Director, Clinical Systems

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 of 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 of 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.