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 team of healthcare services professionals across utilization management and care coordination functions. - You will develop and implement strategies to improve care management processes and patient outcomes. - You will ensure compliance with state and federal healthcare regulations and accreditation standards. - You will collaborate with internal and external stakeholders to optimize healthcare delivery and resource utilization. - You will analyze healthcare data to identify trends and opportunities for service improvement. - You will oversee the development and monitoring of performance metrics for care management programs. - You will provide training and professional development opportunities for your team. - You will manage budgets and resources to support healthcare service initiatives. What You Bring: - Minimum of 7 years of experience in healthcare management, 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 drive performance improvements. - Excellent communication, organizational, and problem-solving skills. - Experience with healthcare data analysis and performance metric development. - Bachelor's degree in Healthcare Administration, Nursing, or related field; Master's degree preferred. Bonus Points If You Have: - Experience working in managed care or Medicaid environments. - Certification in Case Management (CCM) or Utilization Review (URAC). - Familiarity with healthcare IT systems and electronic health records (EHR). - Experience managing remote teams. 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 focused on employee well-being. - We offer paid time off and retirement savings plans. 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.