Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareVancouver, WA, US
8 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 • Vancouver, WA, US

    Related jobs
    • Promoted
    Program Manager

    Program Manager

    BizTek PeopleBeaverton, OR, US
    Full-time
    Ensures program is aligned with business strategies and budgets.Ability to work in a fast-paced environment.Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Services Manager - Portland, OR (Field Based)

    Clinical Services Manager - Portland, OR (Field Based)

    Insulet CorporationPortland, OR, US
    Full-time
    Are you ready to take your career to the next level by joining a global medical device market leader in diabetes care? At Insulet Corporation, we are transforming lives with innovative products tha...Show moreLast updated: 12 days ago
    • Promoted
    Principal Program Manager

    Principal Program Manager

    VirtualVocationsAloha, Oregon, United States
    Full-time
    A company is looking for a Principal Program Manager to lead complex, high-visibility programs and initiatives within Business Technology. Key Responsibilities Lead the planning, execution, and de...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Product Manager - Healthcare

    Product Manager - Healthcare

    VirtualVocationsPortland, Oregon, United States
    Full-time
    A company is looking for a Product Manager - Healthcare Price Transparency Data Solution (Remote / Work From Home).Key Responsibilities Define and communicate the product vision, strategy, and road...Show moreLast updated: 10 hours ago
    • Promoted
    Patient Safety Program Manager

    Patient Safety Program Manager

    Legacy HealthPortland, OR, US
    Full-time
    Patient Safety Program Manager.Can we count on you to ensure the safety of our patients? With your expert knowledge of patient safety and risk management, and ability to communicate effectively, yo...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager AED and Enterprise Data Services

    Program Manager AED and Enterprise Data Services

    BizTek PeoplePortland, OR, US
    Full-time
    Project Initiatives Generative AI usecases roadmap & VPP DERMS and System of Record Build out.Anticipates internal and or external business challenges, vendor and / or regulatory issues; recommends ...Show moreLast updated: 30+ days ago
    • Promoted
    Manager Clinical Business Enablement

    Manager Clinical Business Enablement

    Cambia Health SolutionsPortland, OR, US
    Full-time
    Manager Clinical Business Enablement.Join our Cause to create a person-focused and economically sustainable health care system. Every day, Cambia's dedicated team of leaders are living our mission t...Show moreLast updated: 30+ days ago
    • Promoted
    Manager Surgical Services RN

    Manager Surgical Services RN

    VeracityPortland, OR, US
    Full-time
    Portland, Oregon Full Time Manager Surgical Services RN at Providence Portland Medical Center This is Full time 1 FTE, Day shift position. Accountable for the overall management and leadership of a ...Show moreLast updated: 30+ days ago
    • Promoted
    Program Director

    Program Director

    New SeasonGresham, OR, US
    Full-time
    For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in clas...Show moreLast updated: 30+ days ago
    • Promoted
    Regulatory Readiness Program Manager

    Regulatory Readiness Program Manager

    Legacy HealthPortland, OR, US
    Full-time
    Regulatory Readiness Program Manager.This is a hybrid role that is highly consultative and has regular meetings at a variety of Legacy locations across the Portland Metro area.On days that onsite a...Show moreLast updated: 30+ days ago
    • Promoted
    Sr. Program Manager - TA Programs

    Sr. Program Manager - TA Programs

    Columbia SportswearPortland, OR, US
    Full-time
    This is a hybrid role based out of our HQ office near Portland, Oregon.The expectation is for employees to be in-office 3 days or more per week, depending on business need.This in-office expectatio...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager

    Program Manager

    VirtualVocationsAloha, Oregon, 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
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareVANCOUVER, 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
    Mission Critical Program Manager

    Mission Critical Program Manager

    Tetra TechPortland, OR, US
    Full-time
    Mission Critical Program Manager.Glumac, a Tetra Tech company, is adding a Mission Critical Program Manager to our Mission Critical Facilities Team based in Portland. This "Seller-Doer" role provide...Show moreLast updated: 30+ days ago
    • Promoted
    Surgical Services Manager

    Surgical Services Manager

    VeracityPortland, OR, US
    Full-time
    The manager of Surgical Services is responsible for managing the daily unit operations of designated units within the division of Surgical Services. This could include either an inpatient unit at KS...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager - Success- Portland

    Program Manager - Success- Portland

    College Possible Leadership TeamPortland, OR, US
    Full-time
    At College Possible, we believe talent is universal.For many students, the path to college can feel overwhelming or out of reach. We support students on their journey to higher education by providin...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Program Management

    Director of Program Management

    VirtualVocationsAloha, Oregon, United States
    Full-time
    A company is looking for a Lead Director of Program Management.Key Responsibilities Collaborate with clinical and operational leaders to identify business needs and strategic objectives Analyze ...Show moreLast updated: 30+ days ago
    Program Manager Success- Portland

    Program Manager Success- Portland

    College Possible Leadership TeamPortland, OR, USA
    Full-time
    Quick Apply
    At College Possible, we believe talent is universal.For many students, the path to college can feel overwhelming or out of reach. We support students on their journey to higher education by providin...Show moreLast updated: 30+ days ago