Talent.com
Program Manager, Healthcare Services - Clinical Systems
Program Manager, Healthcare Services - Clinical SystemsKentucky Staffing • Owensboro, KY, US
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Kentucky Staffing • Owensboro, KY, US
2 days ago
Job type
  • Full-time
Job description

Healthcare Services Program Manager

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.
  • 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

    Create a job alert for this search

    Clinical Program Manager • Owensboro, KY, US

    Related jobs
    Care Manager

    Care Manager

    Bell Oaks Place • Newburgh, IN, US
    Full-time
    About LakeHouse Senior Living : .LakeHouse Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused senior living communities in I...Show more
    Last updated: 29 days ago • Promoted
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Ardor Health Solutions • Owensboro, KY, US
    Full-time
    Ardor Health Solutions is seeking a travel nurse RN Home Health for a travel nursing job in Owensboro, Kentucky.Job Description & Requirements. Ardor Health Solutions is looking for a Home Healt...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Triage Staffing • Newburgh, IN, US
    Full-time
    Triage Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Newburgh, Indiana.Job Description & Requirements. Travel Nursing : Progressive Care Unit Newbu...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Go Healthcare • Newburgh, IN, US
    Full-time
    Go Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Newburgh, Indiana.Job Description & Requirements. Pay package is based on 12 hour shifts and 36...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    ADEX Healthcare Staffing LLC • Newburgh, IN, US
    Full-time
    ADEX Healthcare Staffing LLC is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Newburgh, Indiana. Job Description & Requirements.Pay package is based on 12 hou...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Neurology

    Travel Nurse RN - Neurology

    Host Healthcare • Newburgh, IN, US
    Full-time
    Host Healthcare is seeking a travel nurse RN Neurology for a travel nursing job in Newburgh, Indiana.Job Description & Requirements. Pay package is based on 12 hour shifts and 12 hours per week ...Show more
    Last updated: 30+ days ago • Promoted
    Program Manager II

    Program Manager II

    804 Technology • Troy, IN, US
    Full-time
    K-110K / year +bonus SUMMARY : The Program Manager is responsible for directing the overall activities of assigned programs throughout their lifecycle as required to meet the contract's cost, schedule...Show more
    Last updated: 22 days ago • Promoted
    Program Manager (Health Plan Liaison team)

    Program Manager (Health Plan Liaison team)

    Kentucky Staffing • Owensboro, KY, US
    Full-time
    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.Plans ...Show more
    Last updated: 2 days ago • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Host Healthcare • Newburgh, IN, US
    Full-time
    Host Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Newburgh, Indiana.Job Description & Requirements. Pay package is based on 12 hour shifts and ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Telemetry

    Travel Nurse RN - Telemetry

    Host Healthcare • Newburgh, IN, US
    Full-time
    Host Healthcare is seeking a travel nurse RN Telemetry for a travel nursing job in Newburgh, Indiana.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours per week ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Host Healthcare • Madisonville, KY, US
    Full-time
    Host Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Madisonville, Kentucky.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours per...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse - RN - PCU - Progressive Care Unit - $1989 / Week

    Travel Nurse - RN - PCU - Progressive Care Unit - $1989 / Week

    Premier Medical Staffing Services, LLC • Newburgh, IN, US
    Full-time
    Premier Medical Staffing Services, LLC is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Newburgh, IN. Shift : 3x12 hr nights Start Date : ASAP Dur...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse - RN - PCU - Progressive Care Unit - $1989 / Week - Hiring Now

    Travel Nurse - RN - PCU - Progressive Care Unit - $1989 / Week - Hiring Now

    Premier Medical Staffing Services, LLC • Newburgh, IN, US
    Full-time
    Premier Medical Staffing Services, LLC is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Newburgh, IN. Shift : 3x12 hr nights Start Date : ASAP Dur...Show more
    Last updated: 30+ days ago • Promoted
    Manager Clinical Nutrition

    Manager Clinical Nutrition

    Baptist Health Deaconess Madisonville • Madisonville, Kentucky, United States, 42431
    Full-time
    Coordinates inpatient and outpatient Medical Nutrition Therapy including patient / family education, nutrition assessment and intervention, community programs and seminars. Coordinates quality control...Show more
    Last updated: 30+ days ago
    Program Manager (Management)

    Program Manager (Management)

    Johnson Service Group • Troy, Indiana, US
    Permanent
    A variety of soft skills and experience may be required for the following role Please ensure you check the overview below carefully. Salary Range - $102k - $110k plus bonus.How much travel – there i...Show more
    Last updated: 3 days ago • Promoted
    Travel Nurse - RN - Home Health - $1650.28 / Week

    Travel Nurse - RN - Home Health - $1650.28 / Week

    Host Healthcare • Madisonville, KY, US
    Full-time
    Host Healthcare is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Madisonville, KY. Shift : Inquire Start Date : 11 / 19 / 2025 Duration : 13 weeks Pay : $1650.At ...Show more
    Last updated: 30+ days ago • Promoted
    Program Manager - Clinical Services

    Program Manager - Clinical Services

    Volunteers of America Mid-States • Owensboro, KY, US
    Full-time
    POSITION TITLE : Program Manager - Clinical Services LOCATION : Owensboro, KY STATUS : Full Time Exempt PROGRAM : VOA Recovery REPORTS TO : VP VOA Recovery INTRODUCTION : Volunteers of America Mid-States (VO...Show more
    Last updated: 22 days ago • Promoted
    Program Manager II

    Program Manager II

    First Tek • Troy, IN, US
    Permanent
    Gas Turbine Fuel Systems Division.RPO Direct Hire Location : Troy, IN Relocation : Yes This is an onsite position Monday through Friday. NO REMOTE The vision of Gas Turbine Fuel Systems Division is to...Show more
    Last updated: 16 days ago • Promoted