Talent.com
No longer accepting applications
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareGeorgetown, KY, United States
8 days ago
Job type
  • Full-time
Job description

JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical systems. Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. Considers business problems “end-to-end” : including people, process, and technology, both within and outside the enterprise, as part of any design solution. Monitors emerging technologies for potential application within or across the business. Provides solution ideation to drive operational excellence, efficiencies and compliance for clinical functions supported through technology. Maintains lights-on support and governance of clinical system changes. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties

  • Responsible for collaborating with the information technology team (IT) for product delivery through oversight and management of the system development lifecycle (SDLC).
  • Manages teams that drive business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations
  • Serves as industry subject matter expert in the functional area and leads clinical systems to meet critical needs.
  • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
  • Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
  • Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation through delivery.
  • Establishes and manages key performance metrics and develops goals and strategies to achieve corporate objectives.
  • Serves as mentor, coach and leader to the application design and development and support teams. Required Qualifications
  • At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics or health care environment, or equivalent combination of relevant education and experience.
  • At least 3 years management / leadership experience in a clinical leadership, clinical systems and / or informatics, utilization management, or care management role.
  • Experience leading cross-functional teams and change management.
  • Experience aligning clinical systems with organizational goals.
  • Project management experience to include managing timelines, resources, and stakeholder expectations.
  • Previous data integration and analytics experience.
  • Operational and process improvement experience.
  • Ability to work collaboratively in a highly matrixed organization.
  • Excellent organizational, problem-solving and critical-thinking skills.
  • Strong written and verbal communication skills.
  • Microsoft Office suite / applicable software program(s) proficiency. Preferred Qualifications
  • Registered Nurse (RN). License must be active and unrestricted in state of practice. Product owner / management certification (CSM, SAFe PO / PM, or other Lean Agile Product Management Certifications)
  • Sigma Black Belt certification or Information Technology Infrastructure Library (ITIL) certification. 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 : $97,299 - $227,679 / 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 Director • Georgetown, KY, United States

Related jobs
  • Promoted
  • New!
Healthcare Industry Solutions VP

Healthcare Industry Solutions VP

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a VP of Healthcare Industry Solutions.Key Responsibilities Develop actionable solution offerings based on industry trends for healthcare providers Engage with clients an...Show moreLast updated: 10 hours ago
  • Promoted
Solutions Lead - Medical Technology

Solutions Lead - Medical Technology

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Solutions Lead - Med Tech.Key Responsibilities Conduct data analysis and generate insights by partnering with Sales Directors to design solutions using healthcare claim...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Delaware Licensed Medical Director

Delaware Licensed Medical Director

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Medical Director for long term care.Key Responsibilities Ensure outstanding medical care and optimal health outcomes for residents Provide direct patient care while ov...Show moreLast updated: 10 hours ago
  • Promoted
  • New!
Medical Director, US Licensed

Medical Director, US Licensed

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Medical Director - US Medical Lead - Evenity (Bone).Key Responsibilities Support the development and execution of US product medical strategy and lifecycle management ...Show moreLast updated: 8 hours ago
  • Promoted
  • New!
Nurse Supervisor

Nurse Supervisor

Encompass HealthOwenton, KY, US
Full-time +2
Nurse Supervisor Career Opportunity.Leading with Heart : Your Journey Starts Here.Seeking a career that's both personally enriching and professionally rewarding, close to home? Encompass Health ...Show moreLast updated: 17 hours ago
  • Promoted
Healthcare Configuration Analyst

Healthcare Configuration Analyst

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Configuration Analyst to join their team.Key Responsibilities Design and configure benefits, system parameters, and pricing requirements on Healthcare Payer core admini...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
State Licensed Behavioral Health Director

State Licensed Behavioral Health Director

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Senior Director, Utilization Management - Behavioral Health.Key Responsibilities Lead and oversee behavioral health management within the utilization management organiz...Show moreLast updated: 10 hours ago
  • Promoted
Certified Coder Physician

