Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareCouncil Bluffs, IA, United States
19 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 • Council Bluffs, IA, United States

    Related jobs
    • Promoted
    Assistant Program Director - Crisis Stabilization and Resource Center

    Assistant Program Director - Crisis Stabilization and Resource Center

    Heartland Family ServicePapillion, NE, US
    Full-time
    Assistant Program Director - Crisis Stabilization and Resource Center.At Heartland Family Service, we are committed to building a culture that is trauma informed and values and celebrates diversity...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareOMAHA, US
    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
    Care Manager (RN)

    Care Manager (RN)

    Molina HealthcareLa Vista, NE, United States
    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: 18 days ago
    • Promoted
    Travel Med-Surg / ED Swing Registered Nurse

    Travel Med-Surg / ED Swing Registered Nurse

    Cure Healthcare StaffingMissouri Valley, IA, US
    Full-time
    Cure Healthcare Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. Cure Healthcare is seeking a RN - ER ED for posit...Show moreLast updated: 4 days ago
    • Promoted
    Program Manager

    Program Manager

    VirtualVocationsOmaha, Nebraska, United States
    Full-time
    A company is looking for a Program Manager Strategic Operations to oversee project alignment with operational strategies. Key Responsibilities Lead and manage multiple strategic projects for speci...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: 21 days ago
    • Promoted
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health Services CareersOmaha, NE, United States
    Full-time
    Description Treatment Center Director / Program Director MedMark Treatment Centers is looking for an accountable, process oriented and efficient leader of operations for our O piate T reatment Progra...Show moreLast updated: 25 days ago
    • Promoted
    Healthier Community Grant Manager

    Healthier Community Grant Manager

    Common Spirit HealthOmaha, NE, US
    Full-time
    Healthier Community Grant Manager.CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare orga...Show moreLast updated: 23 days ago
    • Promoted
    Travel Nurse RN - Emergency Room (ER) / Trauma - $2,014 per week in Missouri Valley, IA

    Travel Nurse RN - Emergency Room (ER) / Trauma - $2,014 per week in Missouri Valley, IA

    TravelNurseSourceMissouri Valley, IA, US
    Full-time
    TravelNurseSource is working with GetMed Staffing to find a qualified ER / Trauma RN in Missouri Valley, Iowa, 51555!.GetMed Staffing is searching for a strong ER RN to assist our traveler-friendly c...Show moreLast updated: 4 days ago
    • Promoted
    Medicare Product Manager IV

    Medicare Product Manager IV

    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: 24 days ago
    • Promoted
    Manager Food-Nutrition Services

    Manager Food-Nutrition Services

    Common Spirit HealthOmaha, NE, US
    Full-time
    Manager Food-Nutrition Services.The posted compensation range of $27.CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.Comm...Show moreLast updated: 30+ days ago
    • Promoted
    Health Information Manager

    Health Information Manager

    EmploybridgeOmaha, NE, United States
    Full-time
    Employbridge has a client in Omaha, NE looking for a Health Information Manager to join their team! This is a growing company with room for advancement, competitive pay and a great culture!.Oversee...Show moreLast updated: 16 days ago
    • Promoted
    Travel Med-Surg / ED Swing Registered Nurse

    Travel Med-Surg / ED Swing Registered Nurse

    Genie HealthcareMissouri Valley, IA, US
    Full-time
    Genie Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. MedSurg / Swing RN – Critical Access Hospital.Typical...Show moreLast updated: 7 days ago
    • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    TRS HealthcareMissouri Valley, IA, US
    Full-time
    TRS Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. TRS Healthcare Job ID #1382647.Pay package...Show moreLast updated: 8 days ago
    • Promoted
    Program Manager Clinical Research

    Program Manager Clinical Research

    Creighton UniversityOmaha, NE, United States
    Full-time
    Creighton University's School of Medicine is seeking to hire a Program Manager to manage and oversee administration programs for the School of Medicine in Clinical Research.Programs are scientific,...Show moreLast updated: 30+ days ago
    • Promoted
    Care Manager

    Care Manager

    Molina HealthcareLa Vista, NE, 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: 1 day ago
    • Promoted
    Travel Nurse RN - Emergency Room (ER) / Trauma - $1,932 to $2,129 per week in Missouri Valley, IA

    Travel Nurse RN - Emergency Room (ER) / Trauma - $1,932 to $2,129 per week in Missouri Valley, IA

    TravelNurseSourceMISSOURI VALLEY, IA, US
    Full-time
    TravelNurseSource is working with AMN Healthcare to find a qualified ER / Trauma RN in MISSOURI VALLEY, Iowa, 51555!.Job Description & Requirements. Registered Nurse – Emergency Room - Travel - (...Show moreLast updated: 4 days ago
    • Promoted
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareLa Vista, NE, 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: 1 day ago
    • Promoted
    Travel Med-Surg / ED Swing Registered Nurse

    Travel Med-Surg / ED Swing Registered Nurse

    ADEX Healthcare Staffing LLCMissouri Valley, IA, US
    Full-time
    ADEX Healthcare Staffing LLC is seeking a travel nurse RN Med Surg for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. Pay package is based on 12 hour shifts and 36...Show moreLast updated: 4 days ago
    • Promoted
    Travel Nurse RN - Emergency Room (ER) / Trauma - $2,280 per week in Missouri Valley, IA

    Travel Nurse RN - Emergency Room (ER) / Trauma - $2,280 per week in Missouri Valley, IA

    TravelNurseSourceMissouri Valley, IA, US
    Full-time
    TravelNurseSource is working with Medical Talent to find a qualified ER / Trauma RN in Missouri Valley, Iowa, 51555!.Join our dynamic team and embark on a rewarding journey with us! We are Joint Comm...Show moreLast updated: 4 days ago