Director, Health Plan Operations (Must reside in Florida)
Molina Healthcare
Job Description
JOB DESCRIPTION Job Summary
Leads and directs team responsible for the development and administration of state health plan operational functions, programs and services - ensuring functional operations, contractual compliance, and alignment with health plan member satisfaction, retention, quality, and financial goals.
Must be able to work remote in Florida.
**Essential Job Duties**
• Under the direction of senior leadership, organizes, plans, staffs, and coordinates health plan operations for market-specific designated lines of business (Medicaid, Marketplace).
• Collaborates with staff and senior leadership to develop and implement provider and member service strategies to improve access and satisfaction for designated health plan(s).
• In conjunction with senior leadership, liaises with corporate operations functions including: claims, configuration information management, provider data management, credentialing, enrollment, and support cente...
Leads and directs team responsible for the development and administration of state health plan operational functions, programs and services - ensuring functional operations, contractual compliance, and alignment with health plan member satisfaction, retention, quality, and financial goals.
Must be able to work remote in Florida.
**Essential Job Duties**
• Under the direction of senior leadership, organizes, plans, staffs, and coordinates health plan operations for market-specific designated lines of business (Medicaid, Marketplace).
• Collaborates with staff and senior leadership to develop and implement provider and member service strategies to improve access and satisfaction for designated health plan(s).
• In conjunction with senior leadership, liaises with corporate operations functions including: claims, configuration information management, provider data management, credentialing, enrollment, and support cente...