Molina Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

This position will offer remote work flexibility, however, the selected candidate must reside in the state of Georgia. This position will require RN Licensure. JOB DESCRIPTION Job Summary Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for assessing, facilitating, planning and coordinating integrated delivery of care across the continuum. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Directs and oversees one or more of the following key health care services functions: care management, utilization management, care transitions, long-term supports and services (LTSS), behavioral health, nurse advice line, and/or other special programs. Develops, implements and/or monitors standardized protocols for clinical and non-clinical team activities to facilitate integrated proactive care coordination/care review and management. Develops and promotes interdepartmental integration and collaboration to enhance clinical services. Collaborates with and keeps healthcare services senior leadership informed of operational issues, staffing, resources, system and program needs and presents solutions/action plans for issues. Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed to promote a standardized enterprise-wide approach to healthcare services programs. Ensures monthly auditing is occurring with appropriate follow-up. Engages in clinical training activities and outcomes. Develops and mentors direct reporting healthcare services leadership. Local travel may be required (based upon state/contractual requirements). Required Qualifications At least 8 years health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. At least 3 years health care management/leadership required. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. Experience working within applicable state, federal, and third party regulations. Ability to manage conflict and lead through change. Operational and process improvement experience. Ability to work cross-collaboratively across a highly matrixed organization. Ability to prioritize and manage multiple deadlines. Excellent organizational, problem-solving and critical-thinking skills. Strong written and verbal communication skills. Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Registered Nurse (RN). License must be active and unrestricted in state of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. Medicaid/Medicare population experience. Clinical experience. 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $172,484 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

This position will offer remote work flexibility, however, the selected candidate must reside in the state of Georgia. JOB DESCRIPTION Job Summary Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for assessing, facilitating, planning and coordinating integrated delivery of care across the continuum. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Directs and oversees one or more of the following key health care services functions: care management, utilization management, care transitions, long-term supports and services (LTSS), behavioral health, nurse advice line, and/or other special programs. Develops, implements and/or monitors standardized protocols for clinical and non-clinical team activities to facilitate integrated proactive care coordination/care review and management. Develops and promotes interdepartmental integration and collaboration to enhance clinical services. Collaborates with and keeps healthcare services senior leadership informed of operational issues, staffing, resources, system and program needs and presents solutions/action plans for issues. Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed to promote a standardized enterprise-wide approach to healthcare services programs. Ensures monthly auditing is occurring with appropriate follow-up. Engages in clinical training activities and outcomes. Develops and mentors direct reporting healthcare services leadership. Local travel may be required (based upon state/contractual requirements). Required Qualifications At least 8 years health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. At least 3 years health care management/leadership required. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. Experience working within applicable state, federal, and third party regulations. Ability to manage conflict and lead through change. Operational and process improvement experience. Ability to work cross-collaboratively across a highly matrixed organization. Ability to prioritize and manage multiple deadlines. Excellent organizational, problem-solving and critical-thinking skills. Strong written and verbal communication skills. Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Registered Nurse (RN). License must be active and unrestricted in state of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. Medicaid/Medicare population experience. Clinical experience. 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $172,484 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

This position will offer remote work flexibility, however, the selected candidate must reside in the state of Georgia. JOB DESCRIPTION Job Summary Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for assessing, facilitating, planning and coordinating integrated delivery of care across the continuum. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Directs and oversees one or more of the following key health care services functions: care management, utilization management, care transitions, long-term supports and services (LTSS), behavioral health, nurse advice line, and/or other special programs. Develops, implements and/or monitors standardized protocols for clinical and non-clinical team activities to facilitate integrated proactive care coordination/care review and management. Develops and promotes interdepartmental integration and collaboration to enhance clinical services. Collaborates with and keeps healthcare services senior leadership informed of operational issues, staffing, resources, system and program needs and presents solutions/action plans for issues. Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed to promote a standardized enterprise-wide approach to healthcare services programs. Ensures monthly auditing is occurring with appropriate follow-up. Engages in clinical training activities and outcomes. Develops and mentors direct reporting healthcare services leadership. Local travel may be required (based upon state/contractual requirements). Required Qualifications At least 8 years health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. At least 3 years health care management/leadership required. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. Experience working within applicable state, federal, and third party regulations. Ability to manage conflict and lead through change. Operational and process improvement experience. Ability to work cross-collaboratively across a highly matrixed organization. Ability to prioritize and manage multiple deadlines. Excellent organizational, problem-solving and critical-thinking skills. Strong written and verbal communication skills. Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Registered Nurse (RN). License must be active and unrestricted in state of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. Medicaid/Medicare population experience. Clinical experience. 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $172,484 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

This position will offer remote work flexibility, however, the selected candidate must reside in the state of Georgia. JOB DESCRIPTION Job Summary Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for assessing, facilitating, planning and coordinating integrated delivery of care across the continuum. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Directs and oversees one or more of the following key health care services functions: care management, utilization management, care transitions, long-term supports and services (LTSS), behavioral health, nurse advice line, and/or other special programs. Develops, implements and/or monitors standardized protocols for clinical and non-clinical team activities to facilitate integrated proactive care coordination/care review and management. Develops and promotes interdepartmental integration and collaboration to enhance clinical services. Collaborates with and keeps healthcare services senior leadership informed of operational issues, staffing, resources, system and program needs and presents solutions/action plans for issues. Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed to promote a standardized enterprise-wide approach to healthcare services programs. Ensures monthly auditing is occurring with appropriate follow-up. Engages in clinical training activities and outcomes. Develops and mentors direct reporting healthcare services leadership. Local travel may be required (based upon state/contractual requirements). Required Qualifications At least 8 years health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. At least 3 years health care management/leadership required. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. Experience working within applicable state, federal, and third party regulations. Ability to manage conflict and lead through change. Operational and process improvement experience. Ability to work cross-collaboratively across a highly matrixed organization. Ability to prioritize and manage multiple deadlines. Excellent organizational, problem-solving and critical-thinking skills. Strong written and verbal communication skills. Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Registered Nurse (RN). License must be active and unrestricted in state of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. Medicaid/Medicare population experience. Clinical experience. 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $172,484 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

