Mgr Operations at Boise

Job Description

Job SummaryProvides leadership and direction to MMS Operational Units management staff (e.g., Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network), for management and supervision of daily functional operations to insure compliance to contract requirements.

Essential Functions* Oversees budget responsibilities of Operational work units for client and internal personnel.
* Serves as primary point of contact for all matters related to Operational Units. Responsible for achievement of Service Level Agreements 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 annual performance goals with assigned department managers, in conjunction with the Director, Account Management so that department goals support overall account level objectives.
* Responsible for the achievement and maintenance of excellent working relationship with client and all levels of internal personnel. State Plan / Department Specific Duties and Responsibilities
* Investigates and resolves operational issues brought by Shared Services and client/state.
* Manages appropriate departments/functions to ensure compliance with Molina policies and procedures.

Knowledge/Skills/Abilities* Excellent interpersonal, and verbal and written communication skills
* Ability to abide by Molinas policies
* Ability to maintain attendance to support required quality and quantity of work
* Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
* Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers

Required Education:
Bachelors Degree or equivalent experience
Required Experience:
3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume transaction processing/call center type management responsibility.
5 years progressive experience supporting a Medicaid or large claims processing environment with multi-functional work units and tasks.
Required Licensure/Certification:
N/A
Preferred Education:
Preferred Experience:
6 - 8 years working in a claims processing system.
Health care environment experience. Preferred Licensure/Certification:
N/A

To all current Molina employees if you are interested in applying for this position please apply through the intranet job listing. Also, fill out an Employee Transfer Request Form (ETR) and attach it to your profile when applying online.

Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Requirements

 
Country: USA, State: Idaho, City: Boise, Company: Molina Healthcare Inc..