Manager, HCS Operations Support - REMOTE

Molina Healthcare • Georgia, Georgia • 1d ago

Job Description

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

Knowledge/Skills/Abilities

Provides management and oversight for operational teams that support one or more of the following activities: care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care, health management and/or member assessment.

Typically, through one or more direct report supervisors, facilitates integrated, proactive management, ensuring compliance with state and federal regulatory and accrediting standards.

Manages and evaluates team member performance; provides coaching, counseling, employee development, and recognition; ensures ongoing, appropriate staff training; and has responsibility for the selection, orientation and mentoring of new staff.

Performs and promotes interdepartmental/ multidisciplinary integration and collaboration to enhance the continuity of care and quality of Molina services provided.

Functions as hands-on manager responsible for supervision and coordination of daily activities.

Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators.

Ensures completion of staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends enhancements/improvements for programs and staff development to ensure consistent cost effectiveness and compliance with all state and federal regulations and guidelines.

Maintains professional relationships with provider community and internal and external customers while identifying opportunities for improvement.

Job Qualifications

Required Education

Associate's Degree (equivalent combination of education and relevant experience may be considered in lieu of Degree)

Required Experience

Min. 5 years operations or administrative experience in healthcare/ health plan industry, including 1+ years as a supervisor.

Strong communication skills

Strong analytic and problem solving abilities

Preferred Education

Associate's or Bachelor's Degree

Preferred Experience

3+ years of healthcare or health plan supervisory experience.

Managed Care operations experience.

Prior Medical Assistant experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $60,415 - $117,809 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Bilingual Customer Service Representative

Conduent • Georgia, Georgia • 1d ago

Management & Administrative

Bilingual Benefits Call Center Representative 100% Remote Excellent benefits and team atmosphere $18.00/hr Would you enjoy being part of a team that makes a difference in people's lives? Do you love helping people solve...

1d ago

Go to Apply

DHS/DCSS Administrative Support 2 (Program Assistant) - 00000713

State of Georgia • Georgia, Georgia • 3d ago

Management & Administrative

DHS/DCSS Administrative Support 2 (Program Assistant) - 00000713 ?? Georgia - Carroll - Carrollton ( https://careers.georgia.gov/jobs/69947/other-jobs-matching/location-only ) New ?? ( https://careers.georgia.gov/landing...

3d ago

Go to Apply

DHS/DCSS Administrative Support 2 (Program Assistant) - 00000228

State of Georgia • Georgia, Georgia • 3d ago

Management & Administrative

DHS/DCSS Administrative Support 2 (Program Assistant) - 00000228 ?? Georgia - Ware - Waycross ( https://careers.georgia.gov/jobs/69952/other-jobs-matching/location-only ) New ?? ( https://careers.georgia.gov/landingpages...

3d ago

Go to Apply

Customer Service Specialist- Consumer Protection Division

State of Georgia • Georgia, Georgia • 3d ago

Management & Administrative

Customer Service Specialist- Consumer Protection Division ?? Georgia - Fulton - Atlanta ( https://careers.georgia.gov/jobs/69953/other-jobs-matching/location-only ) New Hot ?? Administrative & Operations Support ?? L...

3d ago

Go to Apply

Regional Human Resources Coordinator

Impact Fire • Georgia, Georgia • 4d ago

Management & Administrative

Established in 2009, Impact Fire Services was the vision of a group of experienced industry professionals that wanted to build a best-in-class fire protection and life safety company. Through superior customer service an...

4d ago

Go to Apply

DHS/DFCS/CW Administrative Assistant 3 - 00023263

State of Georgia • Georgia, Georgia • 4d ago

Management & Administrative

DHS/DFCS/CW Administrative Assistant 3 - 00023263 ?? Georgia - Muscogee - Columbus ( https://careers.georgia.gov/jobs/69892/other-jobs-matching/location-only ) New ?? ( https://careers.georgia.gov/landingpages/administra...

4d ago

Go to Apply

Program Manager - CCaaS / SaaS

Sprinklr • Georgia, Georgia • 5d ago

Management & Administrative

Sprinklr is a leading enterprise software company for all customer-facing functions. With advanced AI, Sprinklr's unified customer experience management (Unified-CXM) platform helps companies deliver human experiences to...

5d ago

Go to Apply

Director, Protection Services Operations Center - REMOTE

Molina Healthcare • Georgia, Georgia • 1w ago

Management & Administrative

Job Description Job Summary Leads and directs team responsible for defining and applying the company's unified operational security objectives by working closely with the security leadership team, partnering with organiz...

1w ago

Go to Apply

Customer Service Specialist

State of Georgia • Georgia, Georgia • 1w ago

Management & Administrative

Customer Service Specialist ?? Georgia - Dekalb - Atlanta ( https://careers.georgia.gov/jobs/69740/other-jobs-matching/location-only ) New Hot ?? Administrative & Operations Support ?? Technical College System of Geo...

1w ago

Go to Apply

Student Accounts Manager

State of Georgia • Georgia, Georgia • 1w ago

Management & Administrative

Student Accounts Manager ?? Georgia - Chatham ( https://careers.georgia.gov/jobs/69727/other-jobs-matching/location-only ) New ?? ( https://careers.georgia.gov/landingpages/financial-opportunities-at-team-georgia-14 ) Fi...

1w ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.