Talent.com
No longer accepting applications
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareOmaha, NE, US
6 hours ago
Job type
  • Full-time
Job description

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.
  • Create a job alert for this search

    Clinical Program Manager • Omaha, NE, US

    Related jobs
    • Promoted
    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $2,062 per week in Missouri Valley, IA

    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $2,062 per week in Missouri Valley, IA

    TravelNurseSourceMissouri Valley, IA, US
    Full-time
    TravelNurseSource is working with CrossMed Healthcare to find a qualified ER / Trauma RN in Missouri Valley, Iowa, 51555!. At CrossMed Healthcare Staffing, we aim to create lasting impressions whereve...Show moreLast updated: 13 days ago
    • Promoted
    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $2,014 per week in Missouri Valley, IA

    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $2,014 per week in Missouri Valley, IA

    TravelNurseSourceMissouri Valley, IA, US
    Full-time
    TravelNurseSource is working with GetMed Staffing to find a qualified ER / Trauma RN in Missouri Valley, Iowa, 51555!.GetMed Staffing is searching for a strong ER RN to assist our traveler-friendly c...Show moreLast updated: 13 days ago
    • Promoted
    Travel Med-Surg / ED Swing Registered Nurse

    Travel Med-Surg / ED Swing Registered Nurse

    Medical SolutionsMissouri Valley, IA, US
    Full-time
    Medical Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. We’re seeking talented healthcare professionals wh...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Program Manager

    Clinical Program Manager

    MedicaOmaha, NE, United States
    Full-time
    The Clinical Program Manager provides support to health system provider partners as well as Medica's product and segment teams. The Clinical Program Manager will work collaboratively with leadership...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Registered Nurse (RN) - Medical-Surgical (Med / Surg) - $2,266 per week in Missouri Valley, IA

    Travel Registered Nurse (RN) - Medical-Surgical (Med / Surg) - $2,266 per week in Missouri Valley, IA

    TravelNurseSourceMissouri Valley, IA, US
    Full-time
    TravelNurseSource is working with THP Healthcare Staffing to find a qualified Med / Surg RN in Missouri Valley, Iowa, 51555!. Our Client is currently seeking RN - MedSurg positions in Missouri Valley,...Show moreLast updated: 13 days ago
    • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    GHG HealthcareMissouri Valley, IA, US
    Full-time
    GHG Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. Years Experience IA or Compact Lic, ACLS, ...Show moreLast updated: 3 days ago
    • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    Malone Healthcare - NursingMissouri Valley, IA, US
    Full-time
    Malone Healthcare - Nursing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Missouri Valley, Iowa. Job Description & Requirements.Must live 50 miles or more fr...Show moreLast updated: 9 days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $2093.08 / Week - Hiring Now

    Travel Nurse - RN - ER - Emergency Room - $2093.08 / Week - Hiring Now

    FlexCareMissouri Valley, IA, US
    Full-time
    FlexCare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Missouri Valley, IA. Shift : 3x12 hr nights Start Date : 12 / 08 / 2025 Duration : 13 weeks Pay : $20...Show moreLast updated: 11 days ago
    • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    Go HealthcareMissouri Valley, IA, US
    Full-time
    Go Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. Pay package is based on 12 hour shifts and ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $2062.08 / Week

    Travel Nurse - RN - ER - Emergency Room - $2062.08 / Week

    CrossMed HealthcareMissouri Valley, IA, US
    Full-time
    CrossMed Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Missouri Valley, IA. Shift : Inquire Start Date : 12 / 08 / 2025 Duration : 13 weeks Pay : ...Show moreLast updated: 10 days ago
    • Promoted
    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $2,211 per week in Missouri Valley, IA

    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $2,211 per week in Missouri Valley, IA

    TravelNurseSourceMissouri Valley, IA, US
    Full-time +1
    TravelNurseSource is working with AHS Staffing to find a qualified ER / Trauma RN in Missouri Valley, Iowa, 51555!.AHS Staffing is looking for a Emergency Room Registered Nurse in Missouri Valley, IA...Show moreLast updated: 13 days ago
    • Promoted
    • New!
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareOmaha, NE, US
    Full-time
    Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation and support, and ensuring compliance w...Show moreLast updated: 7 hours ago
    • Promoted
    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $2,186 per week in Missouri Valley, IA

    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $2,186 per week in Missouri Valley, IA

    TravelNurseSourceMissouri Valley, IA, US
    Full-time
    TravelNurseSource is working with Triage Staffing to find a qualified ER / Trauma RN in Missouri Valley, Iowa, 51555!.Travel Nursing : Emergency Department Missouri Valley, IA.Location : Missou...Show moreLast updated: 13 days ago
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health ServicesOmaha, NE, US
    Full-time
    Quick Apply
    Treatment Center Director / Program Director.MedMark Treatment Centers is looking for an accountable, process oriented and efficient leader of operations for our Opiate Treatment Program.A great Trea...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ER - Emergency Room - $2093.08 / Week

    Travel Nurse - RN - ER - Emergency Room - $2093.08 / Week

    FlexCareMissouri Valley, IA, US
    Full-time
    FlexCare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Missouri Valley, IA. Shift : 3x12 hr nights Start Date : 12 / 08 / 2025 Duration : 13 weeks Pay : $20...Show moreLast updated: 11 days ago
    • Promoted
    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $1,932 to $2,129 per week in Missouri Valley, IA

    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $1,932 to $2,129 per week in Missouri Valley, IA

    TravelNurseSourceMISSOURI VALLEY, IA, US
    Full-time
    TravelNurseSource is working with AMN Healthcare to find a qualified ER / Trauma RN in MISSOURI VALLEY, Iowa, 51555!.Job Description & Requirements. Registered Nurse – Emergency Room - Travel - (...Show moreLast updated: 13 days ago
    • Promoted
    Travel Emergency Room Registered Nurse

    Travel Emergency Room Registered Nurse

    Premier Medical Staffing ServicesMissouri Valley, IA, US
    Permanent
    Premier Medical Staffing Services is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Missouri Valley, Iowa. Job Description & Requirements.Premier Medical Staffin...Show moreLast updated: 3 days ago
    • Promoted
    • New!
    Care Manager

    Care Manager

    Molina HealthcareOmaha, NE, US
    Full-time
    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...Show moreLast updated: 7 hours ago