Molina Healthcare

Director, Member Experience (Process Improvement) - REMOTE

Molina Healthcare$110K — $130K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in health-related field or equivalent experience
  • 7+ years in Medicaid Managed Care, ideally in sales or outreach
  • 3+ years of management or supervisory experience
  • Exceptional networking, negotiation, and public speaking skills
  • Process Improvement (Six Sigma) expertise
  • Ability to influence senior leaders and policy-making
  • Knowledge of State, Federal, and third-party regulations

Responsibilities

  • Develop and implement strategies for Medicaid membership retention
  • Identify and improve processes for member and provider experience
  • Participate in strategic planning meetings for the health plan
  • Prioritize initiatives that support member retention
  • Collaborate with leadership to align activities with state objectives
  • Establish performance metrics and regularly review health plan results
  • Communicate with various departments to meet retention targets
  • Identify and drive technology needs for member satisfaction

Benefits

  • Full-time remote work
  • Competitive benefits and compensation package
  • Opportunities for career advancement within the company
Full Job Description
Job Description

Job Summary

The Director, Member Experience is responsible for developing, implementing, and monitoring a successful strategy to achieve Molina's Medicaid membership retention goals & objectives across the enterprise for the Medicaid lines of business (TANF, ABD, Expansion, CHIP) including similar solutions for other LOBs (Medicare, Marketplace) as appropriate. This position is accountable for the development of enterprise strategies that lead to membership growth and retention.

The ideal candidate would be curious, enjoy cross functional collaboration, and have a proven track record of creating and implementing successful strategies to improve member/customer satisfaction. This role will be full-time remote and healthcare/pharmacy experience is highly preferred.

Knowledge/Skills/Abilities
  • Identify and drive process improvements to enhance the member and provider experience.
  • Develop strategies to alleviate pain points in areas such as pharmacy, network and provider relations, pharmacy, and other critical areas the effect overall experience.
  • Participates and contributes in Enterprise Health Plan meetings, regarding the overall strategic planning for the health plan.
  • Identifies opportunities and helps develop / prioritize initiatives that help with member retention.
  • Works closely with the leadership team to ensure that the results of member satisfaction/retention activities are consistent with the state's direction and objectives, and develops & implements strategies to quickly course correct, when necessary.
  • Establishes and reviews performance metrics ("scorecards" and reports) on a regular basis to ensure each health plan is on track to deliver results in line with the organizations strategic plan; provides recognition and recommendation to improve performance.
  • Communicates extensively with other Molina departments to ensure policies, programs and strategies achieve membership retention targets.
  • Identifies technology support needs that help facilitate member retention and satisfaction activities and drives successful implementation.


Job Qualifications

REQUIRED EDUCATION:

Bachelor's degree in health-related degree or equivalent experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
  • Minimum 7 years' experience in Medicaid Managed Care, particularly in sales or outreach role.
  • Minimum 3 years management/supervisory experience.
  • Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills.
  • Ability to work in a fast-paced, team-oriented environment with little supervision.
  • Process Improvement (Six Sigma) expertise.
  • Proven ability to influence or persuade senior level leaders regarding matters of organizational significance.
  • Proven ability to influence policy making.
  • Knowledge of applicable State, Federal and third-party regulations.
  • Thorough understanding of Medicaid product lines.
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.


PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Active State Life and Health and/or Disability License without infraction.

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.

About Molina Healthcare

Molina Healthcare focuses exclusively on government-sponsored health care programs for families and individuals who qualify for government-sponsored health care. It contracts with state governments and serves as a health plan, providing a wide range of quality health care services to families and individuals.

Molina Healthcare Careers

Join the dedicated team at Molina Healthcare, a leader in providing quality healthcare services to families and individuals who qualify for government-sponsored programs, including Medicaid and Medicare. As one of the most respected companies in the health services industry, Molina Healthcare offers unparalleled job opportunities aimed at empowering your career growth and professional development.

Work You’ll Do

At Molina Healthcare, you will engage in meaningful work that directly impacts lives across the country. Our team is committed to innovation in healthcare, ensuring that all members receive the best care possible. By joining us, you will collaborate with skilled professionals dedicated to our mission of providing accessible, high-quality healthcare.

Career Opportunities and Growth

Whether you are looking for your first job, seeking a leadership role, or aiming to specialize in healthcare professions, Molina Healthcare offers a range of career paths. Our job opportunities span across various functions, including clinical services, customer support, IT, project management, and more. We believe in fostering the growth of our employees through professional development, leadership training, and diversity initiatives.

Internship Programs

Kickstart your career with a Molina Healthcare internship. Our internships provide invaluable workplace experience, offering a glimpse into the healthcare industry through hands-on projects and mentorship. Interns at Molina Healthcare gain critical skills that prepare them for future employment, making them competitive candidates in the job market.

Culture and Benefits

Molina Healthcare is not just a company; it’s a community. We prioritize a culture of inclusivity and respect, where all team members are encouraged to bring their whole selves to work. Our employees enjoy comprehensive benefits, including health insurance, retirement plans, and wellness programs, all designed to support both their professional and personal lives.

Join Our Team

Explore the various positions available at Molina Healthcare and find where your skills and interests align with our needs. We are continuously hiring talented individuals who are passionate about making a difference in healthcare. Prepare your resume, sharpen your interview skills, and become part of a team that values hard work and creativity.

Stay Connected

Keep up to date with the latest at Molina Healthcare: - **Career Growth and Networking:** Advance your career through our professional development and networking opportunities. Learn from leaders and peers alike to build connections that propel your career forward. - **Innovation and Leadership:** Drive change and lead with confidence by participating in our leadership and innovation training programs.

Apply Now

Ready to take the next step in your healthcare career? Search open positions that match your skills and interests on the Molina Healthcare Jobs portal. We look for driven, curious, and compassionate team players ready to make an impact.

Stay Informed

Subscribe to Molina Healthcare job alerts and receive updates on new openings and company news directly to your inbox. Tailor your subscription to match your career preferences and stay ahead in the dynamic field of healthcare. Join Molina Healthcare, where your career is nurtured, your contributions are valued, and your growth is guaranteed.
Learn more about Molina Healthcare
Size
14,000 employees
Market Cap
$19.5 billion
Industry
Net Income
$673 million
Founded
1980
5 Year Trend
+9.3%
Revenue
$19.4 billion
NASDAQ

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