Healthcare Services Manager

2 weeks ago


Milwaukee, Wisconsin, United States Molina Healthcare Full time
Job Summary

Molina Healthcare Services (HCS) is seeking a skilled Healthcare Services Manager to lead our integrated care teams in providing high-quality, patient-centered care to our members. As a key member of our leadership team, you will be responsible for overseeing the clinical operations of our HCS teams, ensuring compliance with regulatory standards, and driving business growth through effective care coordination and management.

Key Responsibilities
  • Lead and manage integrated care teams, including clinical staff, to ensure seamless care coordination and delivery.
  • Develop and implement care management strategies to improve patient outcomes, reduce costs, and enhance member satisfaction.
  • Collaborate with cross-functional teams to identify and address care gaps, develop targeted interventions, and measure program effectiveness.
  • Ensure compliance with state and federal regulations, accreditation standards, and Molina's clinical model.
  • Manage and evaluate team member performance, provide coaching and development opportunities, and ensure ongoing staff training.
  • Develop and maintain professional relationships with providers, internal stakeholders, and external partners to drive business growth and improve care quality.
Requirements
  • 5+ years of managed healthcare experience, including 3+ years in clinical operations, care management, or a related field.
  • Minimum 2 years of supervisory or managerial experience, including oversight of clinical staff.
  • Experience working within applicable state, federal, and third-party regulations.
  • Registered Nurse or equivalent combination of experience and education.
Preferred Qualifications
  • Master's Degree in Nursing, Gerontology, Public Health, or a related field.
  • 3+ years of supervisory/management experience in a managed healthcare environment.
  • Medicaid/Medicare Population experience with increasing responsibility.

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $73,142.548.59 / ANNUAL



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