Supervisor, Healthcare Services

Molina Healthcare•Tampa, FL

6d•$66,456 - $129,590

About The Position

The Supervisor, Healthcare Services leads and supervises a multidisciplinary team of healthcare services professionals across one or more areas, including care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and special programs. The role supports member outcomes through integrated care coordination across the continuum and contributes to the delivery of quality, cost-effective care. The supervisor oversees team operations, staffing, service levels, performance, and compliance with applicable state and federal requirements, accreditation standards, contractual obligations, and Molina’s clinical model. This is a hands-on leadership role involving operational assessment, staff development, quality monitoring, interdisciplinary collaboration, and identification of improvements to care delivery and program effectiveness. Local travel may be required based on state or contractual requirements.

Requirements

At least 5 years of healthcare experience, including at least 2 years of managed care experience in utilization management, care management, care transitions, behavioral health, LTSS, or special programs; an equivalent combination of relevant education and experience is also accepted.
Qualifying professional credential: RN, LVN, LPN, LCSW, LMFT, LPCC, or LMSW. Clinical licensure or certification is required only when mandated by state contract, regulation, business operating model, or state licensing board. Any license held must be active and unrestricted in the state of practice.
Strong customer service skills and a member-centric focus.
Ability to work in varied settings and adapt style, including when working with diverse populations, personalities, and personal situations.
Ability to prioritize and manage multiple deadlines.
Strong organizational and problem-solving skills.
Ability to collaborate cross-functionally in a highly matrixed organization.
Strong written and verbal communication skills.
Proficiency with Microsoft Office and applicable software programs.

Nice To Haves

Management or leadership experience.
Clinical experience.
RN or master's-level behavioral health licensure; any license must be active and unrestricted in the state of practice.
Certified Case Manager (CCM), Certified Professional in Health Care Management (CPHM), Certified Professional in Health Care Quality (CPHQ), or another healthcare or management certification.
Experience with Medicaid or Medicare populations.

Responsibilities

Oversee team performance in one or more healthcare services functions, including care management, utilization management, transitions of care, behavioral health, LTSS, and special programs.
Facilitate integrated, proactive healthcare services management and ensure compliance with regulatory and accrediting standards and implementation of the Molina clinical model.
Assess systems, day-to-day operations, and the efficiency of services and care delivery.
Ensure adequate staffing and service levels and maintain customer satisfaction by monitoring staff productivity and performance indicators.
Assist in implementing healthcare services and program activities in accordance with regulatory, contractual, and accreditation standards.
Ensure member care and services meet Molina’s customer service standards.
Ensure high-risk and complex members receive adequate support.
Oversee ongoing monitoring of healthcare services performance, protocols, and guidelines.
Keep senior healthcare services leadership informed about operational issues, staffing, resources, system needs, and program needs.
Promote interdepartmental and multidisciplinary collaboration to enhance continuity of care.
Oversee interdisciplinary care team (ICT) meetings.
Analyze and report care access and monitoring statistics, including plan utilization, staff productivity, cost-effective service utilization, targeted population management, and triage activities.
Ensure staff quality audit reviews are completed; evaluate services and outcomes; and recommend program improvements and staff development.
Maintain professional relationships with providers, internal and external customers, and state agencies as appropriate.
Identify opportunities to improve care delivery, quality, and operations.
Hire, train, develop, and manage the team; ensure accountability for team performance and department goals.
Travel locally when required by state or contractual requirements.