VP, Member & Provider Support Center Operations

Visa Hunt; United States; On-site; USD 180,000 - 300,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking an experienced operations executive to lead the member and provider support center services function. You will shape strategy, drive performance, manage workforce, and ensure compliance while aligning with financial goals and quality metrics.

You will oversee cross-functional teams across Medicaid, Medicare, and Marketplace lines, build strong stakeholder relationships, and implement cost-reduction and process-improvement initiatives to deliver high-quality customer

Qualifications

• At least 12 years of health care operations and/or contact/call center experience.
• At least 7 years of management/leadership experience.
• Experience leading operations for multiple markets and product lines.
• Data analytics, customer experience, workforce management, and quality metrics experience.
• Experience developing and managing department budgets.
• Experience with Medicare, Medicaid, and Marketplace plans.
• Experience with Genesys/Salesforce.

Responsibilities

• Supports executive strategy development, vision and direction for member/provider support center services.
• Oversees workforce management, quality assurance, and vendor performance across lines of business.
• Develops strategies to support growth and improve member/provider satisfaction.
• Maintains strong relationships with stakeholders to optimize shared services.
• Ensures compliance with state/federal regulations and SOPs.
• Manages budgets and drives cost reduction and productivity improvements.
• Leads staff and contractors to achieve department goals.
• Champions cross-functional collaboration within a matrixed organization.

Skills

Healthcare operations

Team management

Data analytics

Budget management

Stakeholder management

Process improvement

Genesys/Salesforce

Job description

Molina Healthcare is seeking an experienced operations executive to lead the member and provider support center services function. You will shape strategy, drive performance, manage workforce, and ensure compliance while aligning with financial goals and quality metrics.

You will oversee cross-functional teams across Medicaid, Medicare, and Marketplace lines, build strong stakeholder relationships, and implement cost-reduction and process-improvement initiatives to deliver high-quality customer