Talent.com
Program Manager, Healthcare Services - Clinical Systems
Program Manager, Healthcare Services - Clinical SystemsMolina Healthcare • Louisville, Kentucky, US
No se aceptan más aplicaciones
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina Healthcare • Louisville, Kentucky, US
Hace 2 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Job Summary

Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.

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.
Crear una alerta de empleo para esta búsqueda

Clinical Program Manager • Louisville, Kentucky, US

Ofertas relacionadas
Network Program Manager

Network Program Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Network Development Contracting Specialist to lead the implementation of a new custom network. Key Responsibilities Lead project coordination and contracting with specia...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Healthcare Project Delivery Manager

Healthcare Project Delivery Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Product Delivery Manager specializing in Healthcare, particularly in Medicaid and Medicare.Key Responsibilities Drive end-to-end delivery of high-impact healthcare proj...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Treatment Center Director / Program Manager

Treatment Center Director / Program Manager

BayMark Health Services • Louisville, KY, US
A tiempo completo
Quick Apply
Treatment Center Director / Program Director.MedMark Treatment Centers is looking for an accountable, process oriented and efficient leader of operations for our Opiate Treatment Program.A great Trea...Mostrar más
Última actualización: hace más de 30 días
CAHPS Program Advisor

CAHPS Program Advisor

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a CAHPS Program Advisor to manage and oversee consumer and provider experience programs based on feedback and industry trends. Key Responsibilities Lead the planning, exec...Mostrar más
Última actualización: hace 19 horas • Oferta promocionada • Nueva oferta
Behavioral Health Program Manager

Behavioral Health Program Manager

Charlestown Place • New Alb, IN, US
A tiempo completo
Quick Apply
Be a part of something meaningful—join Charlestown Place at New Albany as a Behavioral Health Program Manager in our dedicated Skilled Nursing Community! Make a difference in someone's ...Mostrar más
Última actualización: hace 13 días
HEDIS Program Manager

HEDIS Program Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Manager, HEDIS Clinical Quality Data & Technology.Key Responsibilities Provide supervision and support to the HEDIS Operations team, including hiring and training Coll...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Program Manager, Medicare Stars & Quality Improvement

Program Manager, Medicare Stars & Quality Improvement

Molina Healthcare • Louisville, KY, US
A tiempo completo
Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement initiatives and education programs. Responsible for Medicare Stars pro...Mostrar más
Última actualización: hace 8 días • Oferta promocionada
Senior Product Manager, Healthcare

Senior Product Manager, Healthcare

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Senior Product Manager - Healthcare to lead the strategy and execution of healthcare-focused products. Key Responsibilities Own the end-to-end lifecycle of healthcare pr...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Access & Opportunity Program Manager

Access & Opportunity Program Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for an Access & Opportunity Learning Program Manager.Key Responsibilities Manage comprehensive program strategy, analysis, and execution for specific populations and program ...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Program Manager

Program Manager

The Kidz Club • Louisville, KY, US
A tiempo completo
Join our team of passionate pediatric healthcare professionals empowering Kidz to be kids through PPEC daily skilled nursing!. The Program Manager (PM) is responsible for the management of programmi...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Senior Program Manager - Medical Devices

Senior Program Manager - Medical Devices

Freudenberg • Jeffersonville, IN, US
A tiempo completo
Working at Freudenberg : We will wow your world!.Provide leadership, goal-setting, communications, and facilitation skills to guide and motivate project personnel in a matrixed environment.Lead proj...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Project Manager II - Healthcare

Project Manager II - Healthcare

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Project Manager II - Healthcare Quality.Key Responsibilities Manage the full project life cycle including planning, execution, and closure Utilize project management t...Mostrar más
Última actualización: hace 11 horas • Oferta promocionada • Nueva oferta
Program Director, Louisville, KY (OTP)

Program Director, Louisville, KY (OTP)

Crossroads Treatment Centers • Louisville, KY, US
A tiempo completo
Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder.Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, e...Mostrar más
Última actualización: hace 6 días • Oferta promocionada
Senior Program Manager

Senior Program Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Senior Program Manager to lead complex, cross-functional initiatives and drive strategic improvements in servicing operations. Key Responsibilities Own and scale program...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Channel Program Manager

Channel Program Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Channel Program Manager responsible for developing and managing global distribution programs.Key Responsibilities Manage and negotiate Sales, Marketing, Incentive Progr...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Program Director

Program Director

Baptist Health • Radcliff, KY, US
A tiempo completo
Quick Apply
With centers located nationwide, Intuitive Health provides their health system partners a vital bridge from fee for service to value-based care by improving inappropriate ER utilization in a way th...Mostrar más
Última actualización: hace más de 30 días
Healthcare Product Delivery Manager

Healthcare Product Delivery Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Product Delivery Manager specializing in Healthcare, specifically Medicaid and Medicare.Key Responsibilities Drive end-to-end delivery of high-impact healthcare project...Mostrar más
Última actualización: hace 5 días • Oferta promocionada
Clinical Manager

Clinical Manager

Baptist Health • Radcliff, KY, US
A tiempo completo
Quick Apply
If you want to advance your RN career to a whole new level and build new, valuable skills, Intuitive Health, in partnership with Baptist Health, invites you to consider our Clinical Manager role.In...Mostrar más
Última actualización: hace más de 30 días
Program Operations Manager

Program Operations Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Program and Partner Operations Manager for Customer Health Assurance.Key Responsibilities Support global operations for the Customer Health Assurance program and ensure...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Program Manager

Program Manager

VirtualVocations • Louisville, Kentucky, United States
A tiempo completo
A company is looking for a Program Manager to drive strategic initiatives and operational improvements within the Servicing vertical. Key Responsibilities Lead cross-functional projects to deliver...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada