Talent.com
No longer accepting applications
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareAlbany, NY, US
20 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 • Albany, NY, US

    Related jobs
    • Promoted
    Reach Up Case Manager II

    Reach Up Case Manager II

    State of VermontBennington, VT, United States
    Full-time
    The Economic Services Division (ESD) is responsible for the administration of economic benefits to help Vermonters meet their basic needs. ESD is one of 6 divisions under the Department for Children...Show moreLast updated: 3 days ago
    Clinical Operations Manager

    Clinical Operations Manager

    Berkshire Health SystemsPittsfield, Massachusetts, United States, 01201
    Full-time
    Under the direction of the BFS Director of Operations, the Clinical / Operations Manager is responsible for the overall administrative and clinical functions necessary to support the effective day-to...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Manager - Specialty Services

    Clinical Manager - Specialty Services

    United Counseling ServicesBennington, Vermont, United States
    Full-time
    Position Title : Clinical Manager - Specialty Services Job Location : .Bennington, VT Education Level.Salary Job Shift : Day Job Category : Position Requires Credentialing Description : Why join UCS?Sinc...Show moreLast updated: 3 days ago
    • Promoted
    Clinical Nurse II : Float Pool, 36 hrs / week, Days

    Clinical Nurse II : Float Pool, 36 hrs / week, Days

    Albany Medical CenterAltamont, NY, US
    Full-time
    Day (United States of America).The clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active...Show moreLast updated: 3 days ago
    • Promoted
    Clinical Manager - SUD

    Clinical Manager - SUD

    United Counseling ServicesBennington, VT, US
    Full-time
    Position Requires Credentialing.Since 1958, United Counseling Service (UCS) has been dedicated to providing exceptional care and support to individuals and families in our community.Through a wide ...Show moreLast updated: 4 days ago
    • Promoted
    Program Manager

    Program Manager

    Vermont StaffingBennington, VT, US
    Full-time
    Health Advocates Network is currently seeking a Program Manager to work at a facility in Bennington, VT.These are registry positions with our company. Shift Details : Class : PM Shift : 1 Start : 08 : 00 : ...Show moreLast updated: 11 days ago
    Director - Ambulatory Services

    Director - Ambulatory Services

    Berkshire Health SystemsPittsfield, Massachusetts, United States, 01201
    Full-time
    Director - Ambulatory Services.This role requires oversight of multiple diverse departments, managing clinical quality, customer service, financial performance, operational efficiency, and overall ...Show moreLast updated: 30+ days ago
    • Promoted
    Assistant Program Director

    Assistant Program Director

    College Internship Program IncLee, MA, US
    Full-time +1
    The Assistant Program Director is an onsite full-time exempt position located in Lee, MA who reports to the Program Director. This position operates in a highly scheduled environment but may require...Show moreLast updated: 30+ days ago
    • Promoted
    Assistant Nurse Manager - Critical Care Float Pool

    Assistant Nurse Manager - Critical Care Float Pool

    Albany Medical CenterCoxsackie, NY, USA
    Full-time
    Assistant Nurse Manager - Critical Care Float Pool at Albany Medical Center summary : .The Assistant Nurse Manager in the Critical Care Float Pool is responsible for overseeing patient care delivery,...Show moreLast updated: 30+ days ago
    Clinical Manager

    Clinical Manager

    Berkshire Health SystemsPittsfield, Massachusetts, United States, 01201
    Full-time
    Provides supervision of the daily operations on the assigned units.Acts on behalf of the organization, providing supervision for staff members. Participates in the hiring process and disciplinary ac...Show moreLast updated: 17 days ago
    • Promoted
    Glens Falls Hospital - RN Clinical Informatics Specialist

    Glens Falls Hospital - RN Clinical Informatics Specialist

    Albany Medical CenterBuskirk, NY, US
    Full-time
    AMHS - Clinical Informatics Information Systems & Services.Day (United States of America).The Clinical Informatics Nurse utilizes the Tenets of American Nurses Association (ANA) Scope and Standards...Show moreLast updated: 6 days ago
    • Promoted
    Clinical Nurse II

    Clinical Nurse II

    Albany Medical CenterAlbany, NY, US
    Full-time
    Float Pool_5_Night (United States of America).The Clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kind...Show moreLast updated: 3 days ago
    • Promoted
    Travel Nurse RN - Home Health - $2,343 per week

    Travel Nurse RN - Home Health - $2,343 per week

    Slate HealthcareBennington, VT, US
    Full-time
    Slate Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Bennington, Vermont.Job Description & Requirements. Utilizing the nursing process, assesses patient / care giver n...Show moreLast updated: 5 days ago
    • Promoted
    Public Health Services District Director I - Bennington

    Public Health Services District Director I - Bennington

    State of VermontBennington, VT, United States
    Full-time
    Are you a collaborative, visionary leader passionate about community health? The Vermont Department of Health is seeking an experienced and motivated professional to lead our interdisciplinary team...Show moreLast updated: 3 days ago
    • Promoted
    RN-Clinical Informatics Specialist

    RN-Clinical Informatics Specialist

    Albany Medical CenterCambridge, NY, US
    Full-time
    AMHS - Clinical Informatics Information Systems & Services.Day (United States of America).The Clinical Informatics Nurse utilizes the Tenets of American Nurses Association (ANA) Scope and Standards...Show moreLast updated: 6 days ago
    • Promoted
    Public Health Services District Director I - Bennington

    Public Health Services District Director I - Bennington

    Vermont JobsBennington, VT, US
    Full-time
    Public Health Services District Director I - Bennington.Are you a collaborative, visionary leader passionate about community health? The Vermont Department of Health is seeking an experienced and m...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Slate HealthcareBennington, VT, US
    Full-time
    Slate Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Bennington, Vermont.Job Description & Requirements. Utilizing the nursing process, assesses patient / care giv...Show moreLast updated: 30+ days ago
    • Promoted
    RN-Clinical Service Line Lead - 40hrs / week, DAYS

    RN-Clinical Service Line Lead - 40hrs / week, DAYS

    Albany Medical CenterNew Lebanon, NY, US
    Full-time
    Day (United States of America).Robotic Clinical Service Line Lead.The Perioperative Clinical Service Line Lead reports to the nurse manager and holds a key leadership position within the division.I...Show moreLast updated: 6 days ago