Manager, HCS Operations Support

Molina Healthcare • Fort Worth, TX • 8h 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

Required License, Certification, Association

n/a

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.

Preferred License, Certification, Association

n/a

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: $77,969 - $141,371 / ANNUAL

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

Similar Jobs

(USA) Area Manager Asset Protection - All DC/FC

Walmart • Fort Worth, TX • 7h ago

Management & Administrative

Position Summary... The Asset Protection Area Manager is a safety leadership role responsible for ensuring a safe and healthy work environment for associates in a fulfillment center. The role involves coaching and traini...

7h ago

Go to Apply

Director, Global Supply Chain Chief Engineer

Lockheed Martin • Fort Worth, TX • 10h ago

Management & Administrative

Description: Lockheed Martin Aeronautics is seeking a technically deep and strategic Director of Supply Chain Engineering to lead supplier-engineering excellence across our ADP ("Skunk Works") and Production (F35, IFG an...

10h ago

Go to Apply

Supply Chain - Material Program Manager Staff

Lockheed Martin • Fort Worth, TX • 1d ago

Management & Administrative

Description: At Lockheed Martin Aeronautics we are committed to shaping the future of aviation! Our Aeronautics Supply Chain team is passionate about delivering innovative, affordable, and agile solutions that exceed our...

1d ago

Go to Apply

Customer Service Associate

Walgreens • North Richland Hills, TX • 1d ago

Management & Administrative

Job Description: Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. Custome...

1d ago

Go to Apply

Customer service

D.i.m.s Development Society Corp • Fort Worth, TX • 1d ago

Management & Administrative

Customer Service Remote This is a part-time remote role for a Customer Service Representative. As a Customer Service Representative, you will be responsible for assisting customers with their inquiries, providing informa...

1d ago

Go to Apply

Security Officer Manufacturing Facility

Allied Universal • Fort Worth, TX • 1d ago

Management & Administrative

Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you wil...

1d ago

Go to Apply

Sales and Service Manager

24 Hour Fitness, INC. • Fort Worth, TX • 1d ago

Management & Administrative

FULL-TIME Full-time LOCATION 2701 Halloran Street Fort Worth TX 76107 JOB SUMMARY The Sales and Service Manager (SSM) ensures the club delivers an outstanding and well-rounded sales and service experience to all guests a...

1d ago

Go to Apply

Area Sales Manager - Paramount Off Premise (Fort Worth)

Southern Glazer's Wine and Spirits • Fort Worth, TX • 1d ago

Management & Administrative

What You Need To Know technology, continuous learning, and the ability to bring their best selves to work. As the premier wine and spirits distributor, Southern Glazer's isn't just one of Forbes' Top Private Companies; i...

1d ago

Go to Apply

(USA) Overnight Stocking Coach, Non-Complex, Management

Walmart • Fort Worth, TX • 2d ago

Management & Administrative

Position Summary... What you'll do... Leads and develops teams effectively by teaching training and actively listening to associates touring stores and providing feedback TourtoTeach communicating and collaborating with...

2d ago

Go to Apply

Customer Service Representative

Performance Food Group • Fort Worth, TX • 2d ago

Management & Administrative

127021BR Job Title: Customer Service Representative Location: Performance Dallas (1011) Job Description: We Deliver the Goods: Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock...

2d 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.