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Manager, Healthcare Services - Remote

Posted 13 weeks ago
All others
Full Time
VA, USA

Overview

The Manager, Healthcare Services provides operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing Molina Healthcare members with the right care at the right place at the right time and assisting them to achieve optimal clinical, financial, and quality of life outcomes.

In Short

  • Seeking a Registered Nurse or LCSW licensed in Virginia.
  • Remote position within the state of Virginia.
  • Support a team of Nurse Case Managers for the Medicaid program.
  • Strong leadership and experience with direct reports required.
  • Previous MCO experience preferred.
  • Must commute to Richmond VA office for leadership meetings as needed.
  • Core business hours are Monday – Friday 8 AM to 5 PM EST.
  • Home office with high-speed internet required.
  • Responsible for clinical teams and ensuring compliance with regulations.
  • Evaluate team performance and provide coaching and development.

Requirements

  • 5+ years of managed healthcare experience.
  • 3+ years in utilization management, case management, or disease management.
  • 2+ years of supervisory or managerial experience in healthcare.
  • Active, unrestricted license required if applicable.
  • Valid driver's license with good driving record.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE) M/F/D/V.

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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