2025-08-12
Molina Healthcare (https://careers.molinahealthcare.com/)
Other
/yr
full-time
employee
Boise
Idaho
United States
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
* Completes onsite assessments of clinical teams in collaboration with a VP of Clinical Ops or Medical Director
* Proactively identifies problem areas and researches background and potential solutions.
* Develops clinical team improvement plans in collaboration with a VP of Clinical Ops or a Medical Director
* Assists clinical teams with barrier removal to improve performance
* Assists clinical teams with clinical priorities and training needs
* Acts as an interim AVP of HCS during periods of leadership vacancies
* Orients and supports new AVPs of HCS to their role and responsibilities
* Utilizes excellent verbal and written communication
* Utilizes advanced teambuilding and conflict resolution skills
* Demonstrated ability to manage multiple complex project successfully
* Assists MHI Clinical Training team as needed
* 25- 50% travel required.
 Job Qualifications
Required Education
Graduate Degree or equivalent combination of education and experience
Required Experience
7 years of utilization and/or case management experience
7 years management experience
Preferred Education
Master's Degree in Health Related field (Nurse Practitioner, Masters of Health Administration, MBA with Healthcare emphasis)
Preferred Experience
10 years of utilization and/or case management experience
10 years management experience
Preferred License, Certification, Association
RN
CCM, CPHM, CPHQ
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: $122,430.44 - $238,739.35 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
