Talent.com
Program Manager, Healthcare Services - Clinical Systems
Program Manager, Healthcare Services - Clinical SystemsKentucky Staffing • Owensboro, KY, US
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Kentucky Staffing • Owensboro, KY, US
3 days ago
Job type
  • Full-time
Job description

Healthcare Services Program Manager

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.
  • 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

    Create a job alert for this search

    Clinical Program Manager • Owensboro, KY, US

    Related jobs
    Physical Therapist

    Physical Therapist

    Deaconess Professional Practice • Newburgh, IN, United States
    Full-time
    We are devoted to providing world class healthcare from our family to yours, one exceptional experience at a time.Organizational competencies, essential functions and corresponding behaviors will b...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - ICU

    Travel Nurse RN - ICU

    Titan Medical Group • Morgantown, KY, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 8 hours ago • Promoted • New!
    Travel Registered Nurse (RN) - Cardiovascular Operating Room (CVOR) - $1,985 to $2,188 per week in Madisonville, KY

    Travel Registered Nurse (RN) - Cardiovascular Operating Room (CVOR) - $1,985 to $2,188 per week in Madisonville, KY

    TravelNurseSource • MADISONVILLE, KY, US
    Full-time
    TravelNurseSource is working with AMN Healthcare to find a qualified CVOR RN in MADISONVILLE, Kentucky, 42431!.Job Description & Requirements. Surgical Technologist - Cardiac Surgery - Travel - ...Show more
    Last updated: 5 days ago • Promoted
    Program Manager II

    Program Manager II

    804 Technology • Troy, IN, US
    Full-time
    K-110K / year +bonus SUMMARY : The Program Manager is responsible for directing the overall activities of assigned programs throughout their lifecycle as required to meet the contract's cost, schedule...Show more
    Last updated: 23 days ago • Promoted
    Program Manager (Health Plan Liaison team)

    Program Manager (Health Plan Liaison team)

    Kentucky Staffing • Owensboro, KY, US
    Full-time
    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.Plans ...Show more
    Last updated: 3 days ago • Promoted
    Contract Physical Therapist - First Steps Therapist

    Contract Physical Therapist - First Steps Therapist

    SIRS INC • Rockport, IN, US
    Full-time
    This position requires assessing, evaluating, planning, and implementing medically prescribed physical therapy treatment for children birth through age two to improve the child’s functional a...Show more
    Last updated: 30+ days ago • Promoted
    Travel Registered Nurse (RN) - Home Health (HH) - $1,501 to $1,650 per week in Madisonville, KY

    Travel Registered Nurse (RN) - Home Health (HH) - $1,501 to $1,650 per week in Madisonville, KY

    TravelNurseSource • Madisonville, KY, US
    Full-time
    TravelNurseSource is working with Host Healthcare to find a qualified Home Health RN in Madisonville, Kentucky, 42431!.Host Healthcare is an award-winning travel healthcare company with an immediat...Show more
    Last updated: 5 days ago • Promoted
    Nurse Practitioner In-home Health Evaluations- Contract NP Position- $2500-$4000 / Week

    Nurse Practitioner In-home Health Evaluations- Contract NP Position- $2500-$4000 / Week

    Northeast Healthcare Recruitment • Madisonville, KY, US
    Full-time
    Board-Certified Nurse Practitioner - In-Home Health Evaluations.Build trusted relationships while helping people re-engage with their health. Additional pay-per-test compensation.Monday through Sund...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Med Surg

    Travel Nurse RN - Med Surg

    Titan Medical Group • Calhoun, KY, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 8 hours ago • Promoted • New!
    Travel Nurse - RN - PCU - Progressive Care Unit - $1989 / Week

    Travel Nurse - RN - PCU - Progressive Care Unit - $1989 / Week

    Premier Medical Staffing Services, LLC • Newburgh, IN, US
    Full-time
    Premier Medical Staffing Services, LLC is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Newburgh, IN. Shift : 3x12 hr nights Start Date : ASAP Dur...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse - RN - PCU - Progressive Care Unit - $1989 / Week - Hiring Now

    Travel Nurse - RN - PCU - Progressive Care Unit - $1989 / Week - Hiring Now

    Premier Medical Staffing Services, LLC • Newburgh, IN, US
    Full-time
    Premier Medical Staffing Services, LLC is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Newburgh, IN. Shift : 3x12 hr nights Start Date : ASAP Dur...Show more
    Last updated: 30+ days ago • Promoted
    Physical Therapist

    Physical Therapist

    Delta Companies • Madisonville, KY, US
    Full-time
    Setting : Outpatient, Orthopedics .Compensation : $1,524 - $1,787 estimated weekly pay .Start : ASAP | open to 1-2 months out . Duration : 13 weeks | potential to extend .Benefits : Blue Cross Blu...Show more
    Last updated: 12 hours ago • Promoted • New!
    Manager Clinical Nutrition

    Manager Clinical Nutrition

    Baptist Health Deaconess Madisonville • Madisonville, Kentucky, United States, 42431
    Full-time
    Coordinates inpatient and outpatient Medical Nutrition Therapy including patient / family education, nutrition assessment and intervention, community programs and seminars. Coordinates quality control...Show more
    Last updated: 30+ days ago
    Travel Nurse - RN - Home Health - $1650.28 / Week

    Travel Nurse - RN - Home Health - $1650.28 / Week

    Host Healthcare • Madisonville, KY, US
    Full-time
    Host Healthcare is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Madisonville, KY. Shift : Inquire Start Date : 11 / 19 / 2025 Duration : 13 weeks Pay : $1650.At ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - ER

    Travel Nurse RN - ER

    Titan Medical Group • White Plains, KY, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 8 hours ago • Promoted • New!
    Program Manager - Clinical Services

    Program Manager - Clinical Services

    Volunteers of America Mid-States • Owensboro, KY, US
    Full-time
    POSITION TITLE : Program Manager - Clinical Services LOCATION : Owensboro, KY STATUS : Full Time Exempt PROGRAM : VOA Recovery REPORTS TO : VP VOA Recovery INTRODUCTION : Volunteers of America Mid-States (VO...Show more
    Last updated: 23 days ago • Promoted
    Travel Nurse RN - Stepdown

    Travel Nurse RN - Stepdown

    Titan Medical Group • White Plains, KY, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 8 hours ago • Promoted • New!
    Program Manager II

    Program Manager II

    First Tek • Troy, IN, US
    Permanent
    Gas Turbine Fuel Systems Division.RPO Direct Hire Location : Troy, IN Relocation : Yes This is an onsite position Monday through Friday. NO REMOTE The vision of Gas Turbine Fuel Systems Division is to...Show more
    Last updated: 17 days ago • Promoted