Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcarePhoenix, AZ, US
6 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 • Phoenix, AZ, US

    Related jobs
    • Promoted
    • New!
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcarePhoenix, AZ, 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: 6 hours ago
    • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    ALOIS HealthcareCasa Grande, AZ, US
    Full-time
    ALOIS Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Casa Grande, Arizona. Job Description & Requirements.Much of the work they do centers on ass...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    GetMed Staffing, Inc.Casa Grande, AZ, US
    Full-time
    RN PCU - Progressive Care Unit for a travel nursing job in Casa Grande, Arizona.Job Description & Requirements.Pay package is based on 12 hour shifts and 36. Posted job title : RN : PCU,19 : 00 : 00-07...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Physical Therapist

    Travel Physical Therapist

    Medical Solutions AlliedMaricopa, AZ, US
    Full-time
    Medical Solutions Allied is seeking a travel Physical Therapist for a travel job in Maricopa, Arizona.Job Description & Requirements. We’re seeking talented healthcare professionals whose ...Show moreLast updated: 30+ days ago
    • Promoted
    Physical Therapist - $10,000 Sign On Bonus + Relocation Available

    Physical Therapist - $10,000 Sign On Bonus + Relocation Available

    Phoenix Children'sFountain Hills, AZ, United States of America
    Full-time
    This position provides physical therapy services to pediatric population, neonate to adolescence, including evaluation and treatment, using modalities such as exercise, heat, water, electricity, ma...Show moreLast updated: 27 days ago
    • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Host HealthcareCasa Grande, AZ, US
    Full-time
    Host Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Casa Grande, Arizona. Job Description & Requirements.Pay package is based on 12 hour shifts a...Show moreLast updated: 30+ days ago
    • Promoted
    Interventional Radiology Tech

    Interventional Radiology Tech

    Phoenix Children'sFountain Hills, AZ, United States of America
    Full-time
    This position performs radiographic procedures for interventional studies in specialized areas.This position receives supervision of work activities from the Mgr, Diagnostic Imaging and this positi...Show moreLast updated: 27 days ago
    • Promoted
    Travel Physical Therapist (PT) in Maricopa, AZ

    Travel Physical Therapist (PT) in Maricopa, AZ

    AlliedTravelCareersMaricopa, AZ, US
    Full-time +1
    AlliedTravelCareers is working with Delta Healthcare Providers to find a qualified Physical Therapist (PT) in Maricopa, Arizona, 85138!. Setting : Outpatient, Orthopedics .Compensation : $1,810 - $2...Show moreLast updated: 30+ days ago
    • Promoted
    Licensed Clinical Manager

    Licensed Clinical Manager

    AdeccoMesa, AZ, US
    Full-time
    We are currently seeking a .Behavioral Health and Substance Abuse facilities in .If you are passionate about helping your community and looking for an exceptional growth opportunity...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Progressive Care Unit Registered Nurse

    Travel Progressive Care Unit Registered Nurse

    PRIDE HealthCasa Grande, AZ, US
    Full-time
    PRIDE Health is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Casa Grande, Arizona.Job Description & Requirements. Pay package is based on 12 hour shifts and ...Show moreLast updated: 30+ days ago
    • Promoted
    Mental Health Therapist

    Mental Health Therapist

    SonderMind CareersFountain Hills, AZ, US
    Full-time
    SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cutting-edge, AI-powered tools....Show moreLast updated: 24 days ago
    • Promoted
    Clinical Nurse

    Clinical Nurse

    Phoenix Children'sFountain Hills, AZ, United States of America
    Full-time
    Phoenix Children's is hiring a full time Circulating Nurse position in the Main Surgery unit at our Thomas location.You will work alongside some of the best surgeons, techs, radiologists, and nurse...Show moreLast updated: 27 days ago
    • Promoted
    Travel Progressive Care Unit RN

    Travel Progressive Care Unit RN

    Ethos Medical StaffingCasa Grande, AZ, US
    Full-time
    Ethos Medical Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Casa Grande, Arizona. Job Description & Requirements.Ethos Medical Staffing Job ID #34...Show moreLast updated: 30+ days ago
    • Promoted
    Physical Therapist

    Physical Therapist

    Delta CompaniesMaricopa, AZ, US
    Full-time
    Setting : Outpatient, Orthopedics .Compensation : $1,810 - $2,122 estimated weekly pay .Start : ASAP | open to 1-2 months out . Duration : 15 weeks | potential to extend .Benefits : Blue Cross Blu...Show moreLast updated: 6 days ago
    • Promoted
    Physical Therapist PT Home Health

    Physical Therapist PT Home Health

    Banner HealthMaricopa, AZ, US
    Full-time
    K Hire-On Incentive, plus relocation assistance!.You have a place in the health care industry! One of the most rewarding ways that we can rehabilitate patients is in their own home.Whether re...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Nurse - Critical Care Float Pool

    Clinical Nurse - Critical Care Float Pool

    Phoenix Children'sCasa Grande, AZ, United States of America
    Full-time
    Critical Care Float Pool Registered Nurses utilize a patient and family-centered approach to provide compassionate and high-quality care for children of all ages. Critical Care Float Pool RNs are as...Show moreLast updated: 27 days ago
    • Promoted
    Certified Diabetes Educator

    Certified Diabetes Educator

    Phoenix Children'sFountain Hills, AZ, United States of America
    Full-time
    This position develops, implements, and evaluates proactive patient educational plans and programs to address patient care needs in accordance with established best practices, standards, requiremen...Show moreLast updated: 27 days ago
    • Promoted
    Director, Clinical Services

    Director, Clinical Services

    Davita Inc.Gilbert, AZ, United States
    Full-time
    E Germann RdSuite 150, Gilbert, Arizona, 852979834, United States of America.Here's what you can expect as a Director of Clinical Services at DaVita : . This position functions as the division's clini...Show moreLast updated: 9 days ago