Talent.com
Program Manager, Healthcare Services
Program Manager, Healthcare ServicesNew Mexico Staffing • Albuquerque, NM, US
Program Manager, Healthcare Services

Program Manager, Healthcare Services

New Mexico Staffing • Albuquerque, NM, US
16 hours ago
Job type
  • Full-time
Job description

Job Summary

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.
  • 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 : $77,969 - $171,058 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • Create a job alert for this search

    Program Manager • Albuquerque, NM, US

    Related jobs
    Wraparound Facilitator

    Wraparound Facilitator

    UNM Medical Group, Inc. • Rio Rancho, NM, United States
    Full-time
    Wraparound Facilitator to join our Behavioral Health Clinic.This opportunity is a full time day shift opening located in Rio Rancho, New Mexico. Minimum $48,182 - Midpoint $60,233 •.Salary is determi...Show more
    Last updated: 30+ days ago • Promoted
    Manager, Provider Engagement

    Manager, Provider Engagement

    Imagine Pediatrics • Albuquerque, NM, US
    Full-time
    Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24 / 7 virtual first and in home medical, behavioral, and ...Show more
    Last updated: 5 days ago • Promoted
    Residency Program Coordinator

    Residency Program Coordinator

    Backpack Healthcare • Albuquerque, NM, US
    Full-time
    License Requirements : LCSW / LCPC / LGPC / LMSW.Who We Are : Backpack Healthcare.We all walk around with an invisible backpack. It carries our emotional experiences, traumas, and unresolved feelings.Simila...Show more
    Last updated: 5 days ago • Promoted
    Program Manager, Healthcare Services (Contract Experience Required) - REMOTE

    Program Manager, Healthcare Services (Contract Experience Required) - REMOTE

    Remote Staffing • Rio Rancho, NM, US
    Remote
    Full-time
    Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation and support, and ensuring compliance w...Show more
    Last updated: 8 days ago • Promoted
    Program Manager

    Program Manager

    University of New Mexico • Albuquerque, NM, US
    Full-time
    High school diploma or GED; at least 6 years of experience 2 of which are management level experience directly related to the duties and responsibilities specified. Completed degree(s) from an accre...Show more
    Last updated: 30+ days ago • Promoted
    Manager, Patient Advocacy & Engagement

    Manager, Patient Advocacy & Engagement

    Orca Bio • Albuquerque, NM, US
    Full-time
    Manager, Patient Advocacy & Engagement.More than one million people in the United States today are fighting blood cancer. While a traditional allogeneic stem cell transplant has been the best hope f...Show more
    Last updated: 5 days ago • Promoted
    Physical Therapy Center Manager

    Physical Therapy Center Manager

    TruBlu HR Solutions,LLC • Los Lunas, NM, US
    Part-time
    Evaluate, treat, and direct skilled treatment for patients requiring physical therapy.Develop treatment plans and supervise assistants and aides. Ensure high-quality patient care in accordance with ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Physical Therapist - $2,800 per week

    Travel Physical Therapist - $2,800 per week

    Connected Health Care • Rio Rancho, NM, United States
    Permanent +1
    Connected Health Care is seeking a travel Physical Therapist for a travel job in Rio Rancho, New Mexico.Job Description & Requirements. Connected Health Care is a nationally recognized healthcare r...Show more
    Last updated: 30+ days ago • Promoted
    Physical Therapist

    Physical Therapist

    Ambercare – an Addus family company • Jarales, NM, USA
    Full-time
    Come work for one of the largest Home Health Care companies in the State of New Mexico.Ambercare Homecare is looking for Physical Therapist to come join our rapidly growing team in Belen, NM.Great ...Show more
    Last updated: 30+ days ago • Promoted
    Nurse Manager

    Nurse Manager

    Encompass Health Rehabilitation Hospital of Albuquerque • Belen, NM, US
    Full-time +2
    Nurse Manager Career Opportunity - Full Time Day Shift Position Available.Leading with Heart : Your Journey Starts Here.Seeking a career that's both personally enriching and professionally rewar...Show more
    Last updated: 30+ days ago • Promoted
    Program Manager

    Program Manager

    Alakaina Family of Companies • Albuquerque, NM, US
    Full-time
    The Alaka`ina Foundation Family of Companies (FOCs) is looking for a Program Manager to support DOE NNSA CATS in Albuquerque, NM. This position is primarily remote, but individual must reside in / nea...Show more
    Last updated: 30+ days ago • Promoted
    Travel Occupational Therapist

    Travel Occupational Therapist

    Malone Healthcare - Nursing • Belen, NM, US
    Full-time
    Malone Healthcare - Nursing is seeking a travel Occupational Therapist for a travel job in Belen, New Mexico.Job Description & Requirements. About Malone Healthcare - Nursing.With a commitment&n...Show more
    Last updated: 30+ days ago • Promoted
    Service Manager

    Service Manager

    Frank's Supply Company, Inc. • Los Lunas, NM, United States
    Full-time
    Frank's Supply Company is a major supplier of construction tools and equipment with our focus on both sales and rental.We currently have an opportunity available for a motivated, career oriented.Th...Show more
    Last updated: 14 days ago • Promoted
    Healthcare Claims Manager

    Healthcare Claims Manager

    Personify Health • Albuquerque, NM, US
    Full-time
    Manager Of Healthcare Claims Ingestion & Data Integration.Ready to create a healthier world? Personify Health is on a mission to simplify and personalize the health experience to improve health and...Show more
    Last updated: 20 days ago • Promoted
    Family Assistance Program Supervisor

    Family Assistance Program Supervisor

    State of New Mexico • Albuquerque, NM, United States
    Full-time
    This position is a Pay Band C7.This job posting may be used to fill multiple vacancies.Interviews are anticipated to be conducted within two weeks of closing date. Every New Mexican has access to af...Show more
    Last updated: 13 days ago • Promoted
    Travel Nurse RN - Long Term Care (LTC) Long Term Care - $599 per week

    Travel Nurse RN - Long Term Care (LTC) Long Term Care - $599 per week

    Triage Staffing • Belen, NM, US
    Full-time
    Triage Staffing is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Belen, New Mexico. Job Description & Requirements.Travel Long Term Care : Long Term Ca...Show more
    Last updated: 5 days ago • Promoted
    Program Manager, Healthcare Services

    Program Manager, Healthcare Services

    New Mexico Staffing • Rio Rancho, NM, US
    Full-time
    Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation, and support, and ensuring compliance ...Show more
    Last updated: 16 hours ago • Promoted • New!
    SENIOR COMPANION PROGRAM NURSE MANAGER

    SENIOR COMPANION PROGRAM NURSE MANAGER

    Sandia Resort & Casino • Albuquerque, NM, United States
    Full-time
    To maintain a homecare program which provides supportive services for families of the frail, physically or medically compromised members of the community of the Pueblo of Sandia.Reports to the Dire...Show more
    Last updated: 30+ days ago • Promoted