Patient Services Manager Jobs at Molina Healthcare with Visa Sponsorship
Patient Services Manager jobs at Molina Healthcare span its Medicaid, Medicare, and Marketplace health plan operations, and the company has a demonstrated history of sponsoring work visas for qualified candidates in this function. If you're on a visa or need sponsorship, this role is a realistic target.
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Get Access To All JobsJOB DESCRIPTION
Job Summary
Provides 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.
- Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, 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: $26.41 - $51.49 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION
Job Summary
Provides 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.
- Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, 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: $26.41 - $51.49 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
See all Patient Services Manager Jobs at Molina Healthcare
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Patient Services Manager Jobs at Molina Healthcare.
Get Access To All JobsTips for Finding Patient Services Manager Jobs at Molina Healthcare
Align Your Credentials to Managed Care
Molina serves Medicaid and Medicare populations, so document experience in managed care coordination, utilization management, or government-sponsored health plans before applying. Hiring managers here distinguish generalist healthcare backgrounds from Medicaid-specific ones.
Target Molina's Regional Plan Openings
Molina operates state-specific health plans, and Patient Services Manager roles are often tied to particular plan regions. Applying to your target state directly improves fit, since sponsorship decisions typically happen at the plan level with local HR involvement.
Clarify OPT and CPT Eligibility Early
If you're on F-1 status using OPT or CPT, confirm with your DSO that Patient Services Manager falls within your CIP code before accepting an offer. Molina has hired under both, but a misaligned classification can create authorization gaps that delay your start date.
Prepare Your H-1B Transfer Documentation Now
If you're already on an H-1B with another employer, Molina can file an H-1B transfer petition, letting you begin work once USCIS receives it. Have your current approval notice, I-94, and degree credentials ready so their immigration counsel can move without delays.
Ask Specifically About PERM Sponsorship Timelines
Molina sponsors EB-2 and EB-3 Green Cards for some roles, but PERM recruitment timelines are employer-driven and can stretch well beyond a year. Confirm during the offer stage whether the Patient Services Manager position qualifies and when Molina typically initiates the PERM process.
Use Migrate Mate to Surface Sponsorship-Ready Openings
Patient Services Manager postings at Molina vary by plan and region and aren't always easy to filter for sponsorship eligibility on general job boards. Use Migrate Mate to find Molina openings verified for visa sponsorship so you're only applying where the pathway already exists.
Frequently Asked Questions
Does Molina Healthcare sponsor H-1B visas for Patient Services Managers?
Yes. Molina Healthcare has sponsored H-1B visas for Patient Services Manager roles. Sponsorship is not automatic with every opening, so raise it directly during the offer stage. If you're transferring an existing H-1B from another employer, Molina can typically file a transfer petition, which lets you start once USCIS receives the filing rather than waiting for approval.
How do I apply for Patient Services Manager jobs at Molina Healthcare?
Applications go through Molina Healthcare's careers portal, where you can filter by role title and state. Because Patient Services Manager openings are tied to specific regional health plans, applying to the right plan location matters. Migrate Mate lists Molina openings that are verified for visa sponsorship, which helps you prioritize roles where the pathway is confirmed before you invest time applying.
Which visa types does Molina Healthcare commonly use for Patient Services Manager roles?
Molina Healthcare sponsors H-1B, TN visa, F-1 OPT, F-1 CPT, and employment-based Green Cards including EB-2 and EB-3 for eligible roles. H-1B is the most common pathway for long-term work authorization in this function. TN visa is available to Canadian and Mexican nationals in qualifying professional categories. F-1 OPT and CPT are used for candidates already in the U.S. on student visas.
What qualifications does Molina Healthcare expect for a Patient Services Manager?
Molina typically looks for a bachelor's degree in healthcare administration, public health, business, or a related field, combined with direct experience managing patient services, member services, or care coordination teams in a managed care or health plan environment. Familiarity with Medicaid or Medicare populations is a strong differentiator. Supervisory experience and knowledge of HIPAA compliance requirements are consistently expected across plan locations.
How long does the visa sponsorship process take for a Patient Services Manager at Molina Healthcare?
For H-1B transfers, you can start work as soon as USCIS receives the petition, typically within one to two weeks of filing. New H-1B cap petitions are subject to the annual lottery with an October 1 start date. Green Card sponsorship through PERM and EB-2 or EB-3 typically takes two or more years from initiation. Confirm which pathway applies to your role during the offer stage, since timelines vary significantly by visa type.