Healthcare Services Manager

3 days ago


Los Angeles, California, 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 requirements, and driving business growth through strategic planning and execution.

Key Responsibilities
  • Lead and manage integrated care teams to deliver high-quality, patient-centered care to Molina members.
  • Develop and implement strategic plans to drive business growth, improve operational efficiency, and enhance member satisfaction.
  • Collaborate with cross-functional teams to ensure compliance with regulatory requirements, accreditation standards, and company policies.
  • Provide coaching, mentoring, and performance management to team members to ensure their growth and development.
  • Monitor and analyze key performance indicators (KPIs) to inform business decisions and drive continuous improvement.
Requirements
  • 5+ years of managed healthcare experience, including 3+ years in clinical operations or management.
  • Minimum 2 years of supervisory or management experience, including oversight of clinical staff.
  • Experience working within applicable state, federal, and third-party regulations.
  • Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
Preferred Qualifications
  • Master's Degree in Nursing, Gerontology, Public Health, Social Work, or related field.
  • 3+ years of supervisory/management experience in a managed healthcare environment.
  • Medicaid/Medicare Population experience with increasing responsibility.
  • Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.

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



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