In this highly visible role you will showcase your ability to build and manage an operational area -- strategy, team, workflow and more -- from square one, while also enjoying the resources of a Fortune 500 industry leader . You will lead the development and execution of provider contracting and service strategies for a new MCO, including Medicaid, Medicare Duals programs and the 2014 Healthcare Exchange. The plan will be created through the integration of an acquisition and development of a MCO, providing services for 200,000+ members. You'll be tasked with building the network, managing relationships with providers, and acting as primary liaison with multiple Molina corporate departments. Along the way you'll support our mission to provide quality healthcare for financially vulnerable individuals and families. You'll also demonstrate your leadership skills and ability to deliver results -- qualities that are in demand as Molina continues to grow.
To be a strong fit for the VP, Provider Network Management & Operations opportunity, you will have:
Seven to ten years of experience in healthcare administration, managed care and / or provider services, including at least five years of experience in roles directly responsible for operations. The ideal candidate will have a strong operations background in health plans, including claims processing, provider services, contract flow systems, etc.
Experience working with a large plan; start-up experience is a strong advantage.
Experience managing/supervising employees.
Superior analytical interpretation and research skills in order to readily identify problems/issues, get to the root cause and achieve prompt resolution.
The ability to organize, coordinate and accomplish a high volume of work with minimum impact on quality.
A bachelor's degree in a related field (such as Business Administration) or an equivalent combination of education and experience.
While we're not at liberty to disclose exactly where the plan will be located, we can tell you that it will be in the Southeast. Relocation assistance will be available for an outstanding candidate.
Since its founding more than 30 years ago, Molina Healthcare has grown into one of the leaders in providing quality healthcare to the underserved. Currently, Molina Healthcare arranges for the delivery of healthcare services or offers health information management solutions for nearly 4.3 million individuals and families who receive their care through Medicaid, Medicare, and other government-funded programs in 16 states. Molina is a publicly traded company with approximately 4,500 employees and revenues of $4.6 billion, and we recently were named to the 2012 Fortune 500 list.
Decision Toolbox - 18 months ago