COO, Health Plan (Ohio)

Job Summary

Responsible for the overall direction and administration of the operational departments, programs and services provided by the health plan. Responsibilities include: implementing programs that are in alignment with Molina's strategic plan and operating plan; providing day-to-day leadership and management of the health plan operations that mirrors the company's mission, vision, and core values; and ensuring the efficient and compliant operations of the health plan.

Knowledge/Skills/Abilities

• Serve as Health Plan point of contact
• Ensure all Shared Service areas and Functions understand priorities and issues for the Health Plan
• Collaborate with Shared Services to ensure they understand and are fulfilling Health Plan requests and commitments
• Formulate and implement business plans, tactics and strategies to provide for the efficient, effective and compliant operations to meet short-term objectives/obligations and ensure long term growth and success
• Create new policies and amend existing policies to improve operations as needed
• Identify and drive new initiatives to optimize systems' performance and leverage functionality to:
• Increase claims payment accuracy and auto-adjudication
• Increase members and provider satisfaction
• Identify and implement cost savings initiatives in contracting, operations and employee productivity
• Avoid work-arounds and unplanned re-work
• Ensure the overall level of quality for operational and contractual obligations meet or exceed appropriate standards
• Provide personal leadership that encourages employee productivity and responsiveness to the needs of the current and prospective members, providers and regulatory agencies/staff
• Ensure programs are established to comply with all relevant federal, state and local regulations

Preferred Work Location

Ohio

Job Qualifications

Required Education

• Bachelor's degree in Business, Health Services
• Master's Degree in Business, Policy, Public Administration or Health Services Administration or related field

Required Experience

• 15-plus years of progressive healthcare experience
• Direct experience in the managed care industry; 10+ years of managed care with Medicaid and Medicare managed care plans
• Management experience

Preferred Education

• Master's or PhD Degree in public health, social or behavioral services or similar discipline

Preferred Experience

• 10+ years in public health, social or behavioral services, or similar field
• 3+ years in a direct or matrix leadership position

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.

Pay Range

$214,132 - $417,557 / ANNUAL

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Equal Opportunity Employer

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.