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As the VP, Healthcare Services, you will provide executive-level strategy and leadership to a team of multidisciplinary healthcare services professionals. Your role is crucial in ensuring members achieve desired outcomes through integrated delivery and coordination of care across the continuum. You will partner with executive leadership to align with business goals and contribute to the overarching strategy for quality and cost-effective member care. What You Will Do as VP, Healthcare Services Develop and direct executive-level strategy for healthcare services functions like care management and utilization management. Ensure members achieve desired outcomes through integrated care delivery and coordination across the continuum. Partner with executive leadership to align healthcare services with business goals. Contribute to the overarching strategy for quality and cost-effective member care. Oversee the implementation of a fully integrated service model to manage health service needs alongside medical care needs. Facilitate the integration of care coordination, long-term care, behavioral health, and other special programs. Develop and monitor standardized protocols for clinical and non-clinical team activities. Ensure adequate staffing and service levels, maintaining customer satisfaction through performance indicators. Collaborate with the Chief Medical Officer to develop processes for managing clinical policies to meet cost and quality targets. Develop initiatives to achieve budgeted reductions in medical expenses and increases in quality scores. Oversee the implementation of various program activities in accordance with regulatory and accreditation standards. Ensure member care and services align with Molina's customer service excellence standards. Monitor performance, protocols, and guidelines related to healthcare services. Keep senior leadership informed of operational issues and present solutions. Promote interdepartmental integration and collaboration to enhance continuity of care. Ensure completion of staff quality audit reviews and recommend program enhancements. Refine operational processes and champion reviews of team workflows. Ensure compliance with all contractual obligations. Manage the implementation of analytical studies to quantify benefits of healthcare services programs. Analyze and report on care access and monitoring statistics. Provide oversight for the successful implementation of healthcare services for new business/expansions. Identify and review new products to enhance care service delivery and support patient-centered medical homes. Why Join Our Team? Competitive benefits package Competitive compensation package Why Join Our Team? Molina Healthcare offers a competitive benefits and compensation package to its employees. Who We Are Looking For We are seeking a highly experienced and dynamic VP, Healthcare Services with a minimum of 12 years in healthcare, including at least 10 years in managed care across areas such as utilization management or care management. The ideal candidate will possess at least 7 years of management or leadership experience and hold a relevant clinical licensure (RN, LVN, LPN, LCSW, LMFT, LPCC, or LMSW) if mandated by state regulations, ensuring it is active and unrestricted. You should have a strong understanding of state, federal, and third-party regulations, coupled with exceptional customer service skills and a member-centric approach. We value candidates who can adapt to diverse settings, demonstrate strong data analysis and critical-thinking abilities, and effectively manage multiple deadlines. Operational and process improvement experience is crucial, as is the ability to collaborate cross-functionally within a matrixed organization. The successful candidate will be adept at conflict management, leading through change, and possess excellent communication skills, along with proficiency in Microsoft Office. Preferred qualifications include clinical experience, specific RN or master's level behavioral health licensure, and certifications such as CCM, CPHM, or CPHQ, as well as experience with Medicaid/Medicare populations. At least 12 years of healthcare experience, with 10 years in managed care across areas like utilization management or care management. At least 7 years of management/leadership experience. Clinical licensure (RN, LVN, LPN, LCSW, LMFT, LPCC, or LMSW) if required by state contract or business operating model, active and unrestricted. Experience with applicable state, federal, and third-party regulations. Strong customer service skills and a member-centric focus. Ability to adapt to various settings and work with diverse populations. Proficiency in data analysis and critical thinking. Ability to prioritize and manage multiple deadlines effectively. Strong organizational and problem-solving skills. Experience in operational and process improvement. Ability to collaborate cross-functionally within a highly matrixed organization. Adept at managing conflict and leading through change. Excellent written and verbal communication skills. Proficiency in Microsoft Office suite and relevant software programs. Clinical experience (preferred). Registered Nurse (RN) or master's level behavioral health (BH) licensure (preferred). Certified Case Manager (CCM), Certified Professional in Health Care Management (CPHM), or Certified Professional in Health Care Quality (CPHQ) (preferred). Experience with Medicaid/Medicare populations (preferred). What This Role Offers You Opportunity to lead a multidisciplinary team Influence on integrated care delivery Collaboration with executive leadership Contribution to quality and cost-effective member care Professional development through conferences Representation in external meetings Development of high-performance teams Lead Healthcare Strategy and Impact Member Outcomes As VP, Healthcare Services, you will provide executive-level strategy and leadership, ensuring integrated care delivery and coordination across the continuum. This role is crucial for driving quality and cost-effective member care, offering a significant opportunity to impact healthcare services and achieve desired outcomes for members.