Talent.com
Program Manager, Healthcare Services
Program Manager, Healthcare ServicesMolina Healthcare • Lexington, KY, US
No longer accepting applications
Program Manager, Healthcare Services

Program Manager, Healthcare Services

Molina Healthcare • Lexington, KY, US
26 days ago
Job type
  • Full-time
Job description

Healthcare Services Program Manager

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.
  • Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

    Create a job alert for this search

    Program Manager • Lexington, KY, US

    Related jobs
    Travel Physical Therapist (PT) - $1,822 to $2,037 per week in Georgetown, KY

    Travel Physical Therapist (PT) - $1,822 to $2,037 per week in Georgetown, KY

    Prime Time Healthcare • Georgetown, KY, US
    Full-time
    Now Hiring : Allied Healthcare Physical Therapist - Georgetown, KY.Contact us for Pay Information.Actual amount dependent upon market adjustments. Are you a passionate Allied Healthcare professional ...Show more
    Last updated: 18 days ago • Promoted
    Travel Physical Therapist (PT) - $1,859 per week in Georgetown, KY

    Travel Physical Therapist (PT) - $1,859 per week in Georgetown, KY

    Triage Staffing LLC • Georgetown, KY, US
    Full-time
    Travel Rehab : Physical Therapy Georgetown.Shift Details : 8H Days (12 : 00 AM-12 : 00 PM).Length : 13 WEEKS 13 weeks.Apply for specific facility details.Show more
    Last updated: 8 days ago • Promoted
    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Georgetown, KY

    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Georgetown, KY

    CompHealth • Georgetown, KY, US
    Full-time
    Some locum assignments can be as short as a day, others, years.Some are far from home, others are local.Whatever it is you're looking for, we offer true opportunities, not just postings.CompHealth ...Show more
    Last updated: 25 days ago • Promoted
    Travel Radiation Oncology Therapist - $2,143 per week

    Travel Radiation Oncology Therapist - $2,143 per week

    Host Healthcare • Georgetown, KY, United States
    Full-time
    Host Healthcare is seeking a travel Radiation Therapist for a travel job in Georgetown, Kentucky.Job Description & Requirements. Host Healthcare Job ID #a1fVJ000007r5VOYAY.Pay package is based on 9 ...Show more
    Last updated: 16 days ago • Promoted
    Travel Long Term Acute Care (RN) - $2,065 per week

    Travel Long Term Acute Care (RN) - $2,065 per week

    Genie Healthcare • Danville, KY, United States
    Full-time
    Genie Healthcare is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Danville, Kentucky.Job Description & Requirements. Genie Healthcare is looking for a RN to work in Long...Show more
    Last updated: 12 days ago • Promoted
    Program Manager, Healthcare Services

    Program Manager, Healthcare Services

    Kentucky Staffing • Lexington, KY, 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 more
    Last updated: 25 days ago • Promoted
    Travel Physical Therapist (PT) - $1,552 to $1,700 per week in Georgetown, KY

    Travel Physical Therapist (PT) - $1,552 to $1,700 per week in Georgetown, KY

    AMN Healthcare Allied • GEORGETOWN, KY, US
    Full-time
    Job Description & Requirements.Physical Therapist - Outpatient - (PT) .StartDate : 12 / 8 / 2025 Pay Rate : $1551.Reputable OP is looking for a highly motivated and energetic therapist to join the ...Show more
    Last updated: 25 days ago • Promoted
    Travel Physical Therapist (PT) - $1,822 to $2,037 per week in Georgetown, KY

    Travel Physical Therapist (PT) - $1,822 to $2,037 per week in Georgetown, KY

    AlliedTravelNetwork • Georgetown, KY, US
    Full-time
    AlliedTravelNetwork is working with Prime Time Healthcare to find a qualified Physical Therapist (PT) in Georgetown, Kentucky, 40324!. Now Hiring : Allied Healthcare Physical Therapist - Georgetown, ...Show more
    Last updated: 18 days ago • Promoted
    Travel Radiation Therapist - $1800 / Week

