Manager, Healthcare Services Operations Support (FL)
Job Description
JOB DESCRIPTION Job Summary
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Leads and manages 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.
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Essential Job Duties
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\n • Provides oversight for non-clinical operational teams that support one or more of the following healthcare services functions: care review, utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), care management, transitions of care, health management, long-term services and supports (LTSS), behavioral health, member assessment and/or other special programs.
\n • Facilitates integrated proactive management, ensuring compliance with state, federal, regulatory and accrediting standards.
\n • Responsible for selection, orientation, onboarding and training of new staff
\n • Manages and evaluates team member performance and provides coaching, mentoring, employee development and recognition.
\n • Functions as hands-on manager responsible for supervision and coordination of daily activities.
\n • Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators
\n • Performs and promotes interdepartmental/multidisciplinary integration and collaboration to enhance continuity of care and quality of services provided. .
\n • Ensures completion of staff quality audit reviews and evaluates services provided and outcomes achieved to recommend enhancements/improvements for program and staff development, and to ensure consistency, cost-effectiveness and compliance with state/federal regulations and guidelines.
\n • Maintains professional relationships with provider community and internal and external customers while identifying opportunities for improvement.
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Required Qualifications
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• At least 7 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
\n • At least 1 year of health care management/leadership experience.
\n • Strong analytic and problem-solving abilities.
\n • Strong organizational and time-management skills.
\n • Ability to multi-task and meet project deadlines.
\n • Attention to detail.
\n • Ability to build relationships and collaborate cross-functionally.
\n • Excellent verbal and written communication skills.
\n • Microsoft Office suite/applicable software program(s) proficiency.
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To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
\n 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.