Senior Manager, Healthcare Services & Care Delivery

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

Job summary

Molina Healthcare in Southern California seeks an experienced Managed Care Leader to oversee care management, utilization management, and related programs within a health plan. The role drives member-centered outcomes and operational excellence across teams in California, including leadership of multidisciplinary professionals.

The position requires 7+ years in healthcare, with 3+ years in MCO settings, and at least 1 year in management.

Qualifications

• At least 7 years of health care experience, including 3 years in managed care.
• 1+ year of management/leadership experience.
• Active clinical licensure may be required depending on contract/regulation.
• Strong customer service and member-centric focus.
• Ability to lead diverse teams and coordinate across functions.

Responsibilities

• Leads multidisciplinary teams in care management, utilization management, and related programs.
• Ensures compliant delivery of member care and efficient service delivery.
• Oversees staffing, performance metrics and continuous improvement initiatives.
• Collaborates with senior leadership and provider networks to improve outcomes.
• Travel may be required based on state/contractual needs.

Skills

Managed Care Leadership

Leadership Experience

Care Management

Collaboration Skills

Communication Skills

Education

RN

LVN/LPN

LCSW

LMFT

LPCC

LMSW

Tools

Microsoft Office

Job description

Molina Healthcare in Southern California seeks an experienced Managed Care Leader to oversee care management, utilization management, and related programs within a health plan. The role drives member-centered outcomes and operational excellence across teams in California, including leadership of multidisciplinary professionals.

The position requires 7+ years in healthcare, with 3+ years in MCO settings, and at least 1 year in management.