Senior Manager, Care Management & Health Services

Jobtome; San Jose (CA); Sur place; USD 84 000 - 164 000; Plein temps

Résumé du poste

Molina Healthcare in California seeks a seasoned Managed Care Leader to guide a multidisciplinary team across care management, utilization management, behavioral health, LTSS, and related programs. You will align care delivery with Molina's standards to drive member-centered outcomes.

This role requires 7+ years in healthcare with 3+ in MCO settings and 2–3 years of leadership, with a proven ability to lead teams, improve performance, and ensure regulatory compliance. Travel may be required.

Qualifications

• 7+ years healthcare experience with 3+ years in managed care.
• At least 1 year of management/leadership experience.
• Clinical licensure/certification as required by contract or state board.
• Strong customer service and ability to work in a matrixed organization.
• Excellent written and verbal communication; proficiency with Office software.

Responsabilités

• Leads multidisciplinary team in care management, utilization management, behavioral health, LTSS, and related programs.
• Ensures delivery of member care aligned with regulatory standards and Molina model.
• Hands-on leader supporting systems assessment, day-to-day operations, and efficiency.
• Maintains staffing levels, monitors productivity, and tracks performance indicators.
• Collaborates with senior leadership and external partners to address operational needs.
• Analyzes care access, utilization, outcomes, and cost-effective service use.
• Oversees ICT meetings and promotes interdepartmental collaboration.
• Travel may be required based on state/contract requirements.

Connaissances

Leadership

Care Management

Utilization Management

Behavioral Health

LTSS

Staff Development

Cross-functional Collaboration

Communication Skills

Formation

RN/LVN/LPN

LCSW/LMFT/LPCC/LMSW

Outils

Microsoft Office

Description du poste

Molina Healthcare in California seeks a seasoned Managed Care Leader to guide a multidisciplinary team across care management, utilization management, behavioral health, LTSS, and related programs. You will align care delivery with Molina's standards to drive member-centered outcomes.

This role requires 7+ years in healthcare with 3+ in MCO settings and 2–3 years of leadership, with a proven ability to lead teams, improve performance, and ensure regulatory compliance. Travel may be required.