Manager, HCS Operations Support

Molina Healthcare • Miami, FL • 10h 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

Sales and Service Technician

Bridgestone Americas • Miami, FL • 7h ago

Management & Administrative

Company Overview Bridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teammates in North America. BSRO operates more than 2,200 company-owned stores, including Firestone Complete A...

7h ago

Go to Apply

Marketing CRM Consultant

First Horizon Bank • Miami, FL • 12h ago

Management & Administrative

Description Location: On-site in Memphis, TN; Charlotte, NC; New Orleans, LA; Raleigh, NC; Birmingham, AL; Atlanta, GA; Miami, FL. Summary of position: The Marketing CRM Consultant is a member of the Marketing and CX org...

12h ago

Go to Apply

Administrative Assistant

Aston Carter • Miami, FL • 18h ago

Management & Administrative

Job Title: Assistant for Trade Partner AdministrationJob Description This role involves assisting in the preparation and administration of Trade Partner documents, including contracts and insurance related to constructio...

18h ago

Go to Apply

Administrative Assistant

Robert Half • Miami, FL • 18h ago

Management & Administrative

Description Robert Half is seeking a Bilingual Administrative Assistant to provide professional administrative support for a busy office environment. The ideal candidate will be fluent in both Spanish and English, highly...

18h ago

Go to Apply

Administrative Assistant

Aston Carter • Miami, FL • 18h ago

Management & Administrative

Description Obtain required documents from the trade partners and divisions to complete the Master Trade Partner Agreement (MTPA)and Address Book Records (ABRs). Obtain required documents from the trade partners and divi...

18h ago

Go to Apply

ADMINISTRATIVE ASSISTANT I - 79000880

MyFlorida • Doral, FL • 18h ago

Management & Administrative

ADMINISTRATIVE ASSISTANT I - 79000880 Date: Aug 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ( http://www.dms.myflorida.com/workforce\operations/human\re...

18h ago

Go to Apply

Sales Clerk

Coast Guard Community Services Command • Miami Beach, FL • 1d ago

Management & Administrative

OMB NO: 1625-0120 Expiration Date: 01/30/2025Announcement #: 6402 Opening Date: 13 August 2025 Pay Plan/Series/Pay Band: NF-2091-01 Closing Date: Until Filled Work Schedule: Intermittent (0-19 hrs/wk) Position: Sales Cle...

1d ago

Go to Apply

Senior Rooms Operations Manager

Marriott • Miami, FL • 1d ago

Management & Administrative

Additional Information Job Number 25132063 Job Category Rooms & Guest Services Operations Location Miami Marriott Biscayne Bay, 1633 North Bayshore Drive, Miami, Florida, United States, 33132VIEW ON MAP ( https://www...

1d ago

Go to Apply

National Account Manager

Indeed • Miami, FL • 1d ago

Management & Administrative

Our Mission As the world's number 1 job site*, our mission is to help people get jobs. We strive to cultivate an inclusive and accessible workplace where all people feel comfortable being themselves. We're looking to gro...

1d ago

Go to Apply

Manager, Marketing Strategy

NBC Universal • Miami, FL • 1d ago

Management & Administrative

NBCUniversal is one of the world's leading media and entertainment companies. We create world-class content, which we distribute across our portfolio of film, television, and streaming, and bring to life through our them...

1d 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.