Director, Clinical Operations (Remote supporting MST / PST) jobs in United States
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Molina Healthcare · 2 days ago

Director, Clinical Operations (Remote supporting MST / PST)

positionUnited States
timeFull-time
remoteRemote
seniorityDirector/Executive
money$97K/yr - $190K/yr
date8+ years exp

Molina Healthcare is a company that leads in providing quality and cost-effective member care. The Director of Clinical Operations will oversee member outreach and scheduling of visits, ensuring compliance with regulatory requirements and operational goals.

Health CareHospitalMedical
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H1B Sponsor Likelynote

Responsibilities

Directs member outreach team operations to ensure successful member engagement and scheduling of member visits
Implements direction and performance standards to ensure that goals are achieved
Manages and evaluates performance of various clinical outreach management activities
Aligns with leadership, to ensure operational goals and objectives for outsourced operations are understood and met
Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements
Demonstrates proficiency in execution of procedures, protocols, benefits, and services
Assists with training of new leaders/employees as needed
Demonstrates flexibility in meeting changing performance objectives consistent with department objectives
Develops standardized methods of improving production, quality and efficiency with vendor and internal partners
Utilizes Genesys and Epic platforms to meet business objectives
Ensures coverage of all operating hours and the ability to work any business hours, including weekends and some holidays, as needed
Ensures internal partners receive operational issue support
Produces solutions to problems or issues before making decisions, calculates risks for authority level and takes decisive actions where necessary - ensuring that guidance or action keeps with policy and procedural standards
Schedules and reviews project tasks to ensure high quality product is delivered on time and within budget
Expands employee performance levels and ensures retention of high performing employees
Accurately projects resource needs to ensure timely hiring and training of staff
Demonstrates responsibility for vendor development of process improvement requirements, manages communications related to initiatives, and acts as process champion of initiatives
Develops executive presentations as needed for review of vendor performance
Engages in training activities and outcomes
Determines quality measures for success
Designs standardized protocols, develops policy, and ensures timely implementation
Ensures monthly auditing occurs with appropriate follow-up
Facilitates and participates in committees, task forces, work groups, and multidisciplinary teams as needed
May be required to travel as needed

Qualification

Health care managementProcess improvementClinical operationsTeam buildingMicrosoft Office proficiencyConflict resolutionVerbal communicationWritten communicationHealth care experienceTraining skillsCross-collaborationLeadership experience

Required

At least 8 years health care experience supporting clinical and contact center operational activities, or equivalent combination of relevant education and experience
At least 3 years health care management/leadership experience
Experience managing process improvement activities
Ability to work cross-collaboratively across a highly matrixed organization
Team building and conflict resolution skills
Excellent verbal and written communication skills
Microsoft Office suite/applicable software program(s) proficiency

Preferred

Registered Nurse (RN). License must be active and unrestricted in state of practice

Benefits

Competitive benefits and compensation package

Company

Molina Healthcare

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Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
dateFounded in 1980
location
Long Beach, California, USA
people-size10001+ employees
web-link
https://investors.molinahealthcare.com/

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)

Funding

Current Stage
Public Company
Total Funding
$2.35B
2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M

Leadership Team

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Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
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Debbie Simkins
Vice President, Office of the CIO
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Recent News

Sherwood News
Insurers rise as House tees up ACA extension vote
2026-01-09
Business Wire
Molina Healthcare of Washington Announces $75,000 Grant to the Seattle Indian Health Board to Support Completion of Thunderbird Treatment Center
2026-01-06
Benzinga.com
Stock Of The Day: Is Molina Healthcare About To Break Out?
2026-01-03
Company data provided by crunchbase