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Molina Healthcare

via Lensa

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Manager, Healthcare Services; Care Management (Remote - GA)

Anywhere
full-time
Posted 9/29/2025
Key Skills:
Healthcare Services Management
Care Management
Utilization Review
Team Leadership
Healthcare Regulations
Data Analysis
Communication Skills
Remote Team Management

Compensation

Salary Range

$80K-110K a year

Responsibilities

Lead and manage a multidisciplinary healthcare services team focusing on care management and utilization review to improve patient outcomes and ensure regulatory compliance.

Requirements

Minimum 5 years healthcare services management experience, strong knowledge of care management and utilization review, leadership skills, excellent communication, data analysis ability, and residency in Georgia.

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 and compassionate service delivery. 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 collaboration and professional development. - You will manage care management and utilization review functions to ensure compliance with regulatory standards. - You will develop and implement strategies to improve care coordination and patient outcomes. - You will monitor team performance and provide coaching to enhance service delivery. - You will collaborate with internal and external stakeholders to align care management initiatives. - You will analyze healthcare data to identify trends and opportunities for improvement. - You will ensure adherence to company policies and healthcare regulations. - You will support remote work operations while maintaining effective team communication. 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. - Ability to analyze data and implement process improvements. - Residency in the state of Georgia is required. Bonus Points If You Have: - Experience working in managed care organizations. - Certification in case management or healthcare management. - Familiarity with healthcare IT systems and data analytics tools. - Experience managing remote teams. What We Offer: - We offer flexible remote work options within Georgia. - We offer competitive salary and comprehensive benefits package. - We offer opportunities for professional growth and development. - 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 you can contribute to our mission of improving healthcare services.

This job posting was last updated on 9/29/2025

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