Talent.com
Program Manager - Payment Integrity

Program Manager - Payment Integrity

Dallas StaffingDallas, TX, US
1 day ago
Job type
  • Full-time
Job description

Job Summary

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 including project rollout and communication plans. May engage and oversee the work of external vendors. This position's primary focus is project / program management.

Job Duties

  • Active collaborator with people who are 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 and directs schedules as well as project budgets.
  • Monitors the project from inception through delivery.
  • May engage and oversee the work of external vendors.
  • Focuses on process improvement, organizational change management, program management and other processes relative to the business.
  • Leads and manages team in planning and executing business programs.
  • Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
  • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
  • Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
  • Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
  • Generate and distribute standard reports on schedule.
  • Position reports to AVP, Payment Integrity Analytics.

Job Qualifications

Required Education :

  • Bachelor's Degree or equivalent combination of education and experience.
  • Required Experience / Knowledge, Skills & Abilities :

  • 3-5 years of Program and / or Project management experience.
  • Operational Process Improvement experience.
  • Healthcare experience.
  • Experience with Microsoft Project and Visio.
  • Excellent presentation and communication skills.
  • Experience partnering with different levels of leadership across the organization.
  • Preferred Education :

  • Graduate Degree or equivalent combination of education and experience.
  • Preferred Experience :

  • 5-7 years of Program and / or Project management experience.
  • Managed Care experience - specifically within Payment Integrity, Claims Payment, Provider Relations Experience.
  • Experience working in a cross functional highly matrixed organization.
  • Preferred License, Certification, Association :

  • PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and / or comparable coursework desired.
  • 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 - $155,508 / 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

    Program Manager • Dallas, TX, US

    Related jobs
    Perm - Director of Program Integrity #A-LEAD-61142

    Perm - Director of Program Integrity #A-LEAD-61142

    AdeIphi MedicaI StaffingDallas, Texas, United States
    Full-time
    Quick Apply
    Specialty : Director of Program Integrity.Shift Schedule : 8 hrs per day; 8 : 00 AM - 5 : 00 PM.Five (5) years of management experience. Eight (8) years of experience in Payment Integrity Audit and Recove...Show moreLast updated: 30+ days ago
    • Promoted
    Finance Manager

    Finance Manager

    Vaco by HighspringCoppell, TX, US
    Permanent
    Dallas, TX – hybrid, 2–3 days onsite.Vaco has partnered with a rapidly growing PE-backed retail organization to identify a Finance Manager to join their team. This is a newly created role due to rec...Show moreLast updated: 11 days ago
    • Promoted
    Border Patrol Agent

    Border Patrol Agent

    U.S. Customs and Border ProtectionSeven Points, TX, US
    Full-time
    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...Show moreLast updated: 1 day ago
    • Promoted
    Third Party Risk Manager

    Third Party Risk Manager

    American National Bank of TexasTerrell, TX, United States
    Full-time
    The Bank's third-party vendors throughout the relationship life cycle ensuring the bank maintains an effective Third-Party Risk Management Program (TPRM) in compliance with all applicable laws, rul...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager - Transformation

    Program Manager - Transformation

    StoutDallas, TX, United States
    Full-time
    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence.Both our client service and culture are second to none, stemming from our firmwide embrace of our...Show moreLast updated: 30+ days ago
    • Promoted
    Sr Business Analyst, Deposit Strategy

    Sr Business Analyst, Deposit Strategy

    American National Bank of TexasTerrell, TX, United States
    Full-time
    Leverage data sources and tools to create deposit product and program recommendations.Collaborate with bank teams across the bank to bring recommendations to life. Gather, study, and synthesize mark...Show moreLast updated: 1 day ago
    • Promoted
    Director, Payment Integrity - Hybrid

    Director, Payment Integrity - Hybrid

    Parkland Health and Hospital SystemPlano, Texas, United States
    Full-time
    Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.PCHP is a Medicaid Manage...Show moreLast updated: 30+ days ago
    • Promoted
    Pain Management

    Pain Management

    CompHealthEnnis, Texas, US
    Full-time
    Pain Management physician employment in Texas : Whether you are searching for a position in your area or in another state, we have professionals to help you achieve your goals through our relations...Show moreLast updated: 30+ days ago
    • Promoted
    U.S. Border Patrol Agent

    U.S. Border Patrol Agent

    U.S. Customs and Border ProtectionBardwell, TX, US
    Full-time
    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...Show moreLast updated: 1 day ago
    • Promoted
    RN Program Manager Quality Assurance

    RN Program Manager Quality Assurance

    Baylor Scott & White HealthRowlett, TX, US
    Full-time
    Baylor Scott & White Health Medical Center Lake Pointe, Rowlett, Texas.FT, 8-hour days, Monday-Friday.The Program Manager is accountable for strategic design, implementation and management of p...Show moreLast updated: 4 days ago
    • Promoted
    Quick Earnings : Earn At Least $2015 For Your First 165 Trips, Guaranteed.

    Quick Earnings : Earn At Least $2015 For Your First 165 Trips, Guaranteed.

    UberRosser, TX, US
    Full-time +1
    Earn at least $2015 driving with Uber when you complete your first 165 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 4 days ago
    • Promoted
    United States Border Patrol Agent

    United States Border Patrol Agent

    U.S. Customs and Border ProtectionPalmer, TX, US
    Full-time
    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...Show moreLast updated: 1 day ago
    • Promoted
    Program Manager Tax - Accounting

    Program Manager Tax - Accounting

    Christus HealthCoppell, Texas, United States
    Full-time
    Reports to the Tax Manager, and is responsible for coordinating the system-wide property tax function for CHRISTUS Health. This position will first evaluate the property tax needs for a system wide ...Show moreLast updated: 1 day ago
    • Promoted
    Payer Relations Analyst

    Payer Relations Analyst

    FinThrivePlano, TX, United States
    Full-time
    Own the process for building payer relationships, identifying payer requirements for connection, translating requirements into user stories for the development team, coordinating implementation and...Show moreLast updated: 10 days ago
    • Promoted
    Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

    Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

    U.S. Customs and Border ProtectionKemp, TX, US
    Full-time
    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...Show moreLast updated: 1 day ago
    • Promoted
    Fast Pay - Earn at least $2015 in your first 165 trips, guaranteed.

    Fast Pay - Earn at least $2015 in your first 165 trips, guaranteed.

    UberEnnis, TX, US
    Full-time +1
    Earn at least $2015 driving with Uber when you complete your first 165 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 4 days ago
    • Promoted
    Side gig : Earn at least $2015 in your first 165 trips driving, guaranteed.

    Side gig : Earn at least $2015 in your first 165 trips driving, guaranteed.

    UberRosser, TX, US
    Full-time +1
    Earn at least $2015 driving with Uber when you complete your first 165 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 4 days ago
    • Promoted
    Program Manager Health Economics Value-Based Care- Health Plan

    Program Manager Health Economics Value-Based Care- Health Plan

    Parkland Health and Hospital SystemDallas, TX, US
    Full-time
    Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...Show moreLast updated: 30+ days ago