Senior Healthcare Services Operations Leader

Molina Healthcare, Inc.; Florida; On-site; USD 42,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a lead level non-clinical healthcare services support professional in Florida to assist with care management, care review, utilization management, and transitions of care. You will help ensure members reach desired outcomes through integrated care delivery across the continuum.

The role involves coordinating staff, monitoring performance, and communicating with leadership to drive quality and efficiency in a managed care setting.

Qualifications

• 4+ years of operations or administrative experience in health care, preferably within a managed care setting.
• Excellent customer service skills.
• Strong analytic and problem-solving abilities.
• Strong time-management and organizational skills.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office suite (including Excel).

Responsibilities

• Assists in training staff according to department standards, policies and procedures.
• Evaluates staff performance and consults leadership to improve results.
• Acts as a supportive resource to staff and coordinates activities.
• Resolves day-to-day operational problems and communicates findings to leadership.
• Maintains a minimal caseload as directed by leadership.
• Ensures compliance with guidelines and supports administrative activities.
• Collaborates with leadership on issues and program needs.
• Monitors workload and ensures timely completion of tasks.
• Participates in department auditing to improve quality and compliance.
• Liaises with internal and external customers on behalf of Molina and the department.
• Maintains confidentiality and professional conduct at all times.
• Attends department, company-wide, and external committees as assigned.
• Shares monthly quality and productivity scores with staff for awareness.

Skills

Operations experience

Customer service

Analytical thinking

Time management

Organizational skills

Verbal and written communication

Education

Certified Medical Assistant (CMA)

Tools

Microsoft Excel

Job description

Molina Healthcare is seeking a lead level non-clinical healthcare services support professional in Florida to assist with care management, care review, utilization management, and transitions of care. You will help ensure members reach desired outcomes through integrated care delivery across the continuum.

The role involves coordinating staff, monitoring performance, and communicating with leadership to drive quality and efficiency in a managed care setting.