2025-08-14
Molina Healthcare (https://careers.molinahealthcare.com/)
Other
/yr
full-time
employee
Buffalo
New York
United States
JOB DESCRIPTION
Job Summary
Leads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - 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
• Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
• Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
• Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
• Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
• Assists in the development and implementation of internal desktop processes and procedures.
• Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications
• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
• Strong analytic and problem-solving abilities.
• Strong organizational and time-management skills.
• Ability to multi-task and meet project deadlines.
• Attention to detail.
• Ability to build relationships and collaborate cross-functionally.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Supervisory/leadership 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: $77,969 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
