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Representative, Support Center (Bilingual English/Spanish, Must Reside in FL)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values. Provides product and service information, and identifies opportunities to improve the member and provider experience. Essential Job Duties • Provides service support to members and/or providers using one or more support center communication channels serving multiple states and/or products including but not limited to: phone, chat and email, in addition to other administrative off phone duties supporting Medicaid, Medicare and/or Marketplace lines of business. • Conducts various surveys related to health assessments and member/provider satisfaction. • Accurately documents pertinent details related to member or provider inquiries. • Works regularly scheduled shifts within Molina hours of operation, follows protocol related to scheduled lunches and breaks, and accommodates overtime and/or weekends as needed. • Demonstrates ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations. • Listens attentively, captures relevant information, and identifies member or provider inquiries and concerns. • Meets or exceeds individual performance goals established for the position in the areas of: call quality, attendance, adherence and other support center objectives. • Proactively engages and collaborates with various internal/external stakeholders. • Demonstrates personal responsibility and accountability by taking ownership of real-time solutioning and timely member and/or provider follow-up. • Supports provider needs related to inquiries and assistance involving member eligibility and covered benefits, provider portal, and status of submitted claims. Required Qualifications • Must be bilingual English/Spanish • Up to 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience. • Customer service skills. • Data processing experience. • Attention to detail, organizational and time-management skills, and ability to manage simultaneous tasks to meet business needs. • Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). • Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers. • Effective verbal and written communication skills. • Basic proficiency in Microsoft Office suite and applicable software programs. Preferred Qualifications • Systems training/experience for the following : Microsoft Office, Microsoft Teams, Genesys, Salesforce, Pega, QNXT, CRM, Verint, video conferencing, CVS Caremark, Availity. • Call center experience. • Managed care/health care experience. #PJCC3 #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $16.5 - $20.5 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Care Review Clinician (RN)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent hospital experience in an intensive care unit (ICU) or emergency room. #PJHS3 #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Supervisor, Support Center Operations (Bilingual English/Spanish, Must Reside in FL)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Job Summary The schedule for this position is M-F 11:30am-8pm. Leads and supervises team responsible for provision of support center customer service excellence to meet the needs of Molina members and providers. Ensures issues and needs are addressed fairly and effectively, and in alignment with Molina values. Demonstrates accountability for delivery of product and service information, identifies opportunities to improve the member and provider experience, and supports continuous quality improvement initiatives related to member/provider engagement and retention. Essential Job Duties • Provides leadership and oversight for the member and provider support center; ensures exemplary service is delivered according to Molina goals/objectives/policies/procedures and regulatory requirements, and demonstrates accountability for performance and financial outcomes. • Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow-through to closure. • Addresses more complex member inquiries, questions and concerns in all related areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. • Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. • Achieves individual performance goals as it relates to call center objectives. • Demonstrates personal responsibility and accountability and leads by example through individual performance. • Ensures compliance with contractual and regulatory requirements. • Recommends and implements programs to support member and provider needs. • Supports projects and special initiatives as appropriate. • Sets a positive example for others and builds the Molina culture by modeling the Molina mission, vision and values in daily actions. • Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of department-specific goals. • Models dynamic leadership for support center representatives; develops team to focus on delivering great health care/customer service to underserved populations. Required Qualifications • At least 5 years of customer service, call center and/or sales experience in a fast-paced/high-volume environment, including 3 years of call center experience, or equivalent combination of relevant education and experience. • Strong customer service skills. • Understanding of insurance products including Medicaid, Medicare and Marketplace/enrollment processes. • Organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. • Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). • Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers. • Ability to work cross-functionally across a highly matrixed organization. • Strong verbal and written communication skills. • Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications • Management/leadership experience. • Systems training/experience for the following : Microsoft Office, Microsoft Teams, Genesys, Salesforce, Pega, QNXT, CRM, Verint, video conferencing, CVS Caremark, Availity. • Managed care/health care experience. • Broker/health insurance license. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $45,390 - $84,086 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Specialist, Member Engagement

