Molina Healthcare

Compensation

Full Description

Job Title: Director, Healthcare Services; Care Management (Remote - GA) Company Overview: Molina Healthcare is a leading managed care organization dedicated to providing high-quality healthcare services to underserved communities. With a strong commitment to innovation and patient-centered care, Molina Healthcare strives to improve health outcomes through comprehensive care management and utilization management programs. Role Overview: As the Director of Healthcare Services for Care Management, you will lead and direct a multidisciplinary team of healthcare professionals focused on utilization management, care coordination, and quality improvement. Your leadership will ensure effective delivery of healthcare services that meet regulatory standards and enhance patient care. What You'll Do: - You will lead and manage a multidisciplinary team in utilization management and care coordination. - You will develop and implement strategies to improve healthcare service delivery and patient outcomes. - You will ensure compliance with state and federal healthcare regulations. - You will collaborate with internal and external stakeholders to optimize care management processes. - You will analyze healthcare data to identify trends and opportunities for improvement. - You will oversee the development and execution of quality improvement initiatives. - You will provide training and mentorship to healthcare services staff. - You will manage budgets and resources effectively to support department goals. What You Bring: - Minimum of 7 years of experience in healthcare services, with at least 3 years in a leadership role. - Strong knowledge of utilization management, care coordination, and healthcare regulations. - Proven ability to lead multidisciplinary teams and manage complex projects. - Excellent communication, organizational, and analytical skills. - Experience working in managed care or health plan environments. - Ability to work remotely while residing in the state of Georgia. Bonus Points If You Have: - Experience with Medicaid and Medicare programs. - Certification in Case Management or Healthcare Management. - Familiarity with healthcare data analytics tools. - Experience in quality improvement methodologies such as Lean or Six Sigma. What We Offer: - We offer flexible remote work options within Georgia. - We offer competitive salary and comprehensive benefits package. - We offer opportunities for professional development and career growth. - We offer a supportive and inclusive work environment. - We offer employee wellness programs and work-life balance initiatives. Ready to Apply? To apply, please submit your resume and cover letter through the Molina Healthcare careers portal. We look forward to learning how your leadership can contribute to our mission of improving healthcare services for our communities.