Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareAmes, IA, US
5 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 • Ames, IA, US

    Related jobs
    • Promoted
    • New!
    Care Manager

    Care Manager

    Molina HealthcareAmes, IA, 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: 5 hours ago
    • Promoted
    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    GrapeTree Medical Staffing LTCHubbard, IA, US
    Full-time
    GrapeTree Medical Staffing LTC is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Hubbard, Iowa. Job Description & Requirements.Pay package is based on ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Long Term Care

    Travel Nurse RN - Long Term Care

    Medical Solutions LTCPerry, IA, US
    Full-time
    Medical Solutions LTC is seeking a travel nurse RN Long Term Care for a travel nursing job in Perry, Iowa.Job Description & Requirements. We’re seeking talented healthcare professionals wh...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $1,763 per week in Perry, IA

    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $1,763 per week in Perry, IA

    TravelNurseSourcePerry, IA, US
    Full-time
    TravelNurseSource is working with GetMed Staffing to find a qualified Long-Term Care RN in Perry, Iowa, 50220!.GetMed Staffing is searching for a strong Long Term Care RN to assist our traveler-fri...Show moreLast updated: 12 days ago
    • Promoted
    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $1,936 per week in Perry, IA

    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $1,936 per week in Perry, IA

    TravelNurseSourcePerry, IA, US
    Full-time
    TravelNurseSource is working with Medical Solutions to find a qualified Long-Term Care RN in Perry, Iowa, 50220!.A facility in Perry, IA is seeking its next amazing RN (Registered Nurse) to work in...Show moreLast updated: 13 days ago
    • Promoted
    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Triage StaffingHubbard, IA, US
    Full-time
    Triage Staffing is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Hubbard, Iowa. Job Description & Requirements.Travel Long Term Care : Long Term Care H...Show moreLast updated: 10 days ago
    • Promoted
    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $2,020 per week in Hubbard, IA

    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $2,020 per week in Hubbard, IA

    TravelNurseSourceHubbard, IA, US
    Full-time +1
    TravelNurseSource is working with Core Medical Group to find a qualified Long-Term Care RN in Hubbard, Iowa, 50122!.Client in IA seeking Registered Nurse : LTC / SNF. We are looking for a healthcare pr...Show moreLast updated: 13 days ago
    • Promoted
    Travel Nurse RN - Long Term Care

    Travel Nurse RN - Long Term Care

    Alliance Medical StaffingPerry, IA, US
    Full-time
    Alliance Medical Staffing is seeking a travel nurse RN Long Term Care for a travel nursing job in Perry, Iowa.Job Description & Requirements. Alliance Medical Staffing Job ID #1381.Pay package i...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $60 to $65 per hour in Perry, IA

    Travel Registered Nurse (RN) - Emergency Room (ER) / Trauma - $60 to $65 per hour in Perry, IA

    TravelNurseSourcePerry, IA, US
    Full-time
    TravelNurseSource is working with Patterns LLC to find a qualified ER / Trauma RN in Perry, Iowa, 50220!.Traveler must have their own vehicle for this need. Patterns is one of the leading service prov...Show moreLast updated: 13 days ago
    • Promoted
    • New!
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareAnkeny, IA, 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: 5 hours ago
    • Promoted
    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $2,102 per week in Hubbard, IA

    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $2,102 per week in Hubbard, IA

    TravelNurseSourceHubbard, IA, US
    Full-time
    TravelNurseSource is working with GrapeTree Medical Staffing, LLC to find a qualified Long-Term Care RN in Hubbard, Iowa, 50122!. The Registered Nurse is responsible for rendering nursing care to pa...Show moreLast updated: 13 days ago
    • Promoted
    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Skyline Med Staff Home HealthHubbard, IA, US
    Full-time
    Skyline Med Staff Home Health is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Hubbard, Iowa. Job Description & Requirements.Weekly amount stated in t...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Assured NursingHubbard, IA, US
    Full-time
    Assured Nursing is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Hubbard, Iowa. Job Description & Requirements.Assured Nursing Job ID #34664765.Pay pa...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $1,986 per week in Hubbard, IA

    Travel Registered Nurse (RN) - Long-Term Care (LTC) - $1,986 per week in Hubbard, IA

    TravelNurseSourceHubbard, IA, US
    Full-time
    TravelNurseSource is working with Skyline Med Staff to find a qualified Long-Term Care RN in Hubbard, Iowa, 50122!.Join the Best in Travel Nursing! Skyline Med Staff was honored as the #1 Best Tra...Show moreLast updated: 13 days ago
    • Promoted
    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Nationwide Therapy GroupHubbard, IA, US
    Full-time
    Nationwide Therapy Group is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Hubbard, Iowa. Job Description & Requirements.Nationwide Therapy Group Job I...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Malone Healthcare - NursingHubbard, IA, US
    Full-time
    Malone Healthcare - Nursing is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Hubbard, Iowa. Job Description & Requirements.About Malone Healthcare - N...Show moreLast updated: 12 days ago
    • Promoted
    Mental Health Therapist

    Mental Health Therapist

    SonderMind CareersWaukee, IA, US
    Full-time
    SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cutting-edge, AI-powered tools....Show moreLast updated: 30+ days ago
    • Promoted
    Travel Registered Nurse (RN) - Operating Room (OR) - $2,103 to $2,237 per week in Webster City, IA

    Travel Registered Nurse (RN) - Operating Room (OR) - $2,103 to $2,237 per week in Webster City, IA

    TravelNurseSourceWebster City, IA, US
    Full-time
    TravelNurseSource is working with Fusion Medical Staffing to find a qualified OR RN in Webster City, Iowa, 50595!.Facility in Webster City, Iowa. Fusion Medical Staffing is seeking a skilled Operati...Show moreLast updated: 13 days ago