Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
* Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
* Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
* Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
* Trains and supports team members to ensure high-risk, complex members are adequately supported.
* Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
* Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
* Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
* Local travel may be required (based upon state/contractual requirements).
Required Qualifications• At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
* Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
* Ability to manage conflict and lead through change.
* Operational and process improvement experience.
* Strong written and verbal communication skills.
* Working knowledge of Microsoft Office suite.
* Ability to prioritize and manage multiple deadlines.
* Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
* Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
* Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
* Medicaid/Medicare population experience.
* Clinical experience.
* Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
• Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
• Functions as a “hands-on” supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
• Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
• Trains and supports team members to ensure high-risk, complex members are adequately supported.
• Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
• Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
• Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
• Local travel may be required (based upon state/contractual requirements).
Required Qualifications• At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
• Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• Ability to manage conflict and lead through change.
• Operational and process improvement experience.
• Strong written and verbal communication skills.
• Working knowledge of Microsoft Office suite.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
• Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
• Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
• Medicaid/Medicare population experience.
• Clinical experience.
• Supervisory/leadership experience.
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
Auto-ApplyManager, Field Reimbursement Services
Columbus, OH jobs
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.
The Manager, Field Reimbursement Services is responsible for leading a team of field-based reimbursement managers and day to day operations of a field reimbursement program sourced to McKesson by a pharmaceutical manufacturer client. The primary objective for the Manager, Field Reimbursement role is to hire, develop, coach, evaluate, culture-build and lead the reimbursement team, allowing them to successfully engage specialty physician offices and support the manufacturer customer. Additional responsibilities include the overall management of program operations including, but not limited to, staffing, profitability, standard operating procedures, process design, process implementation and process improvements. The position will monitor client SLA agreements to ensure compliance, making staffing and process changes if SLA is not being met. The supervisory guidance includes a nation-wide team of remote-based direct reports requiring monitoring activity, performance development and extensive travel for in-person training and ride-a-longs. Finally, this role will regularly interact with members throughout the Client's organization, primarily with the Client's head of Reimbursement Operations, while also acting as a liaison within McKesson representing the field-based reimbursement team to Client Services, Information Systems, Business Analyst's, Quality Assurance and Training to achieve synergy of processes, training, efficiency and ultimately, customer satisfaction.
Key Responsibilities:
Leadership of a team of field-based reimbursement specialists who are responsible for providing in-office reimbursement and patient support services in an assigned territory. Responsible for all administrative, training and performance management duties associated with team leadership. This includes weekly 1:1 meeting with FRMs, weekly FRM team meetings, and conducting monthly check - ins, quarterly performance surveys, and monthly QA audits of FRM activity.
The field-based reimbursement team is an extension of the McKesson-operated reimbursement and patient-support services operated on behalf of the Client. The role is responsible for the effective communication and partnership between the field team and their home office counterparts. This includes establishing weekly meetings with client and operations team to ensure consistency in expectations and two - way communication. Disseminating client direction across remote team, leadership of regular team teleconferences and quarterly ride-a-longs with individual team members for on-going training and development.
Responsible for providing Field Operations efficiencies and overall innovative ideas to enhance Field Reimbursement Program as a whole. Not only provide ideas but also execute on Field Operation projects. Manager is responsible for completing and execution of projects assigned.
Ensuring that all SLA and other contractual commitments are met. Responsible for team's adherence to all applicable privacy and compliance obligations. SLAs and adherence are established in the Rules of Engagement document and vary by client. Activity is measured in FRM SFDC to ensure adherence and SLA expectations are met.
Works in tandem with Client's Head of Reimbursement Operations ensuring the execution of Client's strategic initiatives. Managerial oversight of day-to-day team activities and reporting of results to McKesson Client Services and key Client Contacts. Manager will partner with the Sr. Manager to establish and produce the reports that the Client will receive each month and quarter.
Manages client expectations regarding delivery of services and provides customer with proactive consultative services on process improvement, revenue generating & cost saving opportunities. These can be evaluated based on FRM SFDC reporting, operations reporting, and client satisfaction each quarter. Assists in preparation of and participates in Quarterly Business Reviews to the client on the state of their business and outlines opportunities for enhancement, growth, efficiency, etc.