Certified Coder Physician

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Coder Physician.Key Responsibilities Abstract, code, sequence, and interpret clinical information from various medical records Assign correct principal and secondary d...Show moreLast updated: 30+ days ago
  • Promoted
Physician - Medical Director of UK Sleep Center / Clinic

Physician - Medical Director of UK Sleep Center / Clinic

InsideHigherEdLexington, Kentucky, United States
Full-time
Physician - Medical Director of UK Sleep Center / Clinic.H363 : INTERNAL MEDICINE & DIVISIONS - PULMONAR.Completion of Sleep Medicine Fellowship. Sleep Medicine physician experience.Required License / Reg...Show moreLast updated: 6 days ago
  • Promoted
  • New!
Healthcare Implementation Analyst

Healthcare Implementation Analyst

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for an Implementation Business Analyst to create business requirements and liaise between Business Operations and Technology IT teams for new projects and improvements.Key Resp...Show moreLast updated: 12 hours ago
  • Promoted
  • New!
Healthcare Industry Success Leader

Healthcare Industry Success Leader

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for an Industry Success Leader (HCLS).Key Responsibilities Serve as a Consulting Leader, leveraging domain expertise to improve client business outcomes Own and develop a bo...Show moreLast updated: 14 hours ago
  • Promoted
Healthcare Help Desk Supervisor

Healthcare Help Desk Supervisor

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Help Desk Supervisor - Remote US.Key Responsibilities Supervise daily operations of the Help Desk team to meet service levels and quality standards Provide coaching an...Show moreLast updated: 30+ days ago
  • Promoted
Clinical Documentation Integrity Lead

Clinical Documentation Integrity Lead

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Clinical Documentation Integrity Lead - Service Line (Remote).Key Responsibilities Manage relationships between CDI and assigned service lines, collaborating with physi...Show moreLast updated: 30+ days ago
  • Promoted
Associate Consultant, Medical Affairs

Associate Consultant, Medical Affairs

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for an Associate Consultant, Pharmaceutical Strategy.Key Responsibilities Support the implementation of multiple projects from initiation to delivery Conduct research and tr...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Certified Healthcare Privacy Director

Certified Healthcare Privacy Director

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Director of Privacy Operations.Key Responsibilities Plan and direct strategic goals for compliance with federal and state privacy requirements Administer daily operati...Show moreLast updated: 8 hours ago
  • Promoted
Physician (MD / DO) - Internal Medicine - General / Other in Frankfort, KY

Physician (MD / DO) - Internal Medicine - General / Other in Frankfort, KY

LocumJobsOnlineFrankfort, KY, US
Full-time
LocumJobsOnline is working with The Inline Group to find a qualified Internal Medicine MD in Frankfort, Kentucky, 40601!. Average Patients seen : Average patient census is 10-12.Compensation : - ...Show moreLast updated: 30+ days ago
  • Promoted
Product Manager - Healthcare

Product Manager - Healthcare

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Product Manager - Healthcare Price Transparency Data Solution (Remote / Work From Home).Key Responsibilities Define and communicate the product vision, strategy, and road...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Medical Director, Behavioral Health (TX / WA)

Medical Director, Behavioral Health (TX / WA)

Molina HealthcareGeorgetown, Kentucky, United States
Full-time
Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with impl...Show moreLast updated: 2 hours ago
  • Promoted
Medical Device Quality Engineer

Medical Device Quality Engineer

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Senior Principal Software Quality Engineer.Key Responsibilities Provide Quality Engineering leadership for software and hardware product development teams, ensuring com...Show moreLast updated: 30+ days ago
  • Promoted
Database Engineer, Healthcare Compliance

Database Engineer, Healthcare Compliance

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a DBA Engineer, Fabric.Key Responsibilities Own all database objects, including tables, views, and stored procedures Design and optimize datasets for Power BI reporting ...Show moreLast updated: 1 day ago