Molina Healthcare

Manager, Core Operations

Molina Healthcare$90K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years of experience in health care operations, claims, or provider services.
  • Minimum 1 year of management or leadership experience.
  • Proven customer service skills and experience.
  • Familiarity with Medicare, Medicaid, and Marketplace plans.
  • Experience in a large claims processing setting, ideally involving Medicaid.
  • Excellent organizational and time-management capabilities.
  • Strong verbal and written communication skills.

Responsibilities

  • Oversee performance and financial results of operational units.
  • Act as the primary contact for operational units and SLAs.
  • Develop budget inputs for designated areas of responsibility.
  • Facilitate meetings related to operational units' day-to-day activities.
  • Set performance goals in collaboration with leadership.
  • Maintain strong relationships with internal and external stakeholders.
  • Hire, train, and manage the team, ensuring accountability for performance.

Benefits

  • Competitive benefits package.
  • Support for team development and training.
  • Opportunities for cross-collaboration within a matrixed organization.
Full Job Description
Job Description

JOB DESCRIPTION

Job Summary

Leads and manages team responsible for operations activities including claims processing, benefit interpretation, provider services, provider enrollment, etc., ensuring functional operations, contractual compliance, and alignment with member satisfation, retention, quality, and financial goals.

Essential Job Duties
• 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.
• In conjunction with leadership, establishes performance goals to support overall operational unit objectives.
• 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.

Job 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 organizationm 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.

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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