Senior Manager, Healthcare Services & Care Management

Molina Healthcare; San Jose (CA); On-site; USD 84,000 - 164,000; Full time

Job summary

Molina Healthcare is seeking an experienced Managed Care Leader to join our California health plan. The role leads a multidisciplinary team and drives member-centered care across care management, utilization management, and transitions to improve outcomes.

Candidates must have 7+ years in healthcare, 3+ years in managed care, and 2–3 years of leadership with strong collaboration and operational management skills to navigate a complex, regulated environment.

Qualifications

• Minimum 7 years of healthcare experience with 3+ years in managed care.
• At least 1 year of management/leadership experience.
• Clinical licensure required/active where state contracts require it.

Responsibilities

• Oversee care management, utilization management, transitions and LTSS.
• Lead multidisciplinary teams to achieve cost-effective, quality care.
• Ensure compliance with regulatory and accrediting standards.
• Monitor performance metrics and service levels.
• Collaborate with senior leadership and stakeholders.

Skills

Leadership

Healthcare experience

Care management

Utilization management

Regulatory knowledge

Cross-functional collaboration

Communication

Microsoft Office

Education

Registered Nurse (RN) or equivalent

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an experienced Managed Care Leader to join our California health plan. The role leads a multidisciplinary team and drives member-centered care across care management, utilization management, and transitions to improve outcomes.

Candidates must have 7+ years in healthcare, 3+ years in managed care, and 2–3 years of leadership with strong collaboration and operational management skills to navigate a complex, regulated environment.