Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareOrem, UT, United States
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 • Orem, UT, United States

    Related jobs
    • Promoted
    • New!
    Healthcare Transformation Manager

    Healthcare Transformation Manager

    VirtualVocationsSalt Lake City, Utah, United States
    Full-time
    A company is looking for a Manager, Healthcare Transformation.Key Responsibilities Lead initiatives to transform healthcare delivery systems Collaborate with stakeholders to identify and impleme...Show moreLast updated: 20 hours ago
    • Promoted
    Enablement Program Manager

    Enablement Program Manager

    Pluralsight, LLCDraper, UT, United States
    Full-time
    This position is also available for employment in these areas : .Hybrid - Texas (Westlake), Remote - USA.We are looking for a driven and collaborative. Revenue Enablement team, with a primary focus on...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Systems Manager

    Clinical Systems Manager

    RandstadMagna, UT, US
    Full-time
    Manager, Clinical Systems (Irt).The manager, clinical systems (IRT) will work with a cross-functional team of internal stakeholders (including but not limited to : clinical study management, supply ...Show moreLast updated: 17 days ago
    • Promoted
    Technical Program Manager, Labs

    Technical Program Manager, Labs

    Western Governors UniversitySalt Lake City, UT, United States
    Full-time +1
    If you're passionate about building a better future for individuals, communities, and our country-and you're committed to working hard to play your part in building that future-consider WGU as the ...Show moreLast updated: 27 days ago
    • Promoted
    Manager Surgical Services

    Manager Surgical Services

    Veterans StaffingOrem, UT, US
    Full-time +1
    Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities.As a Manager Surgical Services with Timpanogos Regional Hospital you can be a part of an organiza...Show moreLast updated: 5 days ago
    • Promoted
    Manager Oncology Services

    Manager Oncology Services

    Intermountain HealthSalt Lake City, UT, US
    Full-time
    The Manager Oncology Services is responsible for operations and management of oncology service professionals in order to achieve strategic and operational goals. This role oversees more than one spe...Show moreLast updated: 4 days ago
    • Promoted
    Manager, T&D Program Delivery - Salt Lake City, Utah or Portland, Oregon #113177

    Manager, T&D Program Delivery - Salt Lake City, Utah or Portland, Oregon #113177

    PacifiCorpSalt Lake City, UT, US
    Full-time
    PacifiCorp is seeking customer-centric candidates to grow and sustain our commitment to a culture of customer service excellence, environmental sustainability, inclusion and belonging.Responsible f...Show moreLast updated: 30+ days ago
    • Promoted
    Manager Programs 2

    Manager Programs 2

    Clearance JobsSalt Lake City, UT, US
    Full-time
    At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come.Our pioneering and i...Show moreLast updated: 30+ days ago
    • Promoted
    Technical Program Manager, Portfolio

    Technical Program Manager, Portfolio

    WGUSalt Lake City, UT, US
    Full-time +1
    If you're passionate about building a better future for individuals, communities, and our countryand you're committed to working hard to play your part in building that futureconsider WGU as the ne...Show moreLast updated: 12 days ago
    • Promoted
    Program Manager, Medicare Stars & Quality Improvement (Remote)

    Program Manager, Medicare Stars & Quality Improvement (Remote)

    Molina HealthcareSalt Lake City, UT, US
    Remote
    Full-time
    Focus on the core content of the job post, removing all unnecessary metadata, navigation mentions, and extraneous details. The goal is to present a clean, beautiful, and high-signal-to-noise-ratio j...Show moreLast updated: 17 days ago
    • Promoted
    Program Manager

    Program Manager

    NRG EnergyLehi, UT, United States
    Full-time
    Welcome to the intersection of energy and home services.At NRG, we're driven by our passion to create a smarter, cleaner and more connected future. Vivint Smart Home, an NRG owned company, is a lead...Show moreLast updated: 2 days ago
    • Promoted
    Community Health Program Manager

    Community Health Program Manager

    Intermountain HealthSalt Lake City, UT, US
    Full-time
    Community Health Program Manager.Intermountain Healthcare's mission is helping people live the healthiest lives possible. Intermountain intentionally works to understand and prioritize the needs of ...Show moreLast updated: 5 days ago
    • Promoted
    Medical Director

    Medical Director

    Frontier Veterinary CareKamas, UT, US
    Full-time
    Frontier Veterinary Care, a brand-new hospital in Francis, Utah, is searching for a Medical Director to lead our team.Are you ready to provide quality medicine in a collaborative environment where ...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareSalt Lake City, UT, United States
    Full-time
    Leads and directs a team supporting clinical systems.Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technolo...Show moreLast updated: 7 days ago
    • Promoted
    Revenue Cycle Manager

    Revenue Cycle Manager

    Rocky Mountain LaboratoriesDraper, UT, US
    Full-time
    Rocky Mountain Laboratories specializes in molecular diagnostics for infectious diseases and toxicology.We are dedicated to delivering accurate and timely diagnostic information and are committed t...Show moreLast updated: 12 days ago
    Clinical Director

    Clinical Director

    ChrysalisProvo, UT, US
    Full-time
    Quick Apply
    This is an internal posting for current qualified employees : .Chrysalis is a company that provides a variety of support services for people with intellectual disabilities. This position focuses on ov...Show moreLast updated: 5 days ago
    • Promoted
    Physician Family Practice-Without OB - Competitive Salary

    Physician Family Practice-Without OB - Competitive Salary

    Intermountain HealthPark City, UT, US
    Full-time
    End Date : March 27, 2026 (30+ days left to apply).Primary Care Physician (Internal Medicine or Family Medicine).Park City-Round Valley Clinic - Intermountain Health. Intermountain Health is an integ...Show moreLast updated: 30+ days ago
    • Promoted
    Registered Nurse

    Registered Nurse

    Top Quality Recruitment (TQR)Midway, UT, US
    Full-time
    The Registered Nurse will provide direct nursing care to clients in a rehabilitation setting, including detoxification and ongoing medical monitoring. The RN collaborates with physicians, clinical s...Show moreLast updated: 2 days ago