22 Mount Sinai Health System jobs in New York

Job Description

Job Description

About us

LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all. Focused on both treatment and prevention, our unique care model is designed to optimize the patient experience and improve outcomes across more than 200 health concerns.

To support our expanding patient base, LifeMD leverages a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, a 22,500-square-foot affiliated pharmacy, and a U.S.-based patient care center. Our company — with offices in New York City; Greenville, SC; and Huntington Beach, CA — is powered by a dynamic team of passionate professionals. From clinicians and technologists to creatives and analysts, we're united by a shared mission to revolutionize healthcare. Employees enjoy a collaborative and inclusive work environment, hybrid work culture, and numerous opportunities for growth. Want your work to matter? Join us in building a future of accessible, innovative, and compassionate care.

About the role

We are looking for a part-time Clinical Operations Coordinator to work roughly 20-25 hours per week. The hours will be from 12:00pm-5:00pm EDT (or equivalent, based on location).

Responsibilities

• Daily review of clinical team productivity and realignment of non-compliance items with SLAs via data tracking and analysis
• Review and document internal provider communications and inquiries, and project management of initiation of associated operational protocols
• Coordinate daily provider affairs and engagement, as well as clinical team grievances/suggestions
• Conduct regular reviews of Provider AI Assistant Tool output for quality assurance
• Coordinate the provision of historical input, data tracking, and insights for provider performance touchpoints
• Daily review of clinical team task triage in collaboration with tech and care center teams
• Coordinate cross-functional team requests for clinical team
• Ongoing monitoring of process improvement enabling smooth and effective provider-patient workflows

Requirements

Basic Qualifications:

• 2+ years of experience working with clinical providers and clinical support staff
• Familiarity with telemedicine operations
• Comfortability with technology and ability to navigate through various platforms and EHR systems

Preferred Qualifications:

• Tech savvy with strong analytic skills
• Experience with Google Suite, Looker, HEX, or other analytics tools

Benefits

• Pay: $30.00/hour
• Shift: 12pm-5pm EDT / 9am-2pm PDT

**Job Description**
**The Department of Obstetrics, Gynecology and Reproductive Science of the Mount Sinai Heath System (MSHS) is seeking a Urogynecologist.**
We are seeking Board Certified/Board Eligible Physicians in Obstetrics & Gynecology and Female Pelvic Medicine and Reconstructive Surgery who can provide consistent, compassionate, high-quality, safe and patient-centric care, personalized to each and every patient. The successful candidate will possess clinical abilities as demonstrated through training, education, certification and experience, strong interpersonal communication, leadership and organizational skills, embrace the teaching mission of the MSHS and qualify for an academic appointment to the Icahn School of Medicine at Mount Sinai. The candidate must have or be able to obtain a valid New York State Medical License.
As a member of the of the MSHS and the Icahn School of Medicine at Mount Sinai, we are able to offer the professional benefits of a major academic/research medical center. With over 6,000 deliveries per year, the Department supports 32 residents in a four year residency program and an active teaching program for third-year medical students from the Icahn School of Medicine at Mount Sinai. All OB/Gyn sub-specialties are represented in the Department of Obstetrics and Gynecology and Reproductive Science.
**Qualifications**
+ Medical Degree from an accredited program
+ New York Medical License/Active NYS DEA
+ Board Certified/Board Eligible in Obstetrics & Gynecology and Female Pelvic Medicine and Reconstructive Surgery
+ Successfully completion of a Female Pelvic Medicine and Reconstructive Surgery fellowship
+ Excellent communication, bedside manner, and organizational skills
+ A strong work ethic and desire to participate in a team-oriented, performance-driven environment
+ Respectfully collaborate and build relationships with teammates
+ Thrive in a constantly evolving environment, challenging the status quo and striving to innovate and improve care delivery
Compensation range from 281K to 361K (not including bonuses / incentive compensation or benefits)
**Salary Disclosure Information:**
Mount Sinai Health System provides a salary range to comply with the New York City law on Salary Transparency in Job Advertisements. Actual salaries depend on a variety of factors, including experience, specialties, historical productivity, historical collections, and hospital/community need. As such, an actual salary may fall closer to one or the other end of the range, and in certain circumstances, may wind up being outside of the listed salary range. The salary range listed is for full-time employment and does not include bonuses / incentive compensation or benefits.
**Please specify Job Title of interest and send CV with Cover Letter to:**
**Physician Recruitment Department**
**Mount Sinai Health System**
** **
**Responsibilities**
+ The position is primarily in Queens, split between the City Hospital, Elmhurst ( 2 days per week), and Mount Sinai Queens ( 3 days per week)
+ Provide Urogynocology care, including ambulatory care and surgery in the hospitals
+ General administration duties that include documenting and reviewing patient chart
+ Elmhurst hospital is part of the NYC Health and Hospital Corporation and is staffed by Mt. Sinai. There you would care for the disenfranchised of NYC. Most patients do not have insurance and they come from all over the world to receive care.
+ Significant involvement in the training of Urogynecology fellows and research. The department has 8 residents per year, 32 total
+ Mount Sinai Queens is part of the Mt. Sinai Health System. You will be establishing a practice Queens, a significantly underserved area for urogynecology
+ Benefit from the education, research, and clinical program of Icahn School of Medicine at Mount Sinai, one of the top ranked schools nationally
+ Significant opportunities for career development
+ Dedicated support staff
**About Us**
**Strength through Unity and Inclusion**
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
**About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
**Equal Opportunity Employer**
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