This position will offer remote work flexibility, however, the selected candidate must reside in the state of Georgia. JOB DESCRIPTION Job Summary Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for assessing, facilitating, planning and coordinating integrated delivery of care across the continuum. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Directs and oversees one or more of the following key health care services functions: care management, utilization management, care transitions, long-term supports and services (LTSS), behavioral health, nurse advice line, and/or other special programs. Develops, implements and/or monitors standardized protocols for clinical and non-clinical team activities to facilitate integrated proactive care coordination/care review and management. Develops and promotes interdepartmental integration and collaboration to enhance clinical services. Collaborates with and keeps healthcare services senior leadership informed of operational issues, staffing, resources, system and program needs and presents solutions/action plans for issues. Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed to promote a standardized enterprise-wide approach to healthcare services programs. Ensures monthly auditing is occurring with appropriate follow-up. Engages in clinical training activities and outcomes. Develops and mentors direct reporting healthcare services leadership. Local travel may be required (based upon state/contractual requirements). Required Qualifications At least 8 years health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. At least 3 years health care management/leadership required. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. Experience working within applicable state, federal, and third party regulations. Ability to manage conflict and lead through change. Operational and process improvement experience. Ability to work cross-collaboratively across a highly matrixed organization. Ability to prioritize and manage multiple deadlines. Excellent organizational, problem-solving and critical-thinking skills. Strong written and verbal communication skills. Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Registered Nurse (RN). License must be active and unrestricted in state of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. Medicaid/Medicare population experience. Clinical experience. 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $172,484 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

This position will offer remote work flexibility, however, the selected candidate must reside in the state of Georgia. JOB DESCRIPTION Job Summary Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for assessing, facilitating, planning and coordinating integrated delivery of care across the continuum. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Directs and oversees one or more of the following key health care services functions: care management, utilization management, care transitions, long-term supports and services (LTSS), behavioral health, nurse advice line, and/or other special programs. Develops, implements and/or monitors standardized protocols for clinical and non-clinical team activities to facilitate integrated proactive care coordination/care review and management. Develops and promotes interdepartmental integration and collaboration to enhance clinical services. Collaborates with and keeps healthcare services senior leadership informed of operational issues, staffing, resources, system and program needs and presents solutions/action plans for issues. Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed to promote a standardized enterprise-wide approach to healthcare services programs. Ensures monthly auditing is occurring with appropriate follow-up. Engages in clinical training activities and outcomes. Develops and mentors direct reporting healthcare services leadership. Local travel may be required (based upon state/contractual requirements). Required Qualifications At least 8 years health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. At least 3 years health care management/leadership required. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. Experience working within applicable state, federal, and third party regulations. Ability to manage conflict and lead through change. Operational and process improvement experience. Ability to work cross-collaboratively across a highly matrixed organization. Ability to prioritize and manage multiple deadlines. Excellent organizational, problem-solving and critical-thinking skills. Strong written and verbal communication skills. Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Registered Nurse (RN). License must be active and unrestricted in state of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. Medicaid/Medicare population experience. Clinical experience. 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $172,484 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical systems. Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. Considers business problems end-to-end: including people, process, and technology, both within and outside the enterprise, as part of any design solution. Monitors emerging technologies for potential application within or across the business. Provides solution ideation to drive operational excellence, efficiencies and compliance for clinical functions supported through technology. Maintains lights-on support and governance of clinical system changes. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Responsible for collaborating with the information technology team (IT) for product delivery through oversight and management of the system development lifecycle (SDLC). Manages teams that drive business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations Serves as industry subject matter expert in the functional area and leads clinical systems to meet critical needs. Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Works with operational leaders within the business to provide recommendations on opportunities for process improvements. Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation through delivery. Establishes and manages key performance metrics and develops goals and strategies to achieve corporate objectives. Serves as mentor, coach and leader to the application design and development and support teams. Required Qualifications At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics or health care environment, or equivalent combination of relevant education and experience. At least 3 years management/leadership experience in a clinical leadership, clinical systems and/or informatics, utilization management, or care management role. Experience leading cross-functional teams and change management. Experience aligning clinical systems with organizational goals. Project management experience to include managing timelines, resources, and stakeholder expectations. Previous data integration and analytics experience. Operational and process improvement experience. Ability to work collaboratively in a highly matrixed organization. Excellent organizational, problem-solving and critical-thinking skills. Strong written and verbal communication skills. Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Registered Nurse (RN). License must be active and unrestricted in state of practice. Product owner / management certification (CSM, SAFe PO/PM, or other Lean Agile Product Management Certifications) Sigma Black Belt certification or Information Technology Infrastructure Library (ITIL) certification. 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties Directs all Clinical Contact Center operations Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. Manages and evaluates the performance of various clinical management activities. Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. Develops standardized methods of improving production, quality, and efficiency Ensures partners receive support for operational issues. Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. Engaged in clinical training activities and outcomes. Determines clinical and quality measures for success. Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. Ensures monthly auditing is occurring with appropriate follow-up. Utilizes excellent verbal and written communication skills Utilizes advanced teambuilding and conflict resolution skills Performs other duties as required Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred. Minimum 7 years experience performing supervisory/management work including Clinical Operations. Experience with Contact Center operations. Experience managing professional staff in a clinical Contact Center. Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years experience in a healthcare environment with directly transferable skills highly preferred 9 years experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Required Preferred Job Industries Healthcare