Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareOH, United States
19 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 • OH, United States

    Related jobs
    • Promoted
    Clinical Nurse Manager- Nocturnal Shift

    Clinical Nurse Manager- Nocturnal Shift

    OhioHealthMansfield, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 24 days ago
    • Promoted
    • New!
    Center Clinical Director, Associate

    Center Clinical Director, Associate

    ChenMedMillersport, OH, 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: 13 hours ago
    • Promoted
    RN

    RN

    OhioHealthMansfield, OH, United States
    Part-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 30+ days ago
    LifeWise Program Director

    LifeWise Program Director

    LifeWise Applicant CenterMillersport, OH, USA
    Part-time
    Quick Apply
    LifeWise Academy is a released-time religious instruction program that exists to reach public school students with the gospel during school hours. Under released time law, students may be released f...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Behavioral Health Activity Therapist

    Travel Behavioral Health Activity Therapist

    LifePointPickerington, OH, US
    Full-time
    Therapist for a travel job in Pickerington, Ohio.Job Description & Requirements.Unit Profile Facility Name : Columbus Springs East Floor : 1 Trauma Level : Acute BH Position Information : • Fa...Show moreLast updated: 10 days ago
    • Promoted
    Nurse Manager-Surgical Services

    Nurse Manager-Surgical Services

    Yale New Haven HealthCroton, OH, United States
    Full-time
    Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunity.To be part of our organization, every employee should understand and share in the ...Show moreLast updated: 1 day ago
    • Promoted
    Critical Care / ED Nurse Residency - Marion General / Hardin Memorial

    Critical Care / ED Nurse Residency - Marion General / Hardin Memorial

    OhioHealthMarion, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 30+ days ago
    • Promoted
    Staff RN - Observation Unit - Marion

    Staff RN - Observation Unit - Marion

    OhioHealthMarion, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 24 days ago
    • Promoted
    Opioid Treatment Program Medical Director

    Opioid Treatment Program Medical Director

    COMPLETE HEALTHCAREMarysville, OH, US
    Full-time
    Complete Healthcare is a comprehensive, private practice with 8 locations specializing in Addiction Medicine, Primary Care, and Gynecology. As an established, rapidly growing, and fast-paced organiz...Show moreLast updated: 30+ days ago
    • Promoted
    Staff RN - Behavioral Health (Marion)

    Staff RN - Behavioral Health (Marion)

    OhioHealthMarion, OH, US
    Part-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Nurse Manager - Evening / Nights OhioHealth Grady Memorial Hospital

    Clinical Nurse Manager - Evening / Nights OhioHealth Grady Memorial Hospital

    OhioHealthDelaware, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 26 days ago
    • Promoted
    Credentialing Program Manager

    Credentialing Program Manager

    OhioHealthMarion, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 30+ days ago
    • Promoted
    Data Center Program Manager

    Data Center Program Manager

    US Tech SolutionsNew Albany, OH, US
    Full-time
    Hybrid Job Description : We are seeking a highly motivated Data Center Program Manager to drive long-term improvements across our data center infrastructure. This role will play a pivotal part in ens...Show moreLast updated: 30+ days ago
    • Promoted
    Critical Care / ED Nurse Residency - Mansfield / Shelby

    Critical Care / ED Nurse Residency - Mansfield / Shelby

    OhioHealthMansfield, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 30+ days ago
    • Promoted
    Manager, Medical Staff Services

    Manager, Medical Staff Services

    OhioHealthMansfield, OH, US
    Full-time
    Manager Of Medical Staff Administration.We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.We wor...Show moreLast updated: 6 days ago
    • Promoted
    RN Med Surg, FT Nights

    RN Med Surg, FT Nights

    OhioHealthPickerington, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 7 days ago
    • Promoted
    Medical-Surgical / Intermediate Care Nurse Residency - Marion

    Medical-Surgical / Intermediate Care Nurse Residency - Marion

    OhioHealthMarion, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 30+ days ago
    • Promoted
    Staff RN - Observation Unit (Mansfield)

    Staff RN - Observation Unit (Mansfield)

    OhioHealthMansfield, OH, US
    Part-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 30+ days ago
    • Promoted
    Staff RN - Medical Post-Surgical (Marion)

    Staff RN - Medical Post-Surgical (Marion)

    OhioHealthMarion, OH, US
    Full-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 26 days ago
    • Promoted
    RN Med Surg - PT, Days

    RN Med Surg - PT, Days

    OhioHealthPickerington, OH, US
    Part-time
    We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to...Show moreLast updated: 4 days ago