Lead, Healthcare Services Operations Support

JOB DESCRIPTION Job SummaryProvides lead level non-clinical healthcare services support for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 

Essential Job Duties 
• Assists in training of staff according to department standards, policies and procedures. 
• Evaluates work performance of healthcare services department staff; consults with leadership to devise and implement corrective action as necessary to improve staff performance. 
• Acts as a supportive resource to healthcare services department staff, assisting in devising/implementing strategies of assignment delegation and facilitating department processes and communicating/coordinating activities. 
• Resolves problems and complaints that may arise in day-to-day operations that involve healthcare services department staff; communicates findings to leadership for resolution. 
• Maintains a minimal caseload (as determined by leadership). 
• Ensures communication and adherence to appropriate guidelines and support staff with daily operational and administrative compliance activities. 
• Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing issues, system and program needs. 
• Monitors healthcare services department staff workload for adherence to the department policies, procedures, guidelines and deadlines; ensures oversight and direction of individuals primarily responsible and timely completion. 
• Actively participates in department auditing program to review and communicate findings with staff and identify opportunities for improved quality and compliance. 
• Acts as liaison to both internal and external customers on behalf of both Molina and healthcare services department areas. 
• Conducts in a professional manner at all times; maintains confidentiality, cooperation, effective workplace relationships and adheres to company code of conduct. 
• Attends/participates in departmental, company-wide, and external committees, task forces, or work groups as assigned. 
• Shares monthly quality and productivity scores with individual staff for awareness. 

Required Qualifications• At least 4 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.in an administrative support or medical assistant role in health care, or equivalent combination of relevant education and experience. 
• Excellent customer service skills. 
• Strong analytic and problem-solving abilities. 
• Strong time-management and organizational skills. 
• Strong verbal and written communication skills. 
• Microsoft Office suite proficiency (including Excel), and applicable software program(s) proficiency. 

Preferred Qualifications 
• Certified Medical Assistant (CMA). 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V