Talent.com
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareTampa, FL, US
7 days ago
Job type
  • Full-time
Job description

JOB DESCRIPTION

Job Summary

Leads and directs a team supporting clinical systems. Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. Considers business problems "end-to-end" : including people, process, and technology, both within and outside the enterprise, as part of any design solution. Monitors emerging technologies for potential application within or across the business. Provides solution ideation to drive operational excellence, efficiencies and compliance for clinical functions supported through technology. Maintains lights-on support and governance of clinical system changes. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

  • Responsible for collaborating with the information technology team (IT) for product delivery through oversight and management of the system development lifecycle (SDLC).
  • Manages teams that drive business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations
  • Serves as industry subject matter expert in the functional area and leads clinical systems to meet critical needs.
  • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
  • Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
  • Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation through delivery.
  • Establishes and manages key performance metrics and develops goals and strategies to achieve corporate objectives.
  • Serves as mentor, coach and leader to the application design and development and support teams.

Required Qualifications

  • At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics or health care environment, or equivalent combination of relevant education and experience.
  • At least 3 years management / leadership experience in a clinical leadership, clinical systems and / or informatics, utilization management, or care management role.
  • Experience leading cross-functional teams and change management.
  • Experience aligning clinical systems with organizational goals.
  • Project management experience to include managing timelines, resources, and stakeholder expectations.
  • Previous data integration and analytics experience.
  • Operational and process improvement experience.
  • Ability to work collaboratively in a highly matrixed organization.
  • Excellent organizational, problem-solving and critical-thinking skills.
  • Strong written and verbal communication skills.
  • Microsoft Office suite / applicable software program(s) proficiency.
  • Preferred Qualifications

  • Registered Nurse (RN). License must be active and unrestricted in state of practice. Product owner / management certification (CSM, SAFe PO / PM, or other Lean Agile Product Management Certifications)
  • Sigma Black Belt certification or Information Technology Infrastructure Library (ITIL) certification.
  • 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 : $97,299 - $189,732 / 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 Director • Tampa, FL, US

    Related jobs
    • Promoted
    Medical Director

    Medical Director

    AdventHealth West Florida Ambulatory Services, IncTampa, Florida, US
    Full-time
    Medical Director physician employment in Florida : .AdventHealth West Florida Division Women's Services Institute is seeking a Medical Director. The director's medical specialty can be OB / Gyn, Matern...Show moreLast updated: 30+ days ago
    • Promoted
    Regional Clinical Sales Program Director

    Regional Clinical Sales Program Director

    Enhabit Home Health & HospiceNew Port Richey, FL, US
    Full-time
    The Regional Program Director will office from the agency location closest to his / her residence and travel to the other agency locations across the territory on a regular and frequent basis.Travel ...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Clinical Quality Assurance

    Director, Clinical Quality Assurance

    EisaiTampa, FL, United States
    Full-time
    At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission.We're a growing pharm...Show moreLast updated: 11 days ago
    • Promoted
    Medical Oncology Director

    Medical Oncology Director

    VirtualVocationsSaint Petersburg, Florida, United States
    Full-time
    A company is looking for a Medical Director.Key Responsibilities Conduct clinical case reviews with interdisciplinary teams for anti-cancer therapies Lead multidisciplinary discussions to suppor...Show moreLast updated: 30+ days ago
    • Promoted
    Become a Center Clinical Director at ChenMed – Lead, Innovate, Transform Healthcare

    Become a Center Clinical Director at ChenMed – Lead, Innovate, Transform Healthcare

    ChenMed Family of CompaniesClearwater, FL, US
    Permanent
    Are you a dynamic leader with a passion for improving patient care?.At ChenMed, we're more than just a healthcare provider – we’re revolutionizing senior care.Join our rapidly expanding...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Associate Medical Director

    Associate Medical Director

    ChenMedLargo, FL, US
    Full-time
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...Show moreLast updated: 22 hours ago
    • Promoted
    Clinical Operations Manager

