivery aligns with Molina's customer service standards.
• Supports high-risk, complex members; monitors care and outcomes.
• Collaborates with senior leadership on operational issues and resource needs.
• Promotes interdepartmental integration to improve continuity of care.
• Leads ICT meetings and analyzes care access and utilization data.
• Conducts staff quality audits and drives enhancements for cost-effectiveness.
• Maintains professional relationships with providers, customers, and state agencies.
• Identifies opportunities for care delivery and process improvements.
• Hires, trains, and develops team; manages performance against goals.
• Local travel may be required as per state/contractual needs.

Skills

Customer service

Leadership

Communication skills

Team collaboration

Office software

Education

Registered Nurse (RN) licensure

Licensed Vocational Nurse (LVN) licensure

Licensed Practical Nurse (LPN) licensure

Licensed Clinical Social Worker (LCSW)

Licensed Marriage and Family Therapist (LMFT)

Licensed Professional Clinical Counselor (LPCC)

Licensed Master of Social Work (LMSW)

Tools

MS Office

Job description

Molina Healthcare, Inc. in Florida seeks a healthcare services leader to supervise a multidisciplinary team across care management, utilization management, behavioral health, and LTSS. You will drive integrated delivery, ensure regulatory compliance, and improve member outcomes and cost efficiency.

You will lead, develop and monitor staff performance, coordinate with senior leaders, and promote collaboration to sustain high-quality, access-focused care for Molina members.