Lead, Healthcare Services Operations Support (Non-...

JOB DESCRIPTION Job Summary Provides 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 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 #PJHPO Pay Range: $20.74 - $40.44 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2025-09-26