**Job Description:**
**Job Summary:**
Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures.
**Job Responsibilities:**
Patient Experience
+ Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
+ Models and shares patient service best practices with all team members to deliver a distinctive and joyful experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
+ Connects with patients by anticipating needs and proactively offering services. Supports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal.
Operations
+ Provides clinical services to patients, such as immunizations or MTM interventions, ensuring compliance with regulatory guidelines, company policies and procedures.
+ Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Training & Personal Development
+ Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations to provide such clinical services.
+ Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance.
+ Obtains necessary certifications, education credits and training, including learning modules, as required by the Company.
**About Walgreens**
Founded in 1901, Walgreens ( ) has a storied heritage of caring for communities for generations, and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni-channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities
**Job ID:** BR
**Title:** Healthcare Services Pharmacist
**Company Indicator:** Walgreens
**Employment Type:** Flexible hours
**Job Function:** Retail
**Full Store Address:** 10314 ROOSEVELT AVE,CORONA,NY, -S
**Full District Office Address:** 10314 ROOSEVELT AVE,CORONA,NY, -S
**External Basic Qualifications:**
+ BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
+ Current pharmacist licensure in the states within the district.
+ Certified Immunizer or willing to become an immunizer within 90 days of hire.
**Preferred Qualifications:** The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits ( . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
We will consider employment of qualified applicants with arrest and conviction records.
**Shift:**
**Store:**
**Salary Range:** Healthcare Services Pharmacist $52.70-$57.95

**Job Description:**
**Job Summary:**
Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures.
**Job Responsibilities:**
Patient Experience
+ Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
+ Models and shares patient service best practices with all team members to deliver a distinctive and joyful experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
+ Connects with patients by anticipating needs and proactively offering services. Supports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal.
Operations
+ Provides clinical services to patients, such as immunizations or MTM interventions, ensuring compliance with regulatory guidelines, company policies and procedures.
+ Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Training & Personal Development
+ Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations to provide such clinical services.
+ Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance.
+ Obtains necessary certifications, education credits and training, including learning modules, as required by the Company.
**About Walgreens**
Founded in 1901, Walgreens ( ) has a storied heritage of caring for communities for generations, and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni-channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities
**Job ID:** BR
**Title:** Healthcare Services Pharmacist
**Company Indicator:** Walgreens
**Employment Type:** Multi-Location Pharmacist
**Job Function:** Retail
**Full Store Address:** 350 PREAKNESS AVE,PATERSON,NJ, -S
**Full District Office Address:** 350 PREAKNESS AVE,PATERSON,NJ, -S
**External Basic Qualifications:**
+ BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
+ Current pharmacist licensure in the states within the district.
+ Certified Immunizer or willing to become an immunizer within 90 days of hire.
**Preferred Qualifications:** The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits ( . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
We will consider employment of qualified applicants with arrest and conviction records.
**Shift:**
**Store:**
**Salary Range:** Healthcare Services Pharmacist $52.70-$57.95

