Talent.com
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareBUFFALO, NY, United States
6 hours 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 - $227,679 / 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 • BUFFALO, NY, United States

    Related jobs
    • Promoted
    Director, Clinical Care Equipment

    Director, Clinical Care Equipment

    Roswell ParkBuffalo, NY, US
    Full-time +1
    Title : Director, Clinical Care Equipment.Job Type : Temporary, Benefited.Company : Roswell Park Comprehensive Cancer Center. Department : Clinical Care Equipment.Shift : First Shift (United States of Am...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Community Behavioral Health Liaison (Field travel in Detroit, MI)

    Community Behavioral Health Liaison (Field travel in Detroit, MI)

    Molina HealthcareCheektowaga, NY, United States
    Full-time
    JOB DESCRIPTION Field travel in Detroit, MI Job Summary Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental healt...Show moreLast updated: 6 hours ago
    • Promoted
    Store Associate

    Store Associate

    CVS HealthEast Aurora, NY, US
    Full-time +1
    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...Show moreLast updated: 30+ days ago
    • Promoted
    Vice President of Clinical Operations

    Vice President of Clinical Operations

    Neighborhood Health CenterBuffalo, NY, US
    Full-time
    Vice President of Clinical Operations.If you believe healthcare is a right, that everyone deserves high quality care so they can enjoy their highest level of health and wellbeing, and you value tea...Show moreLast updated: 12 days ago
    • Promoted
    Director, Cardiac Services

    Director, Cardiac Services

    AMN HealthcareBuffalo, NY, US
    Full-time
    Join Catholic Health, a patient-focused organization, as you take on the innovative role of Director Of Cardiac Services in Buffalo, New York!. The Director Of Cardiac Services will be responsible f...Show moreLast updated: 30+ days ago
    • Promoted
    Licensed Practice Nurse - Monday-Friday Days - SIGN ON BONUS $5,000

    Licensed Practice Nurse - Monday-Friday Days - SIGN ON BONUS $5,000

    IntandemLockport, NY, US
    Full-time
    Licensed Practical Nurse - LPN.This position is located in Niagara County • •.Provides medical care to the people we serve by performing skilled nursing duties. guiding and assisting direct support ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Care Review Clinician, PA (RN)

    Care Review Clinician, PA (RN)

    Molina HealthcareCheektowaga, NY, US
    Full-time
    JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of ca...Show moreLast updated: 10 hours ago
    • Promoted
    • New!
    Care Review Clinician, Inpatient Review (RN)

    Care Review Clinician, Inpatient Review (RN)

    Molina HealthcareCheektowaga, NY, US
    Full-time
    JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...Show moreLast updated: 10 hours ago
    • Promoted
    Director, Operations

    Director, Operations

    CalspanNiagara Falls, NY, US
    Full-time
    Calspan is the premier independent provider of testing and technology development services, solutions, and systems in the aerospace, defense, and automotive industries. Our diverse skill set and uni...Show moreLast updated: 16 days ago
    • Promoted
    • New!
    Care Review Clinician (RN) (Must reside in MI)

    Care Review Clinician (RN) (Must reside in MI)

    Molina HealthcareCheektowaga, NY, US
    Full-time
    JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clin...Show moreLast updated: 10 hours ago
    • Promoted
    • New!
    Care Review Clinician (RN)

    Care Review Clinician (RN)

    Molina HealthcareCheektowaga, NY, US
    Full-time
    JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clin...Show moreLast updated: 4 hours ago
    • Promoted
    Purchasing Specialist

    Purchasing Specialist

    Candlelight CabinetryLockport, NY, US
    Full-time
    Candlelight Cabinetry is a leading B2B manufacturer specializing in building and finishing custom and semi-custom cabinetry for the home. Founded in 1990, Candlelight is known for its high-quality c...Show moreLast updated: 3 days ago
    • Promoted
    Risk Appetite Strategy and Tech Sr. Lead - SVP (Hybrid)

    Risk Appetite Strategy and Tech Sr. Lead - SVP (Hybrid)

    CitigroupGetzville, NY, US
    Full-time
    Enterprise Risk Management Lead.Individuals in the Enterprise Risk Management are entrusted with managing the diverse and collective impact of the bank's risks. This involves identifying and managin...Show moreLast updated: 30+ days ago
    • Promoted
    Pulmonologist, Trinity Medical

    Pulmonologist, Trinity Medical

    Catholic Health SystemOrchard Park, US
    Full-time
    Pulmonologist, Trinity Medical, Orchard Park, NY.Trinity Medical-Pulmonary is looking to add a Board Certified / Board Eligible Pulmonologist to join their existing practice.This is an opportunity to...Show moreLast updated: 30+ days ago
    • Promoted
    Family Medicine Physician

    Family Medicine Physician

    Catholic Health SystemLockport, US
    Full-time
    Catholic Health is recruiting for a Board Certified / Eligible Family Medicine Physician to join our Lockport, NY Primary Care location. Board Certified or Board Eligible in Family or Internal Medicin...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Director, Clinical Operations

    Director, Clinical Operations

    Molina Healthcarebuffalo, ny, us
    Full-time
    The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team.Directs all Clinical Contact Center operations. Implements direction and performa...Show moreLast updated: 5 hours ago
    • Promoted
    Director of Campus Relations (Sales)

    Director of Campus Relations (Sales)

    BetterMyndBuffalo, NY, US
    Full-time
    Director Of Campus Relations (Sales).BetterMynd is on a mission to make mental health care more accessible to college students. Through our nationwide network of licensed therapists and the power of...Show moreLast updated: 16 days ago
    • Promoted
    RN - Telemetry in Rochester Institute of Technology, NY - $2,046 / week

    RN - Telemetry in Rochester Institute of Technology, NY - $2,046 / week

    Vetted HealthBailey, NY, US
    Full-time
    Vetted is seeking a RN - Telemetry for a travel job in Rochester, New York.The assignment starts on ASAP and is 13 weeks long with 13 hour shifts 3 days a week. You must live 60 miles away from the ...Show moreLast updated: 23 days ago