Job summary
Job post source
This job is directly from Molina Healthcare
Job overview
The VP, Clinical Operations at Molina Healthcare leads clinical teams to improve care quality and cost-effectiveness for members with high needs, impacting overall clinical operations and member outcomes.
Responsibilities and impact
The role involves providing leadership to clinical teams, implementing standards and protocols to improve clinical operations, managing medical expense reductions, ensuring compliance with regulations, overseeing delegation monitoring, coordinating with vendors and state plans, and developing policies and contracts to enhance quality and utilization.
Compensation and benefits
The position offers a salary range of $161,914.25 to $315,733 annually, with compensation varying by location, experience, education, and skill level, along with a competitive benefits and compensation package.
Experience and skills
Candidates need at least 10 years of managed care experience with clinical operations management, knowledge of state and federal regulations, operational improvement skills, strong communication and leadership abilities, a bachelor's degree in healthcare or business, and preferred qualifications include a master's degree and relevant certifications or licenses such as RN or CPHM/CPHQ.
Work environment and culture
Molina Healthcare promotes a positive leadership role, teamwork, and compliance with regulatory standards, emphasizing quality, cost-effective care and member outcomes.
Company information
Molina Healthcare focuses on integrated care delivery across physical and behavioral health for members with high needs, aiming for quality and cost-effective healthcare solutions.
Team overview
The candidate will lead segment clinical teams responsible for clinical operations performance and collaboration with provider networks and corporate vendors.
Application process
Current Molina employees should apply through the intranet job listing; no other application details provided.
Unique job features
The role includes leadership in medical management initiatives, coordination of audits, and development of marketplace-specific policies, distinguishing it with a focus on integrated care and operational efficiency.
Company overview
Molina Healthcare is a Fortune 500 company that provides managed health care services under the Medicaid and Medicare programs and through state insurance marketplaces. Founded in 1980 by Dr. C. David Molina, the company initially focused on providing healthcare to low-income individuals and families. Molina Healthcare makes money by contracting with state governments and the federal government to provide health plans for individuals who qualify for government-sponsored health insurance. The company has grown significantly over the years, expanding its services across multiple states and acquiring other healthcare entities to enhance its offerings.
How to land this job
Position your resume to highlight leadership in clinical operations, emphasizing your ability to direct teams and drive performance improvements aligned with Molina Healthcare's quality and cost-efficiency goals.
Focus on showcasing experience in managed care, operational process improvements, and compliance with state and federal healthcare regulations as these are key to this VP role.
Apply through multiple channels including Molina Healthcare's corporate career site, LinkedIn, and relevant healthcare job boards to maximize your application visibility.
Connect with current Molina Healthcare clinical operations leaders or team members on LinkedIn; use ice breakers like referencing Molina's integrated care model or recent healthcare initiatives they have led to start conversations.
Optimize your resume for ATS by incorporating keywords such as 'clinical operations leadership,' 'managed care,' 'utilization management,' 'regulatory compliance,' and 'process improvement' from the job description to ensure your resume passes initial screenings.
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