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ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT

Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.

VP, Member & Provider Contact Center Operations

Passport Health Plan by Molina Healthcare Louisville, Kentucky; Lexington-Fayette, Kentucky; Bowling Green, Kentucky; Owensboro, Kentucky; Covington, Kentucky; Georgetown, Kentucky; Richmond, Kentucky; Florence, Kentucky; Nicholasville, Kentucky Job ID 2026181
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Passport Health Plan by Molina Healthcare has a mission to provide quality health care to those who need it, no matter their circumstances. Today, Molina health plans serve 3,331,000 members across the country through government-funded programs. Each day, we work to earn the trust our partners and members put in us, so they can lean on Molina. Together, Passport Health Plan and Molina share a commitment to improving the health and quality of life of our members across the Commonwealth of Kentucky.

  • Full Time, Part Time
  • Level: All Levels
  • Travel: Occassional
  • passport-logo

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Success Profile

What makes you successful at Passport Health Plan by Molina Healthcare? Check out the traits we’re looking for and see if you're the right fit!

  • Compassionate
  • Consultive
  • Patient
  • Problem-Solver
  • Sincere
  • Relationship Expertise

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Benefits

  • Insurance

    Medical · Dental · Vision
    Group & Voluntary Life Insurance
    Aflac · Pet Health · Identity Theft
    Auto & Home Insurance

  • Savings

    Flexible Spending Accounts
    401K · Roth 401K
    Employee Stock Purchase Plan

  • Career Growth

    Continuing Education Units
    Education Reimbursement

  • Time Off

    Paid Time Off
    Volunteer Time Off
    Company Holidays

  • Additional Perks

    Legal Assistance Plan
    Employee Assistance & Well Being Programs
    Employee Perks Platform
    Rideshare Portal

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Responsibilities

Job Duties


• Responsible for all Member and Provider Services, including Workforce Management, Reporting, Data & Analytics, Quality Assurance, Business Solutions, Vendor Performance and Telephony across Medicaid, Medicare and Marketplace.
• Develops and drives strategic initiatives, including operational excellence, in order to support growth as well as increase member and provider satisfaction.
• Develops and maintains strong relationships with internal and external stakeholders to provide optimal shared services throughout the enterprise.
• Responsible for seamless integration of newly acquired employees, including scope of work and structure.
• Identifies projects/initiatives that reduce administrative costs and introduce innovative solutions. Convenes work groups, develops implementation plans with identified tasks, timelines and assigned parties. Executes and measures success.
• Manages direct Molina staff as well as oversees vendors and performance accountability for services rendered to contact center, which will enable the organization to produce operational results at the lowest possible cost, the most consistent and compliant service levels and the highest level of quality for all lines of business.
• Ensures all state, federal and Molina regulations, Policies/Procedures and SOPs are implemented and followed on a consistent basis to ensure the highest compliance possible within the Corporate Operations areas.
• Sets and manages overall costs to meet/exceed annual budgets set for each or all of the areas and finds ways to improve productivity and automation wherever possible to reduce unit costs and overall G&A for the organization.
• Designs and implements systematic approach to improve member and provider experiences through increased operational efficiency and effectiveness.
• Responsible for reporting potential liabilities for financial tracking and accruals to senior leadership.
• Ability to influence and drive change among peers and others within the Molina organization
• Skill to envision, craft proposals, obtain consensus around approving and implementing future state processes and systems needed to support strategic direction set by organization.
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
• Other duties as assigned.

Job Qualifications

Required Education
Bachelor's Degree
Required Experience/Knowledge, Skills & Abilities
10 years of healthcare contact center and operational experience.
10 years of leadership experience with leading large teams.
10 years of experience with leading operations for multiple markets and product lines as well as experience with data analytics, customer experience, workforce management, quality metrics for operations and business/innovative solutions.
Experience developing and managing department budget within prescribed parameters.
Experience with account management responsibilities with senior level leadership. 
Experience with Genesys, Salesforce.
Preferred Education
Master's Degree or appropriate relevant healthcare experience
Preferred Experience
Experience implementing process improvements in a matrix environment.
Medicaid and Medicare experience 

#PJCC

#LI-AC1

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: $186,201 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 06/05/2024

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