AVP, Health Plan Operations at Molina Healthcare of New Mexico | Torre
AVP, Health Plan Operations
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Molina Healthcare of New Mexico

AVP, Health Plan Operations

Molina Healthcare of New Mexico
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Full-time

Legal agreement: To be defined

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Remote (anywhere)
Shared by
Juan Fernando Domínguez
 17 days ago

Responsibilities

Molina Healthcare is seeking an Assistant Vice President, Health Plan Operations to provide executive leadership and oversight for critical health plan operations, ensuring contractual compliance, operational excellence, member satisfaction, and financial performance.In this role, you will:Lead and optimize health plan operations across Medicaid, CHIP, Medicare, and Marketplace productsDrive compliance, operational metrics, and service level performancePartner with cross-functional leaders across claims, enrollment, provider services, IT, risk adjustment, and moreDevelop and mentor high-performing teamsIdentify operational opportunities and implement enterprise-wide best practicesQualifications:10+ years of healthcare operations, administration, or provider services experience5+ years of leadership experienceExtensive Medicare, Medicaid, and Marketplace expertiseStrong claims operations and prompt pay law knowledgeProven success leading in complex, matrixed organizations
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