Manager, Operations (Remote)

Position Overview

Provides leadership and direction to MMS Operational Units management staff (e.g., Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network) for managing and supervising daily functional operations to ensure compliance with contract requirements.

Key Responsibilities

• Oversees budget responsibilities of Operational work units for client and internal personnel.
• Serves as primary point of contact for all matters related to Operational Units and is responsible for achievement of Service Level Agreements and other contractual requirements.
• Develops budget inputs for areas of responsibility.
• Attends and facilitates meetings as required to support the day-to-day activities and responsibilities of the Operational Units.
• Establishes annual performance goals with department managers in conjunction with the Director, Account Management to ensure that department goals support overall account objectives.
• Ensures the achievement and maintenance of excellent working relationships with clients and all levels of internal personnel.

Required Qualifications

• Education: Bachelor's Degree or equivalent experience
• Experience Required: 3 years of supervision/management experience in a Claims Processing or Provider Services environment and/or high volume transaction processing/call center management responsibility; 5 years of progressive experience supporting a Medicaid or large claims processing environment with multi-functional work units and tasks

Preferred Qualifications

• 6 - 8 years working in a claims processing system with health care environment experience

Benefits & Perks

• Benefits: Molina Healthcare offers a competitive benefits and compensation package