Lead, Healthcare Services Operations Support

Molina Healthcare•Long Beach, CA

11h

About The Position

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. Helps ensure members reach desired outcomes through integrated care delivery across the continuum and contributes to the strategy of providing quality, cost-effective member care.

Requirements

At least 4 years of healthcare operations or administrative experience, preferably in a managed care setting, or an equivalent combination of relevant education and experience. The posting also references experience in an administrative support or medical assistant role in healthcare, or an equivalent combination of relevant education and experience.
Excellent customer service skills.
Strong analytical and problem-solving abilities.
Strong time-management and organizational skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office, including Excel, and applicable software programs.

Nice To Haves

Certified Medical Assistant (CMA).

Responsibilities

Assist in training staff according to department standards, policies, and procedures.
Evaluate the work performance of healthcare services department staff and consult with leadership on corrective action to improve performance.
Support department staff by helping devise and implement assignment-delegation strategies, facilitating department processes, and coordinating and communicating activities.
Resolve day-to-day operational problems and complaints involving department staff, and communicate findings to leadership.
Maintain a minimal caseload as determined by leadership.
Ensure communication of and adherence to appropriate guidelines, and support staff with daily operational and administrative compliance activities.
Keep healthcare services leadership informed about operational and staffing issues and system and program needs.
Monitor staff workloads for adherence to department policies, procedures, guidelines, and deadlines, and provide oversight and direction to ensure timely completion.
Participate in the department auditing program, communicate findings to staff, and identify opportunities to improve quality and compliance.
Serve as a liaison to internal and external customers on behalf of Molina and healthcare services department areas.
Maintain professional conduct, confidentiality, cooperation, effective workplace relationships, and adherence to the company code of conduct.
Attend or participate in departmental, company-wide, and external committees, task forces, or work groups as assigned.
Share monthly quality and productivity scores with individual staff.