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 outcomes. What You'll Do: - You will lead and manage a team of healthcare services professionals across utilization management, care coordination, and related functions. - You will develop and implement strategies to improve care management processes and patient outcomes. - You will ensure compliance with state and federal regulations related to healthcare services. - You will collaborate with internal and external stakeholders to optimize healthcare delivery. - You will analyze healthcare data to identify trends and opportunities for improvement. - You will oversee the development and monitoring of performance metrics for your team. - You will provide training and professional development opportunities to your team members. - 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 problem-solving skills. - Experience working within managed care or Medicaid environments preferred. - Proficiency with healthcare data analysis and performance measurement tools. Bonus Points If You Have: - Experience with remote team management and telehealth services. - Advanced degree in healthcare administration, public health, or related field. - Certification in case management or utilization review (e.g., CCM, CMRP). - Familiarity with Georgia state healthcare policies and Medicaid programs. What We Offer: - We offer flexible remote work options within the state of Georgia. - We offer competitive salary and comprehensive benefits including health, dental, and vision insurance. - We offer professional development and continuing education opportunities. - We offer a supportive and inclusive work environment committed to diversity. - We offer paid time off and wellness programs to support work-life balance. Ready to Apply? Please submit your resume and cover letter through our online application portal at www.molinahealthcare.com/careers. We look forward to learning how your leadership can contribute to our mission of improving healthcare services for our communities.