Manager is responsible for FRM Development. Manager partner with FRM to establish a minimum of two development opportunities to assist in career path. In addition, the manager will provide ongoing training and educational opportunities that compliment Field Reimbursement role. This can include but not limited to payer education, conferences, mentorships, billing and coding and My Learning courses selected by Manager.
Minimum Job Qualifications (Knowledge, Skills & Abilities)
6+ years of reimbursement experience and 2+ years of supervisory experience
4-year degree in related field or equivalent experience
Critical Requirements:
Experience supporting a Field Reimbursement Team preferred
Experience managing a field-based team, with management of a field-based reimbursement team strongly preferred.
Proven account management/client management experience, preferably in a pharmacy or healthcare related industry.
Proven experience in direct communication with pharmaceutical clients or stakeholders.
Specialized Knowledge/Skills:
Collaborative, customer focused, and able to create visible value to client and within the organization.
Ability to develop strong team relationships and bring individuals together to focus on team goals.
Proven ability to handle multiple projects toward effective solutions and according to budget and timelines
Detailed understanding and experience with process documentation and improvement.
Experience with Microsoft Office Suite
Excellent verbal and written communication skills
Working Conditions:
General Office Demands - Remote, WFH
Travel Requirements
Must be able to travel 60-80% (3-4 days a week) via automobile or plane.
Must have a valid driver's license with a clean driving record/ MVR.
Physical Requirements:
Possible long periods of sitting and/or keyboard work.
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.
Our Base Pay Range for this position
$79,500 - $132,500
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
Join us at McKesson!
Auto-ApplyLTSS Service Care Manager
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
This is a Remote position - Candidate must be located in the Florida Panhandle area - Escambia or Santa Rosa Counties Preferred
This is a travel position - traveling up to 75% within community
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience: Requires a Bachelor's degree and 2 - 4 years of related Case Management experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
License/Certification:
RN or LCSW required.
Travel: 75%. required
Pay Range: $26.50 - $47.59 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Auto-ApplyLTSS Service Care Manager
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
***Remote Field Work Position-75% Travel. Must Reside on Oahu, HI. Driver's License Required***Current Hawaii Registered Nurse ***(RN) License. Required***
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience: Requires a Bachelor's degree and 2 - 4 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
License/Certification:
For Iowa Only: Bachelor's degree with 30 semester hours or equivalent quarter hours in a human services field (including, but not limited to, psychology, social work, mental health counseling, marriage and family therapy, nursing, education, occupational therapy, and recreational therapy) and at least two years of experience in the delivery of services to the population groups or current state's Registered Nurse (RN) license and at least four years of experience required
For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services.
RN or LCSW required.
For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services.
RN or LCSW / LCSW-A preferred
For Florida LTSS ECC, must have 2 years of youth/young adult experience required
For Hawaii: Current Hawaii Registered Nurse (RN) License. required
For Arkansas Total Care plan - This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 5%. required
Pay Range: $26.50 - $47.59 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Auto-ApplySupervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
- Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
- Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
- Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
- Trains and supports team members to ensure high-risk, complex members are adequately supported.
- Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
- Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
- Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
- Local travel may be required (based upon state/contractual requirements).
Required Qualifications- At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
- Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Ability to manage conflict and lead through change.
- Operational and process improvement experience.
- Strong written and verbal communication skills.
- Working knowledge of Microsoft Office suite.
- Ability to prioritize and manage multiple deadlines.
- Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
- Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
- Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
- Medicaid/Medicare population experience.
- Clinical experience.
- Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
* Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
* Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
* Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
* Trains and supports team members to ensure high-risk, complex members are adequately supported.
* Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
* Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
* Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
* Local travel may be required (based upon state/contractual requirements).
Required Qualifications• At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
* Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
* Ability to manage conflict and lead through change.
* Operational and process improvement experience.
* Strong written and verbal communication skills.
* Working knowledge of Microsoft Office suite.
* Ability to prioritize and manage multiple deadlines.
* Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
* Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
* Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
* Medicaid/Medicare population experience.
* Clinical experience.
* Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
- Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
- Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
- Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
- Trains and supports team members to ensure high-risk, complex members are adequately supported.
- Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
- Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
- Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
- Local travel may be required (based upon state/contractual requirements).
Required Qualifications- At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
- Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Ability to manage conflict and lead through change.
- Operational and process improvement experience.
- Strong written and verbal communication skills.
- Working knowledge of Microsoft Office suite.
- Ability to prioritize and manage multiple deadlines.
- Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
- Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
- Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
- Medicaid/Medicare population experience.
- Clinical experience.
- Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
* Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
* Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
* Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
* Trains and supports team members to ensure high-risk, complex members are adequately supported.
* Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
* Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
* Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
* Local travel may be required (based upon state/contractual requirements).
Required Qualifications• At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
* Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
* Ability to manage conflict and lead through change.
* Operational and process improvement experience.
* Strong written and verbal communication skills.
* Working knowledge of Microsoft Office suite.
* Ability to prioritize and manage multiple deadlines.
* Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
* Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
* Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
* Medicaid/Medicare population experience.
* Clinical experience.
* Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
* Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
* Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
* Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
* Trains and supports team members to ensure high-risk, complex members are adequately supported.
* Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
* Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
* Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
* Local travel may be required (based upon state/contractual requirements).
Required Qualifications• At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
* Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
* Ability to manage conflict and lead through change.
* Operational and process improvement experience.
* Strong written and verbal communication skills.
* Working knowledge of Microsoft Office suite.
* Ability to prioritize and manage multiple deadlines.
* Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
* Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
* Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
* Medicaid/Medicare population experience.
* Clinical experience.
* Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
- Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
- Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
- Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
- Trains and supports team members to ensure high-risk, complex members are adequately supported.
- Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
- Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
- Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
- Local travel may be required (based upon state/contractual requirements).
Required Qualifications- At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
- Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Ability to manage conflict and lead through change.
- Operational and process improvement experience.
- Strong written and verbal communication skills.
- Working knowledge of Microsoft Office suite.
- Ability to prioritize and manage multiple deadlines.
- Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
- Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
- Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
- Medicaid/Medicare population experience.
- Clinical experience.
- Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
- Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
- Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
- Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
- Trains and supports team members to ensure high-risk, complex members are adequately supported.
- Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
- Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
- Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
- Local travel may be required (based upon state/contractual requirements).
Required Qualifications- At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
- Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Ability to manage conflict and lead through change.
- Operational and process improvement experience.
- Strong written and verbal communication skills.
- Working knowledge of Microsoft Office suite.
- Ability to prioritize and manage multiple deadlines.
- Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
- Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
- Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
- Medicaid/Medicare population experience.
- Clinical experience.
- Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
- Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
- Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
- Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
- Trains and supports team members to ensure high-risk, complex members are adequately supported.
- Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
- Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
- Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
- Local travel may be required (based upon state/contractual requirements).
Required Qualifications- At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
- Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Ability to manage conflict and lead through change.
- Operational and process improvement experience.
- Strong written and verbal communication skills.
- Working knowledge of Microsoft Office suite.
- Ability to prioritize and manage multiple deadlines.
- Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
- Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
- Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
- Medicaid/Medicare population experience.
- Clinical experience.
- Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
* Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
* Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
* Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
* Trains and supports team members to ensure high-risk, complex members are adequately supported.
* Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
* Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
* Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
* Local travel may be required (based upon state/contractual requirements).
Required Qualifications• At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
* Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
* Ability to manage conflict and lead through change.
* Operational and process improvement experience.
* Strong written and verbal communication skills.
* Working knowledge of Microsoft Office suite.
* Ability to prioritize and manage multiple deadlines.
* Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
* Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
* Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
* Medicaid/Medicare population experience.
* Clinical experience.
* Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Supervisor, Healthcare Services Operations Support
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities 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
* Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
* Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
* Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
* Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
* Assists in the development and implementation of internal desktop processes and procedures.
* Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
* Strong analytic and problem-solving abilities.
* Strong organizational and time-management skills.
* Ability to multi-task and meet project deadlines.
* Attention to detail.
* Ability to build relationships and collaborate cross-functionally.
* Excellent verbal and written communication skills.
* Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
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
Pay Range: $77,969 - $106,214 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Supervisor, Healthcare Services Operations Support
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities 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
* Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
* Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
* Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
* Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
* Assists in the development and implementation of internal desktop processes and procedures.
* Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
* Strong analytic and problem-solving abilities.
* Strong organizational and time-management skills.
* Ability to multi-task and meet project deadlines.
* Attention to detail.
* Ability to build relationships and collaborate cross-functionally.
* Excellent verbal and written communication skills.
* Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
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
Pay Range: $77,969 - $106,214 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Supervisor, Healthcare Services Operations Support
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities 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
* Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
* Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
* Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
* Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
* Assists in the development and implementation of internal desktop processes and procedures.
* Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
* Strong analytic and problem-solving abilities.
* Strong organizational and time-management skills.
* Ability to multi-task and meet project deadlines.
* Attention to detail.
* Ability to build relationships and collaborate cross-functionally.
* Excellent verbal and written communication skills.
* Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
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
Pay Range: $77,969 - $106,214 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Supervisor, Healthcare Services (Behavioral Health/LSW/LISW
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)
Essential Job Duties
- Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
- Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
- Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
- Trains and supports team members to ensure high-risk, complex members are adequately supported.
- Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
- Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
- Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
- Local travel may be required (based upon state/contractual requirements).
Required Qualifications- At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
- Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Ability to manage conflict and lead through change.
- Operational and process improvement experience.
- Strong written and verbal communication skills.
- Working knowledge of Microsoft Office suite.
- Ability to prioritize and manage multiple deadlines.
- Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
- Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). License must be active and unrestricted in state of practice.
- Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
- Medicaid/Medicare population experience.
- Clinical experience.
- Supervisory/leadership experience.
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
Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Supervisor, Healthcare Services Operations Support
Service manager job at Molina Healthcare
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities 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
* Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
* Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
* Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
* Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
* Assists in the development and implementation of internal desktop processes and procedures.
* Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
* Strong analytic and problem-solving abilities.
* Strong organizational and time-management skills.
* Ability to multi-task and meet project deadlines.
* Attention to detail.
* Ability to build relationships and collaborate cross-functionally.
* Excellent verbal and written communication skills.
* Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
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
Pay Range: $77,969 - $106,214 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Operations Manager
Jeffersonville, OH jobs
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.
At McKesson, we're committed to delivering better health through every connection - and our contact center operations are a vital part of that mission. As an Operations Manager, you'll lead a high-performing team responsible for staffing, engagement, service quality, compliance, and profitability across assigned programs. You'll drive strategic execution, optimize processes, and foster a culture rooted in McKesson's ICARE and ILEAD values.
This role is ideal for a collaborative, data-driven leader who thrives in fast-paced environments and is passionate about improving outcomes for both employees and customers.
Key Responsibilities:
Lead departmental strategy deployment across Supervisors, Operations Support Leads, and 50+ contact center employees to enhance customer experience, productivity, and program performance.
Manage team performance against role expectations, contractual agreements, and operational goals - reinforcing a culture of innovation, continuous improvement, and professional growth.
Partner with senior leadership and training teams to design and implement leadership development programs that build bench strength and support career progression.
Collaborate with internal stakeholders, manufacturer partners, and vendors to ensure alignment with program objectives and service agreements.
Monitor and analyze financial and operational KPIs (e.g., margin, SLA compliance, EBIT) to identify trends, mitigate risks, and uncover growth opportunities.
Conduct regular performance reviews and strategy sessions with Supervisors to translate metrics into actionable insights.
Ensure compliance with regulatory requirements, anti-fraud statutes, and standardized operating procedures across all program activities.
Model and mentor core competencies aligned with McKesson's ICARE and ILEAD values in all internal and external interactions.
Champion diversity, equity, and inclusion by fostering a workforce that reflects McKesson's commitment to belonging and respect.
Minimum Qualifications:
6+ years of operational experience, preferably in a large-scale distribution or contact center environment
0-2+ years of management experience
Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and MS Access
Experience with warehouse management systems (WMS)
Strong understanding of DEA and OSHA regulations
Excellent verbal and written communication skills
Proven ability to multitask, analyze data, and make sound business decisions in a dynamic environment
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.
Our Base Pay Range for this position
$66,000 - $110,000
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
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