Talent.com
No longer accepting applications
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareSt. Petersburg, FL, US
2 days 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.
  • Six sigma certification
  • Experience with Agile Methodology
  • Experience with Epic
  • 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

    Clinical Program Manager • St. Petersburg, FL, US

    Related jobs
    • Promoted
    Program Director - New IM Residency Program -Lakewood Ranch, FL

    Program Director - New IM Residency Program -Lakewood Ranch, FL

    Universal Health ServicesLakewood Ranch, FL, US
    Permanent
    Program Director - New IM Residency Program in Lakewood Ranch, FL.Universal Health Services (UHS).Graduate Medical Education is growing in Florida with the addition of a New Internal Medicine resid...Show moreLast updated: 30+ days ago
    • Promoted
    Managed Services Program Manager

    Managed Services Program Manager

    Arrow ElectronicsSaint Petersburg, FL, US
    Full-time
    Managed Services Program Manager.Arrow ECS is at the forefront of new technology solutions, providing businesses with technical expertise across the delivery spectrum. As a company, we create value ...Show moreLast updated: 14 days ago
    • Promoted
    Program Manager - Operations Analysis and Management Services (O

    Program Manager - Operations Analysis and Management Services (O

    Clearance JobsTampa, FL, US
    Full-time
    Threat Tec, LLC, a rapidly growing Veteran-Owned Business, is the leader of Operational Environment (OE) replication and Threat Emulation / Wargaming solutions. Threat Tec brings innovative thinking a...Show moreLast updated: 30+ days ago
    • Promoted
    Regional Clinical Sales Program Director

    Regional Clinical Sales Program Director

    Enhabit Home Health & HospiceTampa, FL, US
    Full-time
    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, E...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Project Manager, Clinical Systems - PMO

    Senior Project Manager, Clinical Systems - PMO

    Florida StaffingSaint Petersburg, FL, US
    Full-time
    Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planni...Show moreLast updated: 5 days ago
    • Promoted
    Project Manager (Healthcare)

    Project Manager (Healthcare)

    JobgetherTampa, FL, US
    Full-time
    This position is posted by Jobgether on behalf of a partner company.We are currently looking for a Project Manager (Healthcare) in United States (Pay information not provided).This role offers the ...Show moreLast updated: 5 days ago
    • Promoted
    Program Director Emergency Medicine Residency Program - Lakewood Ranch, FL

    Program Director Emergency Medicine Residency Program - Lakewood Ranch, FL

    Universal Health ServicesLakewood Ranch, FL, US
    Part-time +1
    Program Director Emergency Medicine Residency Program.Lakewood Ranch Medical Center Lakewood Ranch, FL.Lakewood Ranch Medical Center is proud to announce the development of a new.Emergency Medicine...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager

    Program Manager

    Clearance JobsTampa, FL, US
    Full-time
    Top Secret / SCI Job Opportunity.Take direction from the USCENTCOM VTM Chief and coordinate directly with representatives from other directorates to support the USCENTCOM VTM program execution.Overse...Show moreLast updated: 30+ days ago
    • Promoted
    Manager, Healthcare Analytics - Health Plan Integration - Remote

    Manager, Healthcare Analytics - Health Plan Integration - Remote

    Molina HealthcareTampa, FL, US
    Remote
    Full-time
    Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and ot...Show moreLast updated: 29 days ago
    • Promoted
    Program Director - New Family Medicine Residency Program - Lakewood Ranch, FL

    Program Director - New Family Medicine Residency Program - Lakewood Ranch, FL

    Universal Health ServicesLakewood Ranch, FL, US
    Permanent
    Program Director - New Family Medicine Residency Program.We are excited to present an exceptional opportunity for a Program Director to lead and develop the new Family Medicine Residency Program at...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager

    Program Manager

    NIITTampa, FL, US
    Full-time
    We are seeking a dynamic and experienced Program Manager to lead our collaboration with community colleges across the United States. This role focuses on integrating the LMS platform into associate ...Show moreLast updated: 6 days ago
    • Promoted
    Program Manager

    Program Manager

    SprintoTampa, FL, US
    Full-time
    By raising the bar on information security, Sprinto ensures compliance, healthy operational practices, and the ability for businesses to grow and scale with unwavering confidence.We are funded by t...Show moreLast updated: 6 days ago
    • Promoted
    Manager, Hospital Clinic Operations I

    Manager, Hospital Clinic Operations I

    Kaiser PermanenteLargo, US
    Full-time
    To serve as the on-site leadership for the ambulatory operations.Coordinates the daily delivery of quality patient care in the integrated Care Delivery system, and delivers the optimal member exper...Show moreLast updated: 28 days ago
    • Promoted
    Clinical Program Manager

    Clinical Program Manager

    Gulf Coast JFCSSaint Petersburg, FL, US
    Full-time
    Are you excited by the prospect of working for an organization that values your contributions, provides opportunities for growth and development, and gives you a chance to make a difference in the ...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager Operations Analysis and Management Services (OAMS)

    Program Manager Operations Analysis and Management Services (OAMS)

    Threat TecTampa, FL, US
    Full-time
    Program Manager Operations Analysis and Management Services (OAMS).Threat Tec, LLC, a rapidly growing Veteran-Owned Business, is the leader of Operational Environment (OE) replication and Threat E...Show moreLast updated: 14 days ago
    • Promoted
    Senior Program Manager

    Senior Program Manager

    Quest DiagnosticsTampa, FL, US
    Full-time
    This position will lead a variety of large projects or programs to apply Program Management principles and tools to ensure Quest Diagnostics is efficient and effective in the delivery of its servic...Show moreLast updated: 30+ days ago
    • Promoted
    Centralized Medical Services - Specialist, Care Management

    Centralized Medical Services - Specialist, Care Management

    ArchWell HealthSt. Petersburg, FL, United States
    Full-time
    ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members.We deliver best-in-class care at comfortable, accessible neighborhood clinics where sen...Show moreLast updated: 30+ days ago
    • Promoted
    Manager Clinical Documentation Improvement Program (CDI)

    Manager Clinical Documentation Improvement Program (CDI)

    BayCare Health SystemClearwater, FL, US
    Full-time
    At BayCare, we are proud to be one of the largest employers in the Tampa Bay area.Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpat...Show moreLast updated: 21 days ago