Logo for Molina Healthcare

Director, Customer Experience (IT Solutions / QNXT & Salesforce) - REMOTE

Role overview

Qualifications

  • Bachelor’s degree in health-related degree or equivalent experience
  • 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

Responsibilities

  • Develop enterprise tactical plan to achieve Medicaid voluntary enrollment growth goals
  • Collaborate with Growth Leaders and VPs of Ops to drive member satisfaction/retention efforts
  • Participate in strategic planning for member experience efforts
  • Analyze state and county level disenrollment information to drive member improvement opportunities

Key facts

Other skills

  • Negotiation
  • Public Speaking
  • Teamwork
  • Communication

About the company

Molina Healthcare logo

Molina Healthcare

Health Insurance (Payers)

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

Job Summary

This role, on the Customer Experience team, will be responsible for technically based projects like liaising with IT to upgrade Salesforce or create visions for technical solutions that improve the overall member/provider/customer experience. The ideal candidate will have a strong understanding of technical healthcare systems (Salesforce, QNXT, etc.) and is able to translate technical knowledge into business requirements. 

In partnership with Plan Growth Leaders, the Director, Customer Experience is responsible for developing, implementing and monitoring a successful strategy to achieve Molina’s Medicaid membership retention goals & objectives across the enterprise for the Medicaid lines of business (TANF, ABD, Expansion, CHIP) including similar solutions for other LOBs (Medicare, Marketplace) as appropriate.  This position is accountable for ensuring Growth Leaders and the State Plans achieve established Medicaid membership growth goals related to retention.

Knowledge/Skills/Abilities

  • Develops enterprise tactical plan to achieve Medicaid voluntary enrollment growth goals, while focusing on opportunities to improve the member experience and retention.
  • Collaborates with Growth Leaders and VPs of Ops in each state and the Health Plan Services leadership to drive cross enterprise member satisfaction/retention efforts.
  • Actively participates in the strategic planning for the member experience effort related to member contact information, streamlined communication (Member 360), One Molina, etc.
  • Drives process improvement work to uplift member contact information, improve member retention rates, etc.
  • Participates and contributes in Enterprise Health Plan meetings, regarding the overall strategic planning for the health plan.
  • Analyzes state and county level disenrollment information to assess and drive member improvement opportunities.
  • Develops and supports enterprise Growth performance management processes.
  • Identifies opportunities and helps develop / prioritize retention initiatives, collateral and materials.
  • Provides enterprise leadership and collaborates with the local teams to ensure that each Growth Leader has the best opportunity for success in their specific geographic market(s).
  • 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.
  • Ensures alignment and appropriate prioritization for retention strategies are understood by all supporting departments.  Leads these groups through influence.
  • Establishes and reviews performance metrics (“scorecards” and reports) on a regular basis to ensure each health plan is on track to deliver results in line with the organizations strategic plan; provides recognition and recommendation to improve membership growth.
  • Collaborates with the VP of Marketplace Operations and VP of Medicare Sales to identify synergies between products that can enhance overall growth.
  • Communicates extensively with other Molina departments to ensure policies, programs and strategies achieve membership retention targets.
  • Identifies technology support needs that help facilitate member retention and satisfaction activities and drives successful implementation.

 

Job Qualifications

REQUIRED EDUCATION:

Bachelor’s degree in health-related degree or equivalent experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

•    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.

 

PREFERRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

  • Expertise with QNXT.
  • Expertise with Salesforce.

 


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

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Director of Customer Experience Related jobs

Other jobs at Molina Healthcare

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.