Job Description

Looking for a Registered Nurse or Licensed Social worker to support HealthPlans within Molina Healthcare. In this position you will be assisting health plans with KPI and savings initiatives.  

Looking for a candidate previous manage care experience, excellent data analysis skills (Advanced with Microsoft Excel).  Experience working with executive leadership conducting meetings and presentations. 

Must be able to work CST or MST (8 AM to 5 PM) - to support business needs 

Remote Position - Home office with internet connectivity of high speed required.
Job Summary

The Sr. Clinical Performance Consultant is responsible for the successful execution of clinical transformation, performance & process improvement initiatives that result in operational efficiencies. Provides intensive and immersive hands-on coaching and support, ensuring full optimization of business capabilities.

Job Duties

• Drives process change by integrating new processes with existing ones through direct coaching and mentoring of impacted business teams. 
• Conducts real-time technology and operational walkthroughs as an immersive coaching clinical subject matter expert (SME); can provide interim stabilization support
• Uses clinical expertise to identify operating processes that are necessary to operate in the market vs. can be moved to standard process
• Assesses business and operational needs for opportunities to improve efficiency, productivity, effectiveness, and accuracy.
• Review, research, analyze and evaluate information to assess compliance between a process or function and the corresponding written documentation. Use analytical skills to identify variances. Use problem solving skills and business knowledge to make recommendations for process remediation or improvement.
• Conduct interviews with staff and management to assess internal clinical business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other internal guidelines
• Drives process change by integrating new processes with existing ones and communicating these changes to impacted business teams. 
• Summarize, document and disseminate assessment outcomes and recommendations. Determine process and program support needs. Ensure that they are appropriately communicated (written and verbal) to process owners and management. 
• Conducts meetings and disseminates communication related to process and program needs, including internal action planning & process improvement activities to senior leadership and staff as needed. 
• Uses understanding of key revenue levers, cost drivers and customer satisfaction impacts of business processes to optimize and improve business processes and productivity
• Employing change management techniques to prepare the business in successful organizational change
• Flexibility to travel depending on business need (up to 25%)

Job Qualifications

• Active and unrestricted Registered Nurse (RN) license or independent behavioral health license (LCSW, LPC, LMFT, or LMHC)
• Minimum of 6 years’ experience in health care
• Understanding of clinical operations: utilization management, case management, etc.
• Ability to provide hands-on, immersive and directed support for identified business improvement initiatives
• Experience providing coaching, development and operational feedback to individuals and teams
• Experience using business knowledge to make recommendations for process remediation or improvement
• Strong leadership qualities and ability to lead and achieve results

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.

Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.