Molina Healthcare

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

Care Management Processor

OperationsOperationsFull TimeRemoteTeam 10,001

Location

United States

Posted

5 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

  • Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members.
  • Facilitates initial review of assigned case levels and assists in case management assignment to care managers.
  • Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan.
  • Schedules member visits with care managers as needed.
  • Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services.
  • Coordinates required member services in accordance with member benefit plan.
  • Promotes communication both internally and externally to enhance effectiveness of care management services.
  • Processes member and provider correspondence.

Qualifications

  • At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
  • Strong attention to detail.
  • Problem-solving skills.
  • Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
  • Excellent customer service skills.
  • Time-management and organizational skills.
  • Strong verbal and written communication skills.
  • Microsoft Office suite/applicable software program(s) proficiency.

Requirements

  • Certified Medical Assistant (CMA) (preferred).

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Company Description

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

Job Requirements

  • At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
  • Strong attention to detail.
  • Problem-solving skills.
  • Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
  • Excellent customer service skills.
  • Time-management and organizational skills.
  • Strong verbal and written communication skills.
  • Microsoft Office suite/applicable software program(s) proficiency.
  • Certified Medical Assistant (CMA) (preferred).

Benefits

  • Molina Healthcare offers a competitive benefits and compensation package.

Related Categories

Related Job Pages

More Operations Jobs

Lead, Enrollment (Virtual School Growth Operations)

Pearson

Pearson is the world’s learning company. We help people of all ages acquire the knowledge and skills they need to be successful in their work and careers. We believe that everyone should be able to keep learning, every day and in every way, throughout their lives. We foster a work environment that’s inclusive as well as diverse, where our people can be themselves. Every idea and perspective are valued so that our products reflect the people we serve.

Operations5 days ago
Full TimeRemoteTeam 29,811Since 1871

This is a director-level operating role as the Lead, Enrollment at Pearson Virtual Schools (PVS). This senior leader is responsible for driving enrollment growth and revenue through a high-performing, customer-centered operation at scale. This role owns the lead-to-enrollment lif...

United States
$150K - $175K / year

Experienced Real Estate Transaction Coordinator (US Firm)

Houston Properties Team

#1 boutique real estate team with over $750 million in residential sales. We have an unfair advantage. We care more.

Operations5 days ago
ContractRemoteTeam 11-50H1B No Sponsor

Transaction Coordinator — The Heart of the DealYou know that contracts aren’t just paperwork — they’re people. Behind every signature is a client starting a new chapter and an agent trusting you to help them deliver. You’re the person who catc...

Real estate transaction coordinationContract managementCompliance documentationClient communicationStakeholder coordinationProblem solvingProcess optimization
Texas

Experienced Real Estate Transaction Coordinator (US Firm)

Houston Properties Team

#1 boutique real estate team with over $750 million in residential sales. We have an unfair advantage. We care more.

Operations5 days ago
ContractRemoteTeam 11-50H1B No Sponsor

Transaction Coordinator — The Heart of the DealYou know that contracts aren’t just paperwork — they’re people. Behind every signature is a client starting a new chapter and an agent trusting you to help them deliver. You’re the person who catc...

Real estate transaction managementContract complianceClient communicationDocument managementProcess improvement
Texas

Experienced Real Estate Transaction Coordinator (US Firm)

Houston Properties Team

#1 boutique real estate team with over $750 million in residential sales. We have an unfair advantage. We care more.

Operations5 days ago
ContractRemoteTeam 11-50H1B No Sponsor

Transaction Coordinator — The Heart of the DealYou know that contracts aren’t just paperwork — they’re people. Behind every signature is a client starting a new chapter and an agent trusting you to help them deliver. You’re the person who catc...

Transaction coordinationContract managementCompliance managementDocumentation managementReal estate processesClient communicationProblem solvingProcess optimizationDeadline management
Texas