Manager, Core Operations
Molina Healthcare•Long Beach, CA
About The Position
Leads and manages a team responsible for operations activities including claims processing, benefit interpretation, provider services, and provider enrollment. The role ensures functional operations, contractual compliance, and alignment with member satisfaction, retention, quality, and financial goals.
Requirements
- At least 7 years of health care operations/claims/provider services experience, or equivalent combination of relevant education and experience.
- At least 1 year of management/leadership experience.
- Strong customer service experience.
- Knowledge of Medicare, Medicaid, and Marketplace plans.
- Experience supporting a Medicaid or experience in a large claims processing environment with multi-functional work units and tasks.
- Strong organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
- Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
- Strong verbal and written communication skills.
- Microsoft Office suite proficiency (including Excel), and applicable software programs proficiency.
Responsibilities
- Oversees performance and financial results of designated operational units.
- Serves as primary point of contact for all matters related to operational units, and achievement of service level agreements (SLAs) and other contractual requirements under assigned areas of supervision.
- Develops budget inputs for areas of responsibility.
- Attends/facilitates meetings as appropriate for day-to-day activities/responsibilities of operational units.
- Establishes performance goals to support overall operational unit objectives in conjunction with leadership.
- Establishes and maintains excellent relationships with internal and external stakeholders.
- Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of department-specific goals.
Benefits
- Competitive benefits and compensation package
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
