Molina Healthcare

Compensation

Full Description

Job Title: Manager, 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 support. Role Overview: As the Manager of Healthcare Services in Care Management, you will lead and manage a multidisciplinary team of healthcare professionals focused on care management and utilization review. Your role is pivotal in ensuring effective coordination of care, optimizing resource use, and enhancing patient outcomes within the state of Georgia. What You'll Do: - You will lead and oversee a team of healthcare services professionals, fostering a collaborative and high-performing work environment. - You will manage care management and utilization review functions to ensure compliance with regulatory standards and organizational goals. - You will develop and implement strategies to improve care coordination and patient engagement. - You will monitor team performance metrics and provide coaching and development opportunities. - You will collaborate with internal and external stakeholders to enhance service delivery and patient satisfaction. - You will ensure adherence to clinical guidelines and best practices in care management. - You will analyze data to identify trends and opportunities for process improvements. - You will support the integration of technology solutions to streamline care management processes. What You Bring: - Minimum of 5 years of experience in healthcare services management, preferably in care management or utilization review. - Strong knowledge of healthcare regulations, care coordination, and utilization management. - Proven leadership skills with experience managing multidisciplinary teams. - Excellent communication and interpersonal skills to engage effectively with diverse stakeholders. - Ability to analyze complex data and make informed decisions. - Proficiency with healthcare IT systems and data analytics tools. Bonus Points If You Have: - Experience working in a managed care or Medicaid environment. - Certification in case management or healthcare quality (e.g., CCM, CPHQ). - Familiarity with remote team management and telehealth services. - Advanced degree in healthcare administration or related field. What We Offer: - We offer a flexible remote work arrangement within the state of Georgia. - We offer competitive salary and comprehensive benefits including health, dental, and vision insurance. - We offer professional development opportunities and support for continuing education. - We offer a collaborative and inclusive work culture committed to employee well-being. - We offer paid time off and wellness programs to support work-life balance. Ready to Apply? To apply, please submit your resume and cover letter through the Molina Healthcare careers portal. We look forward to learning how you can contribute to our mission of improving healthcare services for our communities.