Senior Manager, Care Management & Health Services

Jobtome; Fresno (CA); On-site; USD 84,000 - 164,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare in Southern California is seeking an experienced Managed Care Leader with a minimum of 7 years in health care and at least 3 years in a Managed Care Organization focusing on care management. The role reports to senior health services leadership and leads a multidisciplinary team to drive member-centered care and cost-efficient outcomes.

The ideal candidate demonstrates strong leadership, collaboration, and operational management skills, with a proven ability to improve care

Qualifications

• 7+ years of healthcare experience with 3+ years in an MCO focusing on care management.
• 1+ year of management/leadership experience.
• Clinical licensure and/or certification required only where mandated by contract or state rules.
• Strong customer service and member-centric focus.
• Ability to manage multiple deadlines and work cross-functionally.

Responsibilities

• Leads and manages a multidisciplinary team across care management, utilization management, behavioral health, LTSS, and related programs.
• Ensures delivery of member care aligned with standards and improves outcomes.
• Oversees staffing, performance metrics, and regulatory/compliance requirements.
• Collaborates with senior leadership and external partners to drive quality and cost-effectiveness.
• Analyzes performance data and drives process improvements in care delivery.

Skills

Leadership

Team management

Care management

Utilization management

Interdisciplinary collaboration

Communication skills

Strategic thinking

Education

RN license

Tools

Microsoft Office

Job description

Molina Healthcare in Southern California is seeking an experienced Managed Care Leader with a minimum of 7 years in health care and at least 3 years in a Managed Care Organization focusing on care management. The role reports to senior health services leadership and leads a multidisciplinary team to drive member-centered care and cost-efficient outcomes.

The ideal candidate demonstrates strong leadership, collaboration, and operational management skills, with a proven ability to improve care