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 of advanced healthcare technologies. 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 initiatives. Your leadership will ensure effective delivery of healthcare services that meet regulatory standards and enhance patient outcomes. 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 care management processes and patient outcomes. - You will ensure compliance with healthcare regulations and accreditation standards. - You will collaborate with internal and external stakeholders to optimize healthcare service delivery. - 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 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 with healthcare data analysis and quality improvement methodologies. - Ability to work remotely while residing in the state of Georgia. Bonus Points If You Have: - Experience working in managed care or Medicaid environments. - Certification in case management or healthcare quality (e.g., CCM, CPHQ). - Familiarity with healthcare IT systems and data analytics tools. - Demonstrated success in driving patient-centered care initiatives. 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 resources to support work-life balance and employee wellness. 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.