Talent.com
No longer accepting applications
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareFremont, NE, United States
7 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 - $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 • Fremont, NE, United States

    Related jobs
    • Promoted
    • New!
    Director, Clinical Operations

    Director, Clinical Operations

    Molina HealthcareBellevue, NE, United States
    Full-time
    Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties • Directs all Clinical Contact Center o...Show moreLast updated: 11 hours ago
    • Promoted
    Clinic Director

    Clinic Director

    Universal Health ServicesOmaha, NE, US
    Full-time
    Horizon Health is seeking a Program Director for our brand new outpatient mental health clinic called Thousand Branches Wellness in Omaha, NE. This position will include but is not limited to assess...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Clinical Director

    Associate Clinical Director

    Heartland Family ServiceOmaha, NE, US
    Full-time
    At Heartland Family Service, we are committed to building a culture that is trauma informed and values and celebrates diversity and inclusion. We believe this allows for better service delivery and ...Show moreLast updated: 11 days ago
    • Promoted
    Director of Operations - Trillion

    Director of Operations - Trillion

    TrillionOmaha, NE, US
    Full-time
    As DOO, you’ll own end-to-end non-clinical operations, driving performance across multiple departments—from frontline patient services to centralized communication, revenue cycle enable...Show moreLast updated: 4 days ago
    • Promoted
    Health Engineering Director

    Health Engineering Director

    HDROmaha, NE, US
    Full-time
    Health Engineering Director Central Region.At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is emp...Show moreLast updated: 30+ days ago
    • Promoted
    Director Mission Integration

    Director Mission Integration

    Common Spirit HealthOmaha, NE, US
    Full-time
    CommonSpirit Health is building a healthier future for all through its integrated health services.As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health del...Show moreLast updated: 6 days ago
    • Promoted
    Director-Trauma Services

    Director-Trauma Services

    Common Spirit HealthOmaha, NE, US
    Full-time
    CHI Health Creighton University Medical Center - Bergan Mercy.The Director of Nursing maintains direct operational responsibility for specific departments and programs on an assigned campus : additi...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Director - Omaha, NE

    Medical Director - Omaha, NE

    Veterinary Emergency Group (VEG)Omaha, NE, US
    Full-time
    Lead and manage medical services in Omaha, NE, ensuring high-quality patient care and operational excellence.Show moreLast updated: 30+ days ago
    • Promoted
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health ServicesOmaha, NE, United States
    Full-time
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to. Essential Duties & Responsibilities : .Responsible for ...Show moreLast updated: 20 days ago
    • Promoted
    Division Chief - Cardiology

    Division Chief - Cardiology

    CommonSpirit HealthOmaha, NE, US
    Permanent
    Job Summary and Responsibilities.Diagnose and treat various medical conditions.Develop and implement comprehensive treatment plans. Conduct thorough medical examinations and histories.Communicate ef...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Clinical Services - New Facility Opening 2026

    Director of Clinical Services - New Facility Opening 2026

    Acadia HealthcareCouncil Bluffs, IA, US
    Full-time
    Director of Clinical Services Methodist Jennie Edmundson Behavioral Health Hospital.Methodist Health System, the region's most established not-for-profit provider, has partnered with Acadia Health...Show moreLast updated: 4 days ago
    • Promoted
    Clinical Program Manager

    Clinical Program Manager

    MedicaOmaha, NE, US
    Full-time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...Show moreLast updated: 20 days ago
    • Promoted
    Director Employee Relations

    Director Employee Relations

    Methodist Health SystemOmaha, NE, US
    Full-time
    At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to ...Show moreLast updated: 30+ days ago
    • Promoted
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health Services CareersOmaha, Nebraska, US
    Full-time
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to. Essential Duties & Responsibilities : .Responsible for ...Show moreLast updated: 25 days ago
    • Promoted
    Director of Health and Wellness

    Director of Health and Wellness

    Carter PlaceBlair, NE, US
    Full-time
    Arvum Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused Assisted Living and Memory Care communities.Illinois, Iowa, Kansa...Show moreLast updated: 5 days ago
    • Promoted
    • New!
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareCouncil Bluffs, IA, United States
    Full-time
    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 ...Show moreLast updated: 3 hours ago
    Regional Director of Clinic Operations

    Regional Director of Clinic Operations

    Bloomwell Behavioral Health IncOmaha, Nebraska, United States, 68102
    Full-time
    Regional Director of Clinic Operations.If this resonates with you, then the Regional Director of Clinical Operations position may be the right role for you. At Bloomwell, we believe every child dese...Show moreLast updated: 24 days ago
    • Promoted
    Director, Provider Contracts (Must reside in Georgia)

    Director, Provider Contracts (Must reside in Georgia)

    Veterans StaffingOmaha, NE, US
    Full-time
    Molina Health Plan Provider Network Contracting.Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial per...Show moreLast updated: 6 days ago
    • Promoted
    Global Health Director, Architecture

    Global Health Director, Architecture

    HDROmaha, NE, US
    Full-time
    At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and n...Show moreLast updated: 30+ days ago
    • Promoted
    Manager Clinical Education

    Manager Clinical Education

    Common Spirit HealthPapillion, NE, US
    Full-time
    The posted compensation range of $43.CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more...Show moreLast updated: 30+ days ago