    Clinical Operations Manager

    VirtualVocationsSaint Petersburg, Florida, United States
    Full-time
    A company is looking for a Line Manager to oversee the execution of clinical trials and manage clinical study teams.Key Responsibilities Lead the operational planning and execution of clinical tr...Show moreLast updated: 30+ days ago
    • Promoted
    Job Clinical Director

    Job Clinical Director

    American Addiction CentersRiverview, FL, US
    Full-time
    If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we lis...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Outpatient Services

    Director of Outpatient Services

    Acadia HealthcareWesley Chapel, FL, US
    Full-time
    Director of Outpatient Services.Located in Wesley Chapel, Florida, North Tampa Behavioral Health Hospital is a 126-bed psychiatric facility serving adults and seniors across the Tampa Bay area.As p...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareSAINT PETERSBURG, 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
    Clinical Director of Patient Care Services Pinellas County

    Clinical Director of Patient Care Services Pinellas County

    VITAS HEALTHCARESaint Petersburg, FL, US
    Full-time
    WHO WE ARE We are VITAS Healthcare, the nation’s leading end-of-life care provider since 1978.Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally ...Show moreLast updated: 11 days ago
    • Promoted
    Orthopedic Surgery Medical Director

    Orthopedic Surgery Medical Director

    VirtualVocationsLargo, Florida, United States
    Full-time
    A company is looking for an Associate Medical Director, Orthopedic Surgery.Key Responsibilities Provide timely medical reviews that meet quality parameters Document communication and decision-ma...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    State Licensed Orthopedic Spine Director

    State Licensed Orthopedic Spine Director

    VirtualVocationsTampa, Florida, United States
    Full-time
    A company is looking for an Associate Medical Director, Orthopedic Spine Surgery.Key Responsibilities Provide timely medical reviews that meet quality parameters Document all communication and d...Show moreLast updated: 10 hours ago
    • Promoted
    Director Care ManagementLand O Lakes, FL

    Director Care ManagementLand O Lakes, FL

    AdventHealthLand O Lakes, FL, US
    Full-time
    At AdventHealth Connerton, located in Land O' Lakes, Florida, our team of compassionate professionals is dedicated to supporting our patients, neighbors and families on their journeys to whole-pers...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Medical Director - Utilization Management

    Medical Director - Utilization Management

    VirtualVocationsSaint Petersburg, Florida, United States
    Full-time
    A company is looking for a Medical Director Utilization Management - Clinical Advocacy and Support.Key Responsibilities : Conduct coverage reviews and render coverage determinations based on membe...Show moreLast updated: 2 hours ago
    • Promoted
    Clinical Manager Home Health

    Clinical Manager Home Health

    Pinnacle Home Care Inc.Spring Hill, FL, US
    Full-time
    Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most –&...Show moreLast updated: 5 days ago
    • Promoted
    • New!
    Associate Center Clinical Director

    Associate Center Clinical Director

    ChenMedTemple Terrace, FL, US
    Full-time
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...Show moreLast updated: 16 hours ago
    • Promoted
    State Licensed Medical Director

    State Licensed Medical Director

    VirtualVocationsClearwater, Florida, United States
    Full-time
    A company is looking for a Remote Medical Director, Inpatient Medicare.Key Responsibilities Direct and coordinate medical management, quality improvement, and credentialing functions Perform med...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Manager Home Health

    Clinical Manager Home Health

    Pinnacle Home CareSpring Hill, FL, US
    Full-time
    Are you looking to make a difference in patients' lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most at home.Pinna...Show moreLast updated: 4 days ago
    • Promoted
    Director Neuroscience WFDTampa, FL

    Director Neuroscience WFDTampa, FL

    AdventHealthTampa, FL, US
    Full-time
    Director Neuroscience Institute.We have more than 50 years of experience using innovative medicine to elevate health care in the Tampa region. We continue to make history every day through our clini...Show moreLast updated: 30+ days ago