Molina Healthcare

Molina Healthcare

Director, Member Experience (Process Improvement)

USRemotePosted Today$110,000 – $190,000
Full TimeExecutiveRemoteUS

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Job Description

Job SummaryThe Director, Member Experience is responsible for developing, implementing, and monitoring a successful strategy to achieve Molina’s Medicaid membership retention goals & objectives across

Key Highlights

  • Identify and drive process improvements to enhance the member and provider experience.
  • Develop strategies to alleviate pain points in areas such as pharmacy, network and provider relations, pharmacy, and other critical areas the effect overall experience.
  • Participates and contributes in Enterprise Health Plan meetings, regarding the overall strategic planning for the health plan.
  • Identifies opportunities and helps develop / prioritize initiatives that help with member retention.
  • Works closely with the leadership team to ensure that the results of member satisfaction/retention activities are consistent with the state’s direction and objectives, and develops & implements strategies to quickly course correct, when necessary.

Qualifications

Required Qualifications

  • Minimum 7 years’ experience in Medicaid Managed Care, particularly in sales or outreach role.
  • Minimum 3 years management/supervisory experience.
  • Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills.
  • Ability to work in a fast-paced, team-oriented environment with little supervision.
  • Process Improvement (Six Sigma) expertise.
  • Proven ability to influence or persuade senior level leaders regarding matters of organizational significance.
  • Proven ability to influence policy making.
  • Knowledge of applicable State, Federal and third-party regulations.
  • Thorough understanding of Medicaid product lines.
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.

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Job Details

Employment Type

Full Time

Experience Level

Executive

Salary Range

$110,000 – $190,000

Location

US

Work Mode

Remote

Posted

Today

Country

US