Talent.com
No se aceptan más aplicaciones
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareSt. Petersburg, FL, US
Hace 1 día
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

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.
  • Crear una alerta de empleo para esta búsqueda

    Clinical Program Manager • St. Petersburg, FL, US

    Ofertas relacionadas
    • Oferta promocionada
    Program Director - New IM Residency Program -Lakewood Ranch, FL

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

    Universal Health ServicesLakewood Ranch, FL, US
    Indefinido
    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...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Managed Services Program Manager

    Managed Services Program Manager

    Arrow ElectronicsSaint Petersburg, FL, US
    A tiempo completo
    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 ...Mostrar másÚltima actualización: hace 13 días
    • Oferta promocionada
    Manager of Surgical Services

    Manager of Surgical Services

    Generis Tek IncTampa, FL, US
    A tiempo completo +1
    Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Anshik Kulshrestha.Permanent role Manager of Surgical Services. Please let me know if you or any o...Mostrar másÚltima actualización: hace 4 días
    • Oferta promocionada
    Clinical Project Manager - Pediatric Research

    Clinical Project Manager - Pediatric Research

    BayCare Health SystemClearwater, FL, US
    A tiempo completo
    Join the team that is revolutionizing health care – BayCare Health System.Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient cen...Mostrar másÚltima actualización: hace 5 días
    • Oferta promocionada
    Care Review Clinician (RN)

    Care Review Clinician (RN)

    Molina HealthcareST. PETERSBURG, US
    A tiempo completo
    Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...Mostrar másÚltima actualización: hace 15 días
    • Oferta promocionada
    Program Manager

    Program Manager

    Clearance JobsTampa, FL, US
    A tiempo completo
    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...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Program Director Emergency Medicine Residency Program - Lakewood Ranch, FL

    Program Director Emergency Medicine Residency Program - Lakewood Ranch, FL

    Universal Health ServicesLakewood Ranch, FL, US
    A tiempo parcial +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...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    RN

    RN

    Manatee Memorial HospitalBradenton, FL, US
    A tiempo completo
    About Manatee Memorial Hospital (MMH) : .Manatee Memorial Hospital in Bradenton, Florida, has served the citizens of Manatee, Sarasota and surrounding counties for over 70 years.Part of the Manatee H...Mostrar másÚltima actualización: hace 6 días
    • Oferta promocionada
    Manager, Healthcare Analytics - Health Plan Integration - Remote

    Manager, Healthcare Analytics - Health Plan Integration - Remote

    Molina HealthcareTampa, FL, US
    Teletrabajo
    A tiempo completo
    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...Mostrar másÚltima actualización: hace 28 días
    Regional Health Services Director (RN) West Florida

    Regional Health Services Director (RN) West Florida

    The Goodman GroupLargo, FL, United States
    A tiempo completo
    The Goodman Group is seeking a full-time Regional Health Services Director (RN) to join their collaborative & service-based team. The primary purpose of the Regional Health Services Director is to i...Mostrar másÚltima actualización: hace más de 30 días
    IDIQ Program Manager (PM)

    IDIQ Program Manager (PM)

    DarkStar Intelligence LLCTampa, FL, US
    A tiempo completo
    Quick Apply
    IDIQ PROGRAM MANAGER (PM) Location : .MacDill AFB, FL | Type : Full-Time | Clearance : Top Secret Note : This position is contingent upon contract award Overview DarkStar Intelligence is seeking an expe...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    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
    Indefinido
    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...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    • Nueva oferta
    RN Clinical Manager, Home Health

    RN Clinical Manager, Home Health

    CenterWell Home HealthTampa, FL, United States
    A tiempo completo
    Become a part of our caring community and help us put health first.Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. Conducts / delegates the as...Mostrar másÚltima actualización: hace menos de 1 hora
    Healthcare Project Manager

    Healthcare Project Manager

    Studio Plus Architects Inc.Tampa, FL, US
    A tiempo completo
    Quick Apply
    This role represents the highest level of project responsibility at Studio+.As a Project Manager at Studio+, you will be the driving force behind successful project delivery, balancing client satis...Mostrar másÚltima actualización: hace más de 30 días
    Retention Program Manager

    Retention Program Manager

    Envera SystemsSt. Petersburg, FL, USA
    A tiempo completo
    Quick Apply
    Envera Systems is a leading provider of innovative, access control and technology-based security solutions for gated communities. Our mission is to partner with communities to provide superior secur...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Case Manager RN

    Case Manager RN

    HCA Florida Largo HospitalLargo, FL, US
    A tiempo completo +1
    Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities.As a(an) Case Manager RN with HCA Florida Largo Hospital you can be a part of an organization tha...Mostrar másÚltima actualización: hace 7 días
    • Oferta promocionada
    Manager, Hospital Clinic Operations I

    Manager, Hospital Clinic Operations I

    Kaiser PermanenteLargo, US
    A tiempo completo
    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...Mostrar másÚltima actualización: hace 27 días
    • Oferta promocionada
    Manager Administration Rehab Services

    Manager Administration Rehab Services

    BayCare Health SystemClearwater, FL, US
    A tiempo completo
    BayCare is currently seeking a.Manager of Rehabilitation for Morton Plant Hospital.This role is ideal for a seasoned rehab professional with. Monday - Friday; Day Shift (occasional weekends).The Man...Mostrar másÚltima actualización: hace 5 días