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Director, Clinical Operations
Molina Healthcare Jeffersonville, Indiana
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Albuquerque, New Mexico
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Buffalo, New York
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Vancouver, Washington
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Louisville, Kentucky
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Covington, Kentucky
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Mesa, Arizona
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Orem, Utah
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Augusta, Georgia
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Caldwell, Idaho
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Detroit, Michigan
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Roswell, New Mexico
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Nampa, Idaho
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Grand Island, Nebraska
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Savannah, Georgia
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Las Cruces, New Mexico
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Tucson, Arizona
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Paradise Valley, Arizona
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Tempe, Arizona
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.
10/13/2025
Full time
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.
Director, Clinical Operations
Molina Healthcare Bowling Green, Kentucky
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.
10/13/2025
Full time
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.

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