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

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareBellevue, NE, United States
Hace 17 horas
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 • Bellevue, NE, United States

    Ofertas relacionadas
    • Oferta promocionada
    Assistant Program Director - Crisis Stabilization and Resource Center

    Assistant Program Director - Crisis Stabilization and Resource Center

    Heartland Family ServicePapillion, NE, US
    A tiempo completo
    Assistant Program Director - Crisis Stabilization and Resource Center.At Heartland Family Service, we are committed to building a culture that is trauma informed and values and celebrates diversity...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Travel Nurse RN - Labor & Delivery - $2,289 to $2,467 per week in Nebraska City, NE

    Travel Nurse RN - Labor & Delivery - $2,289 to $2,467 per week in Nebraska City, NE

    TravelNurseSourceNebraska City, NE, US
    A tiempo completo
    TravelNurseSource is working with Host Healthcare to find a qualified Labor / Delivery RN in Nebraska City, Nebraska, 68410!. Host Healthcare is an award-winning travel healthcare company with an imme...Mostrar másÚltima actualización: hace 4 días
    • Oferta promocionada
    Travel Nurse RN - Emergency Room (ER) / Trauma in Syracuse, NE

    Travel Nurse RN - Emergency Room (ER) / Trauma in Syracuse, NE

    TravelNurseSourceSyracuse, NE, US
    A tiempo completo
    TravelNurseSource is working with Coast Medical Service to find a qualified ER / Trauma RN in Syracuse, Nebraska, 68446!. Coast Medical Service is a nationwide travel nursing & allied healthcare s...Mostrar másÚltima actualización: hace 4 días
    • Oferta promocionada
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health Services CareersOmaha, NE, United States
    A tiempo completo
    Treatment Center Director / Program Director.BAART Programs is looking for an accountable, process oriented and efficient leader of operations for our Opiate Treatment Program.A great Treatment Cente...Mostrar másÚltima actualización: hace 25 días
    • Oferta promocionada
    Director of Nursing - RN - Long Term Care

    Director of Nursing - RN - Long Term Care

    Good SamaritanEagle, NE, United States
    A tiempo completo +1
    Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.Deauville Dr, Omaha...Mostrar másÚltima actualización: hace 1 día
    • Oferta promocionada
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health ServicesOmaha, NE, United States
    A tiempo completo
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to. Essential Duties & Responsibilities : .Responsible for ...Mostrar másÚltima actualización: hace 21 días
    • Oferta promocionada
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Malone Healthcare - NursingNebraska City, NE, US
    A tiempo completo
    Malone Healthcare - Nursing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Nebraska City, Nebraska. Job Description & Requirements.About Malone Healthcare - Nursing....Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Patient Access Supervisor-Missouri Valley

    Patient Access Supervisor-Missouri Valley

    Conifer Revenue Cycle SolutionsNEBRASKA CITY, Nebraska, United States
    A tiempo completo
    Responsible for providing guidance and mentoring of new and / or existing staff with daily work effort and proper handling of accounts. ESSENTIAL DUTIES AND RESPONSIBILITIES.Provides daily support / men...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Care Manager (RN)

    Care Manager (RN)

    Molina HealthcareOmaha, NE, United States
    A tiempo completo
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Mostrar másÚltima actualización: hace 18 días
    • Oferta promocionada
    Clinical Program Manager

    Clinical Program Manager

    MedicaOmaha, NE, US
    A tiempo completo
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...Mostrar másÚltima actualización: hace 20 días
    • Oferta promocionada
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareCouncil Bluffs, IA, US
    A tiempo completo
    Leads and directs a team supporting clinical systems.Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technolo...Mostrar másÚltima actualización: hace 7 días
    • Oferta promocionada
    BCBA - Up to 5K Sign on Bonus

    BCBA - Up to 5K Sign on Bonus

    Accel TherapiesNeola, IA, US
    A tiempo completo
    Join Our Team as a Clinical Supervisor (BCBA).Base salary of $80,000–$95,000.Up to $6,000 in annual performance bonuses (paid monthly). Enjoy a balanced work-life with a.Why You’ll Love ...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Travel Nurse RN - Long-Term Care - $2,110 per week in Nebraska City, NE

    Travel Nurse RN - Long-Term Care - $2,110 per week in Nebraska City, NE

    TravelNurseSourceNebraska City, NE, US
    A tiempo completo
    TravelNurseSource is working with Care Career to find a qualified Long-Term Care RN in Nebraska City, Nebraska, 68410!.Long term care nurses specialize in the coordination of care of patients, perf...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Travel Nurse RN - Emergency Room (ER) / Trauma - $60 to $65 per hour in Hamburg, IA

    Travel Nurse RN - Emergency Room (ER) / Trauma - $60 to $65 per hour in Hamburg, IA

    TravelNurseSourceHamburg, IA, US
    A tiempo completo
    TravelNurseSource is working with Patterns LLC to find a qualified ER / Trauma RN in Hamburg, Iowa, 51640!.Supervisor / Charge Nurse for Med / Surg and ER. Will be resposible for training in the ER and on...Mostrar másÚltima actualización: hace 4 días
    • Oferta promocionada
    • Nueva oferta
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareCouncil Bluffs, IA, United States
    A tiempo completo
    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 ...Mostrar másÚltima actualización: hace 8 horas
    • Oferta promocionada
    • Nueva oferta
    Care Manager

    Care Manager

    Molina HealthcarePapillion, NE, United States
    A tiempo completo
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Mostrar másÚltima actualización: hace 10 horas
    • Oferta promocionada
    Customs and Border Protection Officer - Experienced (GS9)

    Customs and Border Protection Officer - Experienced (GS9)

    U.S. Customs and Border ProtectionMinden, IA, United States
    A tiempo completo
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Client Program Manager II

    Client Program Manager II

    FiservOmaha, NE, US
    A tiempo completo
    Calling all innovators find your future at Fiserv.We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial instit...Mostrar másÚltima actualización: hace 23 días
    • Oferta promocionada
    Customs and Border Protection Officer

    Customs and Border Protection Officer

    U.S. Customs and Border ProtectionPalmyra, NE, United States
    A tiempo completo
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Manager Clinical Education

    Manager Clinical Education

    Common Spirit HealthPapillion, NE, US
    A tiempo completo
    The posted compensation range of $43.CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more...Mostrar másÚltima actualización: hace más de 30 días