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Job Summary Provides support for member engagement and member retention activities. Represents members in areas involving member impact and engagement including: appeals and grievances and member issue research and resolution. Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member relationships. Recommends and implements programs to support member needs, and develops/maintains member materials. Essential Job Duties • Provides direct telephonic assistance to members and/or member family members seeking to resolve issues or complaints; seeks to engage and retain new and existing members. • Ensures enrollee's rights are upheld and helps enrollees understand their rights and benefits in working through the system. • Assists members in the complaint and appeal process; determines the nature of the member's needs or problem; informs members of their rights in the complaints and appeals process; and advises/refers as appropriate for investigation and resolution. • Serves as an advocate in collaboration with providers, regulatory agencies, outside agencies, colleagues and other functional departments as appropriate. • Educates members on covered services available to them, including preventive services. • Provides support to enrollees and providers in provision of plan benefits. • Educates members on covered services available, including preventive services. • Provides information, guidance and assistance over the phone or in person to members with disabilities who call for help related to plan participation; analyzes internal system functions that affect enrollee access to medical care and quality of care. • Collaborates with the care management team to support resolution of member issues/concerns; ensures that trends are identified and solutions outlined. • Conducts focus groups in service delivery area as needed to ensure member needs are being addressed. • Supports ongoing member advocacy training and disseminates member advocacy educational materials to internal staff, providers, and subcontractors. • Conducts in person meetings with members and/or family members as appropriate. • Accurately and timely documents member contacts/cases in appropriate database. Required Qualifications • At least 2 years of experience in member services, member outreach, community engagement, consumer advocacy, and/or customer service —preferably in a managed care or health care setting, or equivalent combination of relevant education and experience. • Effective interpersonal skills, with a customer-first mindset. • Experience conducting intake, interviews, and/or research of consumer or provider issues. • Basic understanding of managed health care systems and behavioral health issues. • Ability to work both independently and as part of a team in a fast-paced environment. • Ability to assess needs and make thoughtful decisions to support members. • Time-management and organizational skills. • Ability to work cross-functionally within a highly matrixed organization. • Effective verbal and written communication skills, and professional telephone etiquette skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Call center experience. • Managed care experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $14.9 - $22.5 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Care Manager (BH Licensed)- must reside in FL Counties: Seminole, Orange, Osceola, Brevard

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This role will support Children Medical Services (CMS) health plan in Region E (Counties: Seminole, Orange, Osceola, Brevard). Pediatric experience is strongly preferred. Essential Job Duties • Completes comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate healthcare professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May provide consultation, resources and recommendations to peers as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience. • Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care. • Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination. • Data entry skills and previous experience utilizing a clinical platform. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Case Manager (CCM). • Experience in behavioral health care management. • Field-based care management or home health experience. • Pediatric experience preferred #PJHS3 #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization / financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors and presents cases in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote Molina care model. • Adheres to utilization management (UM) policies and procedures. • May work collaboratively with appropriate departments to provide applied behavior analysis (ABA)/behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders. • May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: psychological evaluation requests, comprehensive diagnostic evaluations, functional behavioral assessments, and progress reports. • May perform ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy. • May provide peer to peer consultation BHT in-network providers to support treatment planning and maximize member progress. • May work collaboratively with ABA providers to ensure best service practices for members. • May create and develops forms, recommendations and guidelines and training for BHT service delivery. • May collaborate and coordinate with behavioral health medical directors, and senior medical directors to ensure proper management of the BHT benefit. Required Qualifications • At least 2 years health care experience, including experience in behavioral health and/or hospital acute care, or equivalent combination of relevant education and experience. • Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or equivalent behavioral health licensure. License must be active and unrestricted in state of practice. • May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Recent hospital behavioral health experience in an intensive care unit (ICU) or emergency room. #PJHS3 #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Project Manager (supports FLA Medicaid CMS, Medicaid experience preferred)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Job Summary Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members. The Project Manager plans and executes internal HCS projects involving department or cross-functional teams of subject matter experts, delivering projects from the design process to completion in collaboration with others. Manages projects providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes. May engage and oversee the work of external vendors. Focuses on process improvement, organizational change management, program management, and other processes relative to the business. Serves as a subject matter expert and leads projects to meet critical needs. Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Collaborates with operational leaders within the business to provide recommendations for process improvement opportunities. Conducts quality audits to assess Molina HCS staff educational needs and service quality and implement quality initiatives as appropriate. Creates business requirement documents, test plans, requirements traceability matrix, user training materials, and other related documentation. KNOWLEDGE/SKILLS/ABILITIES Manages all aspects of assigned projects throughout the project lifecycle including project scope, schedule, resources, quality, costs, and change. Develops and maintains detailed project plan to include milestones, tasks, and target/actual dates of completion. Revises project plans as appropriate to meet changing needs and requirements. Prepares and submits project status reports to management. Schedules and conducts project meetings to include logistics, agendas, and meeting minutes. JOB QUALIFICATIONS Required Education Associate degree or equivalent combination of education and experience Required Experience 3-5 years Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience Pediatric experience preferred Knowledge of Florida Medicaid preferred Preferred License, Certification, Association PMP or Six Sigma Green Belt certification #PJCorp #LI-AC1 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: $60,415 - $117,809 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Senior Health Educator- Clinical Transplant Nurse- Remote

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Job Summary Provides senior level support for health education activities. Responsible for developing, implementing, and maintaining health plan health education programs. Assists in identifying health education program needs, researching and developing health education and disease management materials, and maintenance of member quality programs. Conducts data collection, reporting, and monitoring in accordance with established state/federal/National Committee for Quality Assurance (NCQA) standards and regulations. We are searching for experience as a Certified Clinical Transplant Nurse specializing in Transplant/Gene Therapy. Please include any experience in these qualifiers on your resume. This is for a pediatric population. Essential Job Duties • Develops, implements and evaluates health education programs for members within the Molina network and the broader community. • Provides oversight and assistance to providers in meeting health education contract requirements. • Serves as a resource for health educators in the resolution of issues that may arise during the implementation of quality improvement (QI) interventions. • Identifies, designs, implements, and evaluates health education interventions to meet the needs of the targeted population based on priorities established by the department and current contracts. • Conducts population, geographic, and member-specific needs assessments. • Coordinates the health education services assessment of Independent Physician Association (IPAs) and medical groups as required and collaborates with other quality improvement (QI) staff on oversight. • Represents as a liaison to internal departments, community-based organizations (CBOs), social service agencies and public health departments to ensure that Molina resource information is current and available. • Participates in the development of internal resources in collaboration with other departments identified in the annual work plan. • Reviews and updates health education materials and programs, including preventive care guidelines, incentive packets, the health plan website and communications to providers. • Successfully engages members in health promotion via direct member calls. • Coordinates care of members from call tracking boxes and health education voicemails, including connecting members to appropriate programs and resources. • May collaborate with various grant recipients, state and local entities that work toward improving the health of Molina members. • Participates in QI planning and project work to further QI goals (e.g., Healthcare Effectiveness Data and Information Set (HEDIS) activities, strategic planning, and special projects). • Provides input on the design and functionality of all utilized databases. • May serve as the designated QI representative at various external activities to include immunization, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), chronic condition collaborative and other work group meetings. • Participates in QI planning and project work to further QI goals (e.g., HEDIS activities, and special projects). • Provides training and support to new and existing health education team members. • This position may require same day out of office travel 0 - 80% of the time, depending upon state-specific needs. • This position may require multi-day overnight travel on occasion, depending upon state-specific needs. Required Qualifications • At least 3 years of experience in a health education-related capacity, and at least 1 of year experience working with a wide range of member populations within a managed care setting, or equivalent combination of relevant education and experience. • Ability to build relationships with community-based organizations (CBOs). • Strong customer service skills. • Knowledge of available community resources. • Knowledge and understanding of HEDIS and NCQA. • Critical-thinking, problem-solving and analytical skills. • Ability to navigate change with flexibility and a positive outlook. • Effective verbal, written and interpersonal communication skills. • Microsoft Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs. Preferred Qualifications • Experience with Medicaid, Medicare, and/or Marketplace government-sponsored programs. • Experience working with the Medicaid population. • Certified Health Education Specialist (CHES). #PJQA #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $49,930 - $90,363 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Care Review Clinician (RN) - Remote in FL

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Florida
JOB DESCRIPTION Must reside in Florida Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent hospital experience in an intensive care unit (ICU) or emergency room. Utilization Management (UM) experience highly preferred. #PJHS3 #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $43 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Territory Business Manager-Richmond

NeoGenomics Laboratories - Aug 06, 2026
Location-based
Full-time
Salary
Fort Myers, FL
Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while continuing to be challenged and learn? Then we encourage you to dive deeper into this opportunity. We believe in career development and empowering our employees. Not only do we provide career coaches internally, but we also offer many training opportunities to expand your knowledge base! We have highly competitive benefits with a variety of HMO and PPO options. We have a company 401k match along with an Employee Stock Purchase Program. We have tuition reimbursement, leadership development, and even start employees off with 16 days of paid time off plus holidays. We offer wellness courses and have highly engaged employee resource groups. Come join the Neo team and be part of our amazing World Class Culture! NeoGenomics has an opening for an Territory Business Manager who is located in the greater Richmond area and wants to continue to learn in order to allow our company to grow. This position will cover the middle of VA territory from Lexington - Virginia Beach. Now that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics : As an employer, we promise to provide you with a purpose-driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. Together, we will become the world's leading cancer reference laboratory. Position Summary: The Territory Business Manager (TBM) reports to the Regional Director in their assigned region within the Clinical Services commercial organization and serves as the primary customer owner of and contact for all accounts within their assigned territory. The TBM is responsible for calling on all stakeholders within their territory such as: pathology, community oncology, hospital oncology, academic centers, reference labs and private physician groups selling the full portfolio. This role is responsible for identifying opportunities to expand share of care and maintaining business within their current customer base as well as acquiring new customers in the community oncology by selling the full portfolio. The TBM is responsible for the entire sales process for all of their assigned accounts. The TBM facilitates the involvement of all specialist teams such as the Oncology Sales Specialists (OSS) and support resources such as the Client Success Specialists (CSS) to increase account value. The TBM should also engage the Key Account Manager (KAM) to target and support Tier A accounts. The TBM is responsible for operating their territory within their given operating budget. Responsibilities: Achieves annual sales goals through efficient management and satisfaction of customer needs within assigned territory. Primary account owner of Tier A, B, C accounts. Engage with KAMs to target and support Tier A accounts. Owns the entire sales process for assigned accounts. Works with OSS and CSS to increase account value. Develops and maintains relationships with key decision makers in accounts. Identifies and pursues new business opportunities within existing accounts. Collaborates with marketing and product teams to develop strategies for account growth. Stays up-to-date on industry trends and competitive landscape. Ensures customer satisfaction and retention through proactive communication and problem-solving. Responsible for consultative sales and promotion of the Company’s products within assigned territory: Develops and maintains territory coverage plan with Regional Manager Provides routine service to key assigned accounts Properly presents key products as directed Communicates regularly with all members of assigned territory team Responsible for market development activities: Focuses on development and maintenance of key accounts with their KAM Performs product in-service training to ensure customer satisfaction as needed Products frequent market feedback on products, competition and market conditions to the Regional Manager and Marketing Manager Develops and maintains territory specific information relative to competitors and distributors in the market Develops, maintains and delivers accurate information on lost business Generates ideas that contribute to the territory, business unit, company mission and growth. Ensure all activities and opportunities are entered and tracked in SFDC to allow increased visibility. Maintain detailed records in SalesForce.com to provide account updates and support ongoing review of the customer master file Leads and facilitates problem solving within team and across cross-functional areas. Recognizes and rapidly responds to changes in internal/external environment; stimulates change and champions new initiatives Develops annual business plan and updates regularly; prioritizes and manages time effectively; maintains appropriate contact with all accounts; develops and executes account specific strategies; utilizes resources effectively Identifies and builds relationships with customers at all levels within each organization; leverages contacts to achieve business objectives, when appropriate; establishes consistently positive rapport Achieves goals for product sales; maintains consistent momentum in sales cycle; self-disciplined and self-directed; overcomes obstacles; maintains high work ethic; creates sales opportunity Identifies personal and professional development objectives and plans to achieve them Understands internal information technology systems and how the interface with clients Participates in sales meetings, seminars, industry conferences, and tradeshows and manages event coordination May provide results to an inquiring client in accordance with department SOPs. Timely and accurate fulfillment of Sales Administration duties such as expense Reporting within guidelines outlined in the company’s Travel & Entertainment Policy Adheres to all company policies and procedures protecting the privacy of patients and the confidentiality of their information in compliance with HIPAA and other applicable laws. Ensures the privacy and confidentiality of all communication Experience , Education and Qualifications Bachelor’s degree in life sciences or business-related field required (MBA preferred 5+ year’s direct sales experience in a clinical and/or laboratory market environment preferred Strong closing skills. Prior attendance at formal sales training courses a plus Strong interpersonal and influencing skills at all levels of the organization Demonstrated record of achievement in a prior sales position preferred Proven oral, written, telephone and presentation skills Knowledge of clinical and/or laboratory market environment and products Ability to learn and retain product specific information and utilize to position the features and benefits to customers Ability to work under deadline pressure and extra hours if needed on assignments Proficient with MS Office programs Strong organizational skills and attention to detail Ability to work independently and in a team environment Must be able to work in a biohazard environment and comply with safety policies and standards outlined in the Safety Manual Valid driver’s license for state of residence required Ability to travel as required by role (up to 75% of the time). Some overnight travel may be required. Yes Equal employment opportunity, including veterans and individuals with disabilities. PI286256162
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