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Company: Molina Healthcare
Location: Washington, DC
Career Level: Director
Industries: Healthcare, Pharmaceutical, Biotech, Medical


Job Description

Job Summary
MMS site operation responsibility for the overall direction and administration of the programs and services provided as the fiscal intermediary for the State Medicaid program. Responsibilities include implementing programs that are in alignment with Molina's strategic plan for MMS business; providing day-to-day leadership and management to the site; and ensuring the fiscal well-being of the business.

• Primary responsibility for account strategy and performance.
• Manages the overall MMIS project.
• Administers all Molina resources dedicated to MMIS operation to ensure contract objectives are met.
• Responsible for oversight of Service Level Agreements and other contractual requirements.
• Monitors quality assurance reviews to ensure that contract objectives are met.
• Responsible for budget management (service revenue, operating expenses, gross margin).
• Oversees and coordinates all subcontractor and consultant activities.
• Directs ongoing operations activities and serve as final authority for all personnel and operations decisions.
• Serves as a chief liaison with the state Secretary, Deputy Secretary, Governor's Office and legislators.
• Represents MMS upon request, at meetings and hearings of legislative committees and interested governmental bodies, agencies and offices.


Job Qualifications

Required Education
Bachelor's Degree or equivalent experience per contract requirements
Required Experience
8 years management experience with a minimum of
4 of those years at a Medicare or state-level Medicaid program.

Preferred Experience
10+ years of progressive management experience in a claims operation environment.
Health care environment experience.

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.

 Apply on company website