LongBeachRecruiter Since 2001
the smart solution for Long Beach jobs

VP, Core Operations

Company: Molina Healthcare
Location: Long Beach
Posted on: September 12, 2020

Job Description:

Job Description - VP, Core Operations (2003293)

Job Description

VP, Core Operations - ( 2003293 )

Primary Location : US-CA-Long Beach-LB6TH

Job : Core Operations

Organization : Corporate

Job Posting : Jul 11, 2020, 3:17:20 AM

Additional Information : To learn more about Molina Healthcare Careers, follow us on LinkedIn , Twitter  & Facebook . You can also visit Molina Cares to view interactive tutorials on resume & cover letter writing, interviewing and more!

Knowledge/Skills/Abilities

VP of Corporate Operations is responsible forthe strategy, design, and implementation of companywide initiatives impacting Enrollment,Premium Billing and Reconciliation for all lines of business.

Identifies, develops and trains appropriatestaff and implements processes to standardize the overall end-to-end process.

Hires, coordinates training and manages staffinvolved in creating controls, documents and tools within the Corporate Enrollment,Premium Billing and Reconciliation or other Corporate Operations areasreporting to the SVP, Corporate Operations, in order to manage work in any of the assignedCorporate Operations areas for all lines of business.

Ensures the accurate and timely completion ofall Enrollment, Billing and Reconciliation functions for all lines ofbusiness. This includes working with the IT team to ensure systemefficiency in processing enrollment files received from regulatoryagencies.

Oversee the development and maintenance of outboundeligibility extracts to vendors, providers and agencies as necessary to supporthealth plan operations.

Ensures all state, federal, and Molinaregulations, Policies/Procedures and SOPs are implemented and followed on aconsistent basis to provide the highest compliance possible

Ensures ID cards, welcome kits, membercommunications including invoices are processed and send out timely to meetregulatory requirements.

Facilitate initiatives at the enterprise levelto improve the member/provider experience in areas such as PCP assignments, calldriver reduction, COB optimization etc.

Identifies, develops and implements processesto standardize exception handling

Collaborates with IT to enhance/automateprocesses including the use of BOT process as needed to reduce manualintervention.

Initiate and coordinate needed projects aroundvarious systems enhancements, conversions, growth/expansion and upgrades.

Identifies projects/initiatives that reduceadministrative costs.

Convenes work groups, develops implementationplans with identified tasks, timelines and assigned parties. Executes andmeasures success.

Lead meetings with IT to analyze the rootcause of member data variance/issues and propose ways to improve.Identify potential risks to the organizationand to lead the needed systems or configuration changes within the core systemto support the organizational needs in all lines of business.

Establish and manage annual budgets for the Enrollment/PremiumBilling and Recon department while finding ways to improve productivity andautomation to reduce unit costs and overall G&A for the organization.

Other duties

Meet or exceed state regulatory requirements

Ability to improve the quality of our providerand member experience

Ability to drive positive operational andfinancial outcomes

Excellent verbal and written communicationskill

Ability to influence and drive change amongpeers and others within the Molina organization

Skill to envision, craft proposals, and obtainconsensus around approving and implementing future state processes and systemsneeded to support the strategic direction.

Maintain confidentiality and comply withHealth Insurance Portability and Accountability Act (HIPAA)

Ability to establish and maintain positive andeffective work relationships with coworkers, clients, members, providers andcustomers

JobQualifications

Required Education

Bachelor'sDegree

Required Experience

Minimum of 7 years Healthcare operations experience

Preferred Education

Master's Degree

Preferred Experience

Minimum of 3 years Healthcare Enrollment and Billing experience with Medicaid,Medicare and Marketplace

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.

Keywords: Molina Healthcare, Long Beach , VP, Core Operations, Other , Long Beach, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Postmates - Earn Extra Cash
Description: Job Description:Postmates has the largest on-demand fleet in the U.S. with 200,000 Postmates, and an equally extensive network of merchants. While some companies try to build a warehouse outside of a (more...)
Company: Postmates
Location: Rowland Heights
Posted on: 09/23/2020

CDL A Company Driver - No Touch Freight!
Description: Hiring Home Daily Company Drivers Our Truck Drivers Enjoy Industry-Leading Benefits: Excellent Pay Based on Experience: Average 1,000- 1,200/week with
Company: Gardner Trucking
Location: Yucaipa
Posted on: 09/23/2020

CDL A Company Driver - Excellent Company Benefits!
Description: Hiring Home Daily Company Drivers Our Truck Drivers Enjoy Industry-Leading Benefits: Excellent Pay Based on Experience: Average 1,000- 1,200/week with
Company: Gardner Trucking
Location: Rowland Heights
Posted on: 09/23/2020


Gardner Trucking Hiring CDL A Company Drivers
Description: Hiring Home Daily Company Drivers Our Truck Drivers Enjoy Industry-Leading Benefits: Excellent Pay Based on Experience: Average 1,000- 1,200/week with
Company: Gardner Trucking
Location: Rowland Heights
Posted on: 09/23/2020

Diesel Mechanic - Fontana
Description: Job DescriptionAt Hogan, We Mechanic Better Whether you have years of experience
Company: Hogan Transportation
Location: Rowland Heights
Posted on: 09/23/2020

Amazon Workforce Staffing: Amazon Order Picker/Packer - Immediate Openings (Rialto)
Description: Warehouse
Company: Amazon Workforce Staffing
Location: Yucaipa
Posted on: 09/23/2020

High Demand For Quality Window Pros - Get New Clients In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: San Gabriel
Posted on: 09/23/2020

HAZMAT Tanker CDL-A Driver - 1 yr Tanker EXP Req'd
Description: Heniff Transportation Systems is Seeking Class A Company Drivers for Local, Regional, and Dedicated PositionsCall 833 - or Pre-Qualify Online Now to Get Started Company Driver Benefits: ul (more...)
Company: Heniff Transportation Systems
Location: San Gabriel
Posted on: 09/23/2020

CDL A Company Driver - Excellent Company Benefits!
Description: Hiring Home Daily Company Drivers Our Truck Drivers Enjoy Industry-Leading Benefits: Excellent Pay Based on Experience: Average 1,000- 1,200/week with
Company: Gardner Trucking
Location: San Gabriel
Posted on: 09/23/2020

CDL A Company Driver - No Touch Freight!
Description: Hiring Home Daily Company Drivers Our Truck Drivers Enjoy Industry-Leading Benefits: Excellent Pay Based on Experience: Average 1,000- 1,200/week with
Company: Gardner Trucking
Location: San Gabriel
Posted on: 09/23/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Long Beach RSS job feeds