Talent.com
No longer accepting applications
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareSeguin, TX, United States
1 day 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 - $189,732 / 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 • Seguin, TX, United States

Related jobs
  • Promoted
  • New!
Healthcare Implementation Analyst

Healthcare Implementation Analyst

VirtualVocationsSan Antonio, Texas, 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: 11 hours ago
  • Promoted
  • New!
Healthcare Industry Solutions VP

Healthcare Industry Solutions VP

VirtualVocationsSan Antonio, Texas, 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: 9 hours ago
  • Promoted
  • New!
Senior Manager Clinical Biomarkers

Senior Manager Clinical Biomarkers

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for a Senior Manager of Clinical Biomarkers.Key Responsibilities Lead the development and execution of clinical biomarker plans aligned with clinical development strategy Ov...Show moreLast updated: 1 hour ago
  • Promoted
Director, Health Information Management

Director, Health Information Management

UT Health San AntonioSan Antonio, TX, US
Full-time
Focusing on the core content of the job post, we've cleaned up the formatting to ensure a beautiful and consistent read across all job posts. We've removed all unnecessary metadata, links, and butto...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Healthcare Industry Success Leader

Healthcare Industry Success Leader

VirtualVocationsSan Antonio, Texas, 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: 13 hours ago
  • Promoted
Medical Director - Arizona Licensed

Medical Director - Arizona Licensed

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for a Clinical Advocacy and Support Medical Director, Internist, Surgery or Plastic Surgery Preferred - Remote. Key Responsibilities Conduct coverage reviews based on individu...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Senior Manager, Medical Writing

Senior Manager, Medical Writing

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for a Senior Manager, Medical Writing (Remote).Key Responsibilities Lead complex writing assignments and ensure timely completion of scientifically accurate projects Manage ...Show moreLast updated: 9 hours ago
  • Promoted
Healthcare Configuration Analyst

Healthcare Configuration Analyst

VirtualVocationsSan Antonio, Texas, 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!
Associate Practice Manager

Associate Practice Manager

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for an Associate Practice Manager.Key Responsibilities Assist in overseeing administrative, care coordination, and field support teams to ensure timely and high-quality patie...Show moreLast updated: 7 hours ago
  • Promoted
Healthcare Help Desk Supervisor

Healthcare Help Desk Supervisor

VirtualVocationsSan Antonio, Texas, 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
Solutions Lead - Medical Technology

Solutions Lead - Medical Technology

VirtualVocationsSan Antonio, Texas, 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!
Medical Director - Utilization Management

Medical Director - Utilization Management

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for a Medical Director Utilization Management - Clinical Advocacy and Support.Key Responsibilities : Conduct coverage reviews and render coverage determinations based on membe...Show moreLast updated: 21 hours ago
  • Promoted
  • New!
New Mexico Licensed Behavioral Medical Director

New Mexico Licensed Behavioral Medical Director

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for a Behavioral Medical Director, licensed and residency in New Mexico, to work remotely.Key Responsibilities Ensure delivery of cost-effective quality care incorporating ev...Show moreLast updated: 1 hour ago
  • Promoted
Physician (MD / DO) - Obstetrics and Gynecology in Kyle, TX

Physician (MD / DO) - Obstetrics and Gynecology in Kyle, TX

LocumJobsOnlineKyle, TX, US
Full-time +2
LocumJobsOnline is working with The Inline Group to find a qualified Obstetrics and Gynecology MD in Kyle, Texas, 78640!. Hours Monday - Friday 8 AM - 5 PM.New Graduates Welcome to Apply.Compensatio...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
CLINICAL PROGRAM MANAGER

CLINICAL PROGRAM MANAGER

Universal Health Services, Inc.San Antonio, TX, United States
Full-time
Our 330-bed facility is one of the largest freestanding psychiatric hospitals in the United States.Set on a therapeutic 29-acre campus in north central San Antonio, Laurel Ridges serves as the sett...Show moreLast updated: 8 hours ago
  • Promoted
  • New!
Delaware Licensed Medical Director

Delaware Licensed Medical Director

VirtualVocationsSan Antonio, Texas, 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: 9 hours ago
  • Promoted
Senior Clinical Coordinator

Senior Clinical Coordinator

University HealthSAN ANTONIO, Texas, United States
Full-time
Senior Clinical Research Coordinator.Advance the Future of Clinical Research.Are you passionate about clinical research and ready to take your expertise to the next level? At University Health, we’...Show moreLast updated: 30+ days ago
  • Promoted
Healthcare Solutions Architect

Healthcare Solutions Architect

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for a Senior Solutions Architect - Healthcare and Life Sciences.Key Responsibilities Guide customers through the GenAI adoption process from requirements gathering to deploym...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Clinical Service Excellence Manager

Clinical Service Excellence Manager

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for a Clinical Service Excellence Manager to oversee clinical processes and support Neurology programs. Key Responsibilities Oversee clinical processes and serve as the client...Show moreLast updated: 3 hours ago
  • Promoted
Healthcare Plan Configuration Specialist

Healthcare Plan Configuration Specialist

VirtualVocationsSan Antonio, Texas, United States
Full-time
A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.Key Responsibilities : Develop, configure, and maintain healthcare plan designs and ...Show moreLast updated: 30+ days ago