**Job Description:**
**Job Summary:**
Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures.
**Job Responsibilities:**
Patient Experience
+ Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
+ Models and shares patient service best practices with all team members to deliver a distinctive and joyful experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
+ Connects with patients by anticipating needs and proactively offering services. Supports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal.
Operations
+ Provides clinical services to patients, such as immunizations or MTM interventions, ensuring compliance with regulatory guidelines, company policies and procedures.
+ Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Training & Personal Development
+ Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations to provide such clinical services.
+ Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance.
+ Obtains necessary certifications, education credits and training, including learning modules, as required by the Company.
**About Walgreens**
Founded in 1901, Walgreens ( ) has a storied heritage of caring for communities for generations, and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni-channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities
**Job ID:** BR
**Title:** Healthcare Services Pharmacist
**Company Indicator:** Walgreens
**Employment Type:** Multi-Location Pharmacist
**Job Function:** Retail
**Full Store Address:** 465 KEARNY AVE,KEARNY,NJ, -S
**Full District Office Address:** 465 KEARNY AVE,KEARNY,NJ, -S
**External Basic Qualifications:**
+ BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
+ Current pharmacist licensure in the states within the district.
+ Certified Immunizer or willing to become an immunizer within 90 days of hire.
**Preferred Qualifications:** The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits ( . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
We will consider employment of qualified applicants with arrest and conviction records.
**Shift:**
**Store:**
**Salary Range:** Healthcare Services Pharmacist $52.70-$57.95

**Job Description:**
**Job Summary:**
Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures.
**Job Responsibilities:**
Patient Experience
+ Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
+ Models and shares patient service best practices with all team members to deliver a distinctive and joyful experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
+ Connects with patients by anticipating needs and proactively offering services. Supports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal.
Operations
+ Provides clinical services to patients, such as immunizations or MTM interventions, ensuring compliance with regulatory guidelines, company policies and procedures.
+ Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Training & Personal Development
+ Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations to provide such clinical services.
+ Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance.
+ Obtains necessary certifications, education credits and training, including learning modules, as required by the Company.
**About Walgreens**
Founded in 1901, Walgreens ( ) has a storied heritage of caring for communities for generations, and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni-channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities
**Job ID:** BR
**Title:** Healthcare Services Pharmacist
**Company Indicator:** Walgreens
**Employment Type:** Multi-Location Pharmacist
**Job Function:** Retail
**Full Store Address:** 72 CRESCENT AVE,WALDWICK,NJ, -S
**Full District Office Address:** 72 CRESCENT AVE,WALDWICK,NJ, -S
**External Basic Qualifications:**
+ BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
+ Current pharmacist licensure in the states within the district.
+ Certified Immunizer or willing to become an immunizer within 90 days of hire.
**Preferred Qualifications:** The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits ( . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
We will consider employment of qualified applicants with arrest and conviction records.
**Shift:**
**Store:**
**Salary Range:** Healthcare Services Pharmacist $52.70-$57.95

JOB DESCRIPTION Job SummaryProvides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed.
- Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met.
- Assesses clinical staff regarding appropriate clinical decision-making.
- Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications.
- Adheres to departmental standards, policies and protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to clinical auditing.
- May conduct staff trainings as needed. - Communicates with quality and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
- At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Registered Nurse (RN). License must be active and unrestricted in state of practice.
- Strong attention to detail and organizational skills.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $29.05 - $67.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Job Summary**
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
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.

JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
- Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
- Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
- Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
- Assists in the development and implementation of internal desktop processes and procedures.
- Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications- At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
- Strong analytic and problem-solving abilities.
- Strong organizational and time-management skills.
- Ability to multi-task and meet project deadlines.
- Attention to detail.
- Ability to build relationships and collaborate cross-functionally.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Supervisory/leadership experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $64,350 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.