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 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 data to identify trends and opportunities for process improvements. - You will ensure adherence to company policies and healthcare regulations. - You will support remote work flexibility while maintaining effective team communication and productivity. 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 supporting remote teams effectively. What We Offer: - We offer a flexible remote work environment to support work-life balance. - We offer competitive salary and comprehensive benefits package. - We offer opportunities for professional growth and development. - We offer a supportive and inclusive company culture. - We offer resources to help you succeed in your role and make a meaningful impact. 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 skills and experience align with our mission to improve healthcare services.