    Travel Radiation Therapist - $1800 / Week

    LRS Healthcare - Allied • Georgetown, KY, US
    Full-time
    LRS Healthcare - Allied is seeking an experienced Radiation Therapist for an exciting Travel Allied job in Georgetown, KY. Shift : Inquire Start Date : 12 / 29 / 2025 Duration : 13 weeks Pay : $1800 / Week....Show more
    Last updated: 8 days ago • Promoted
    Locum Physician (MD / DO) - Family Practice - $115 to $125 per hour in Georgetown, KY

    Locum Physician (MD / DO) - Family Practice - $115 to $125 per hour in Georgetown, KY

    LocumJobsNetwork • Georgetown, KY, US
    Full-time
    LocumJobsNetwork is working with Curative to find a qualified Family Practice MD in Georgetown, Kentucky, 40324!.Fast Credentialing - Locums Family Practice in Kentucky. An outstanding Locums opport...Show more
    Last updated: 20 days ago • Promoted
    Travel Radiation Therapist - $2008.06 / Week

    Travel Radiation Therapist - $2008.06 / Week

    FlexCare • Georgetown, KY, US
    Full-time
    FlexCare is seeking an experienced Radiation Therapist for an exciting Travel Allied job in Georgetown, KY.Shift : 5x8 hr days Start Date : 01 / 05 / 2026 Duration : 13 weeks Pay : $2008.Why Clinicians Cho...Show more
    Last updated: 19 hours ago • Promoted • New!
    Travel Nurse RN - Long Term Acute Care - $2,074 per week

    Travel Nurse RN - Long Term Acute Care - $2,074 per week

    GHR Healthcare • Danville, KY, United States
    Full-time
    GHR Healthcare is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Danville, Kentucky.Job Description & Requirements. For over 30 years, GHR Healthcare has been the bridge ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse - RN - LTAC - Long Term Acute Care - $1832 / Week

    Travel Nurse - RN - LTAC - Long Term Acute Care - $1832 / Week

    LRS Healthcare - Nursing • Danville, KY, US
    Full-time
    LRS Healthcare - Nursing is seeking an experienced Long Term Acute Care Registered Nurse for an exciting Travel Nursing job in Danville, KY. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $...Show more
    Last updated: 22 days ago • Promoted
    Clinical Program Manager

    Clinical Program Manager

    InsideHigherEd • Lexington, Kentucky, United States
    Full-time
    Click here for more information about equivalencies : : .Required License / Registration / Certification : .This position will require you to sit and / or stand for extended periods of time; perform repetitiv...Show more
    Last updated: 9 days ago • Promoted
    Travel Physical Therapist (PT) in Danville, KY

    Travel Physical Therapist (PT) in Danville, KY

    AlliedTravelCareers • Danville, KY, US
    Full-time +1
    AlliedTravelCareers is working with Seven Healthcare to find a qualified Physical Therapist (PT) in Danville, Kentucky, 40422!. Seven Healthcare is pleased to offer a travel opportunity for a Physic...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse - RN - Home Health - $2006 / Week

    Travel Nurse - RN - Home Health - $2006 / Week

    KPG Healthcare Nursing • Danville, KY, US
    Permanent +1
    KPG Healthcare Nursing is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Danville, KY. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $2006 / Week...Show more
    Last updated: 30+ days ago • Promoted
    Locum Physician (MD / DO) - Family Practice - $115 to $125 per hour in Georgetown, KY

    Locum Physician (MD / DO) - Family Practice - $115 to $125 per hour in Georgetown, KY

    LocumJobsOnline • Georgetown, KY, US
    Full-time +1
    LocumJobsOnline is working with Curative to find a qualified Family Practice MD in Georgetown, Kentucky, 40324!.Fast Credentialing - Locums Family Practice in Kentucky. An outstanding Locums opportu...Show more
    Last updated: 20 days ago • Promoted
    Accounting Manager or Team Lead - Lexington, KY - Partially Remote

    Accounting Manager or Team Lead - Lexington, KY - Partially Remote

    UnitedHealth Group • Georgetown, KY, United States
    Remote
    Full-time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people...Show more
    Last updated: 30+ days ago • Promoted