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.
Supervises operations support team members within Molina's Healthcare Services function, which may include Care Review, Case Management, and/or Correspondence Processors, as well as Member Location staff.
Works closely with members, providers, regulators, and Molina departments to resolve issues and concerns.
Researches and analyzes the workflow of the department and offers suggestions for improvement and/or changes to management; 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 work well done 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 Education: High School Diploma or equivalent GED.
Required Experience:
Preferred Education: Associate's or bachelor's degree
Preferred Experience:
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.