Talent.com
Program Manager, Healthcare Services (Contract Experience Required) - REMOTE
Program Manager, Healthcare Services (Contract Experience Required) - REMOTERemote Staffing • Orem, UT, US
No longer accepting applications
Program Manager, Healthcare Services (Contract Experience Required) - REMOTE

Program Manager, Healthcare Services (Contract Experience Required) - REMOTE

Remote Staffing • Orem, UT, US
3 days ago
Job type
  • Full-time
  • Remote
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.
  • 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 - $142,549 / 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

    Program Manager • Orem, UT, US

    Related jobs
    Sr Program Director

    Sr Program Director

    bioMerieux Inc. • Salt Lake City, UT, United States
    Full-time
    Position Summary & Responsibilities : .The Program Management role is accountable for providing expertise, support, and control for programs including : developing program management best practices / te...Show more
    Last updated: 27 days ago • Promoted
    Care Partner - Remote

    Care Partner - Remote

    Sharecare • Salt Lake City, UT, United States
    Remote
    Full-time
    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driv...Show more
    Last updated: 15 hours ago • Promoted • New!
    Product Manager

    Product Manager

    WCF Insurance • Sandy, UT, USA
    Full-time
    Quick Apply
    WCF is an A Rated insurance carrier that is growing in the western U.The product team has an immediate opening for someone who can demonstrate the WCF values to join their team as a full-time Produ...Show more
    Last updated: 30+ days ago
    Senior Product Manager - Wellness

    Senior Product Manager - Wellness

    Versaterm • Salt Lake City, Utah, United States
    Full-time
    Versaterm is a global public safety solutions company helping agencies transform how they serve their communities.Since 1977, we’ve been building an ecosystem of intuitive tools designed for public...Show more
    Last updated: 25 days ago • Promoted
    Medicaid Product Manager - Clinical Intake

    Medicaid Product Manager - Clinical Intake

    Utah Staffing • Salt Lake City, UT, US
    Full-time
    Medicaid Clinical Operations Intake Product Manager.Become a part of our caring community and help us put health first.The Medicaid Clinical Operations Intake Product Manager applies professional c...Show more
    Last updated: 2 days ago • Promoted
    AI Program & Product Delivery Manager

    AI Program & Product Delivery Manager

    Intellibus • Salt Lake City, UT, US
    Full-time
    The AI Program & Product Delivery Manager is responsible for driving the day-to-day execution of the AI acceleration program — ensuring all squads (AI Skunk Works, Data Foundations, and E...Show more
    Last updated: 21 hours ago • Promoted • New!
    Transaction Services Manager - Healthcare

    Transaction Services Manager - Healthcare

    Utah Staffing • Salt Lake City, UT, US
    Full-time
    Transaction Services Manager - Healthcare.At Moss Adams, we champion authenticity.For us, that means fostering a culture of talented people who careabout you, about our clients, and about our commu...Show more
    Last updated: 9 days ago • Promoted
    Program Manager I

    Program Manager I

    Medical College of Wisconsin • Salt Lake City, UT, United States
    Full-time
    We're looking for those individuals-the creative thinkers and innovation seekers-who are content with nothing short of changing the world. Discover the endless opportunities within the Medical Colle...Show more
    Last updated: 30+ days ago • Promoted
    RCM Partnerships Manager

    RCM Partnerships Manager

    Henry Schein One • American Fork, Utah, USA
    Full-time
    This position will be remote within the United States.The RCM Partnership Manager is a strategic leadership role responsible for identifying developing and managing high-value partnerships that dri...Show more
    Last updated: 9 days ago • Promoted
    Program Manager Email Operations

    Program Manager Email Operations

    Qualtrics • Provo, Utah, USA
    Full-time
    At Qualtrics we create software the worlds best brands use to deliver exceptional frontline experiences build high-performing teams and design products people love. But we are more than a platformwe...Show more
    Last updated: 11 days ago • Promoted
    Provider Contracts Manager - Complex (Remote in ID)

    Provider Contracts Manager - Complex (Remote in ID)

    Molina Healthcare • Orem, UT, US
    Remote
    Full-time
    Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignme...Show more
    Last updated: 2 days ago • Promoted
    Project Manager (Contract, Remote)

    Project Manager (Contract, Remote)

    Infuse • Salt Lake City, UT, US
    Remote
    Full-time
    Project Manager (Contract, Remote).We will review your application against our job requirements.We may then invite you to submit a video interview for the review of the hiring manager.At this point...Show more
    Last updated: 12 days ago • Promoted
    Patient Experience Manager - State Specific Remote

    Patient Experience Manager - State Specific Remote

    Utah Staffing • Salt Lake City, UT, US
    Remote
    Full-time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show more
    Last updated: 1 day ago • Promoted
    Residential Group Home Program Manager

    Residential Group Home Program Manager

    Danville Services • South Jordan, UT, US
    Full-time
    Quick Apply
    Residential Group Home Program Manager Are you looking to make a difference in people's lives?.Do you want a job that is more than just a paycheck?. Are you empathetic and compassionate?.Help adults...Show more
    Last updated: 18 days ago
    PS Program Manager

    PS Program Manager

    Utah Staffing • Salt Lake City, UT, US
    Full-time
    Under minimal supervision, responsible for planning, organizing, directing and / or controlling all aspects pertaining to clinical research functions of assigned department's internal and external cu...Show more
    Last updated: 19 days ago • Promoted
    Manager, Payor Engagement- Remote

    Manager, Payor Engagement- Remote

    Sharecare • Salt Lake City, UT, United States
    Remote
    Full-time
    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driv...Show more
    Last updated: 30+ days ago • Promoted
    Senior Specialist, Provider Contracts HP

    Senior Specialist, Provider Contracts HP

    Utah Staffing • Provo, UT, US
    Full-time
    Molina Health Plan Provider Network Contracting.Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operation...Show more
    Last updated: 2 days ago • Promoted
    Engagement Manager (RCM Manager)

    Engagement Manager (RCM Manager)

    Cloudious LLC • Salt Lake City, UT, United States
    Full-time
    Quick Apply
    Engagement Manager (RCM Manager) Location : Salt Lake City, UT(Onsite) Contract-6 Months Automati...Show more
    Last updated: 8 hours ago • New!