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Manager, Healthcare Services - Remote

Posted 7 days ago
Healthcare Services
Full Time
MA, USA

Overview

The Manager, Healthcare Services will oversee integrated healthcare service teams to ensure quality care for Molina Healthcare members, focusing on operational management and compliance with regulations.

In Short

  • Manage clinical teams and operational activities.
  • Ensure compliance with state and federal regulations.
  • Evaluate team performance and provide coaching.
  • Promote interdepartmental collaboration for continuity of care.
  • Supervise daily healthcare service activities.
  • Monitor staffing levels and customer satisfaction.
  • Report on care access and service utilization.
  • Conduct staff quality audits and recommend improvements.
  • Maintain professional relationships with providers and agencies.

Requirements

  • Registered Nurse or equivalent nursing qualifications.
  • 5+ years of managed healthcare experience.
  • 3+ years in utilization or case management.
  • 2+ years in a supervisory or managerial role.
  • Experience with healthcare regulations.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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