Program Operations Manager

Molina Healthcare • Austin, TX • 9h ago

Job Description

Job Summary

The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, risk adjustment experts, and developers in the development and implementation of business strategies, operations and vendor management related to in-home assessment activities in all government lines of business impacted by the regulatory risk adjustment payment model.

They will be assist with implementing and managing the in-home assessment program that leads to the overall achievement of improved risk score accuracy, compliancy and completeness in risk adjustment revenue for all government lines of business to better support overall population heath management, reduce gaps in care and drive medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program, this role supports the strategic direction and organization of corporate initiatives to facilitate achievement of the in-home assessment program.

Knowledge/Skills/Abilities

This role interacts and supports regulatory agency policy and procedures by acting as a key business partner to the Director, Prospective Programs, Market & Segment Leaders, health plan teams, member services, provider services, external vendors, actuary, and finance. Direct reports to the manager include program specialist.

The position's essential functions are as follows:

Collaborates with colleagues to implement and manage in-home assessment program and contracted vendors.

Responsible for tracking and monitoring success of in-home assessment program against set goals, develops corrective action plans for program and partnering vendors, communicates program progress.

Develops and maintains program work plans, workflows, and related program documentation.

Oversees day-to-day vendor relationship, invoice payments, performance, issue resolution, and corrective action plans as needed.

Maintains compliance with all policies and procedures.

Adheres to all confidentiality and HIPAA requirements as outlined within Policies and Procedures in all ways and at all times with respect to any aspect of the data handles or services rendered in the undertaking of the position.

Fulfills those responsibilities and/or duties that may be reasonably provided by Molina for the purpose of achieving operational and financial success of the Company..

Job Qualifications

Required Education

Associates or Bachelor's Degree in Public Health, Business, Finance or equivalent combination of education and experience

Required Experience

3 years managed care experience, preferably with a national or multi-location organization

Experience in a complex healthcare delivery environment, specifically with government sponsored programs, including risk revenue management, strategy and compliancy

Proven ability to innovate and drive organizational change

Excellent presentation and communication skills

Preferred Education

Graduate Degree preferred

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 - $155,508 / ANNUAL

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

Similar Jobs

Sales Consultant

Penske Automotive • Austin, TX • 9min ago

Management & Administrative

BMW Austin, a Penske Automotive Group dealership, is looking for Sales Associates to join our team and deliver extraordinary customer experiences. JOIN OUR TEAM Here at Penske Automotive Group (PAG), we strive to create...

9min ago

Go to Apply

Sales Consultant

Penske Automotive • Austin, TX • 11min ago

Management & Administrative

Lexus of Austin, a Penske Automotive Group dealership, is looking for Sales Associates to join our team and deliver extraordinary customer experiences. JOIN OUR TEAM Here at Penske Automotive Group (PAG), we strive to cr...

11min ago

Go to Apply

Access Services Representative 2

Baylor Scott & White Health • Buda, TX • 8h ago

Management & Administrative

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you...

8h ago

Go to Apply

Sr. Operations Manager

Amazon • Pflugerville, TX • 9h ago

Management & Administrative

Description Our Sr. Operations Managers responsible for all budgetary, people development and operations objectives. The Sr. Operations Managers is responsible for all aspects of operation or functions at the site. Addit...

9h ago

Go to Apply

Security Operations Manager

Securitas Security Services USA, Inc. • Austin, TX • 9h ago

Management & Administrative

Securitas Security Services USA, Inc. is the global leader in protective services, delivering specialized guarding, advanced technology solutions, and comprehensive risk management to clients across a wide range of indus...

9h ago

Go to Apply

Associate Category Operations Manager

US Foods • Austin, TX • 9h ago

Management & Administrative

ARE YOU A CURRENT US FOODS EMPLOYEE? PLEASE APPLY DIRECTLY THROUGH OUR INTERNAL WORKDAY CAREER SITE ( https://www.myworkday.com/usfoods/d/task/2998$47185.htmld ) Join Our Community of Food People! ESSENTIAL DUTIES AND RE...

9h ago

Go to Apply

Senior Regional Manager, State and Local, Texas and Florida, Government Affairs and Public Policy

Google • Austin, TX • 10h ago

Management & Administrative

Minimum qualifications: Bachelor's degree or equivalent practical experience. 14 years of experience working on technology policy issues within government, think tanks, public interest groups, law, or relevant industry a...

10h ago

Go to Apply

Relationship Manager - Middle Market

Comerica • Austin, TX • 10h ago

Management & Administrative

Job Description Relationship Manager, Middle Market The Relationship Manager is responsible for new business development, portfolio management and underwriting to support the needs of the group. This role will focus on c...

10h ago

Go to Apply

Channel Account Manager - East

Trellix • Austin, TX • 10h ago

Management & Administrative

Job Title: Channel Account Manager - East About Skyhigh Security: Skyhigh Security is a dynamic, fast-paced, cloud company that is a leader in the security industry. Our mission is to protect the world's data, and becaus...

10h ago

Go to Apply

Global Supply Manager, AWS Power and Cooling Procurement and Supply Chain

Amazon • Austin, TX • 12h ago

Management & Administrative

Description AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we're the people who keep the cloud running. We support all AWS data centers an...

12h 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.