Talent.com
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareAnkeny, IA, United States
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 • Ankeny, IA, United States

    Related jobs
    • Promoted
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareAmes, IA, United States
    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
    • New!
    HCBS Program Supervisor

    HCBS Program Supervisor

    Imagine the Possibilities IncWinterset, Iowa, US
    Full-time +1
    This is an In Office Position • •.Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants. This role operates administratively in a Ho...Show moreLast updated: 16 hours ago
    • Promoted
    Travel Certified Occupational Therapy Assistant - $1,438 per week

    Travel Certified Occupational Therapy Assistant - $1,438 per week

    Synergy Medical StaffingNorwalk, IA, United States
    Permanent
    Synergy Medical Staffing is seeking a travel Certified Occupational Therapy Assistant for a travel job in Norwalk, Iowa.Job Description & Requirements. Certified Occupational Therapy Assistant.Shift...Show moreLast updated: 12 days ago
    • Promoted
    Travel Skilled Nursing Facility (SNF) Physical Therapy Assistant - $1,510 per week

    Travel Skilled Nursing Facility (SNF) Physical Therapy Assistant - $1,510 per week

    Ascentia StaffingSwan, IA, United States
    Full-time
    Ascentia Staffing is seeking a travel Skilled Nursing Facility (SNF) Physical Therapy Assistant for a travel job in North Platte, Iowa. Job Description & Requirements.A Travel Physical Therapy Assis...Show moreLast updated: 24 days ago
    • Promoted
    Director, Clinical Operations

    Director, Clinical Operations

    Molina HealthcareAmes, IA, United States
    Full-time
    The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team.Directs all Clinical Contact Center operations. Implements direction and performa...Show moreLast updated: 17 days ago
    • Promoted
    Remote Finance Director - AI Trainer

    Remote Finance Director - AI Trainer

    Data AnnotationAmes, Iowa
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show moreLast updated: 30+ days ago
    • Promoted
    Director, P&C Analytics

    Director, P&C Analytics

    Argonaut Management Services, IncDes Moines, IA, United States
    Full-time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
    • Promoted
    Direct Support Professional I (Hourly)

    Direct Support Professional I (Hourly)

    Imagine The Possibilities, Inc.Boone, IA, US
    Full-time +1
    Home and Community-Based Services (Hourly) Setting.Iowans with functional, cognitive, and other physical or mental health needs” (Iowa Health & Human Services). Rather than institutionaliz...Show moreLast updated: 2 days ago
    • Promoted
    Director of Emerging Technologies

    Director of Emerging Technologies

    Musco Sports LightingUrbandale, IA, US
    Full-time
    Director Of Emerging Technologies (ET).The Musco Research & Development Team has an opening for a Director Of Emerging Technologies at our Urbandale, Iowa office. If your experience aligns with the ...Show moreLast updated: 24 days ago
    • Promoted
    Director of Partner Sales - Regulated Industries

    Director of Partner Sales - Regulated Industries

    Workiva, Inc.Ames, IA, United States
    Full-time
    The Director of Partner Sales - Regulated Industries (Healthcare, Energy, etc.GTM strategy within Workiva for our Majors (Large Enterprise) Team. The Director will leverage their experience to ident...Show moreLast updated: 30+ days ago
    • Promoted
    Radiation Oncologist Needed for Locum Tenens Coverage at Facility in Northwestern Iowa

    Radiation Oncologist Needed for Locum Tenens Coverage at Facility in Northwestern Iowa

    HealthEcareers - ClientMaxwell, IA, USA
    Full-time
    Job Reference Id : ORD-202708-MD-IA.Dates Needed : December 22nd - January 2nd.Board Certification Required : Negotiable. A large hospital associated with a large healthcare system is seeking a radi...Show moreLast updated: 5 days ago
    • Promoted
    Travel Licensed Practical Nurse (LPN / LVN) – Long-Term Care / SNF - $1,477 per week

    Travel Licensed Practical Nurse (LPN / LVN) – Long-Term Care / SNF - $1,477 per week

    Medical SolutionsPerry, IA, United States
    Full-time
    Medical Solutions is seeking a LPN / LVN for a travel job in Perry, Iowa.Job Description & Requirements.We’re seeking talented healthcare professionals whose adventure game is as strong as ...Show moreLast updated: 5 days ago
    • Promoted
    Care Review Clinician (RN)

    Care Review Clinician (RN)

    Molina HealthcareAmes, IA, United States
    Full-time
    Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...Show moreLast updated: 17 days ago
    • Promoted
    • New!
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareAnkeny, IA, United States
    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 moreLast updated: 5 hours ago
    • Promoted
    Direct Support Professional (Rotating Schedule)

    Direct Support Professional (Rotating Schedule)

    American Baptist Homes of the MidwestCarlisle, IA, US
    Full-time
    Start a rewarding career where your compassion truly matters.Join Crest Services as a Direct Support Professional (DSP) and make a difference in the lives of individuals with developmental disabili...Show moreLast updated: 11 days ago
    • Promoted
    CRNA Needed for Locum Tenens Coverage at Facility in Southeastern Iowa

    CRNA Needed for Locum Tenens Coverage at Facility in Southeastern Iowa

    LocumTenens.comMaxwell, IA, US
    Full-time
    This Job at a Glance Job Reference Id : ORD-202790-CRNA-IA Title : CRNA Dates Needed : November ? Ongoing Shift Type : Day Shift. Call Assignment Type : Inpatient; OR Call Required : Yes Board Certificat...Show moreLast updated: 2 days ago
    • Promoted
    Regional Director

    Regional Director

    Behavioral Health GroupDes Moines, IA, US
    Full-time
    Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and the leading provider of opioid addiction treatment services. We are dedicated to helping ind...Show moreLast updated: 30+ days ago
    Director of Nursing Services DNS / DON (Relocate to WA)

    Director of Nursing Services DNS / DON (Relocate to WA)

    Caldera CareDes Moines, IA, USA
    Full-time
    Quick Apply
    RELOCATION ASSISTANCE OFFERED!.Caldera Care, based in Washington State,.Directors of Nursing / Directors of Clinical Services (DON / DCS / RN)!. Relocating can seem daunting and intimidating, but for the ...Show moreLast updated: 25 days ago
    • Promoted
    CRNA Needed for Locum Tenens Coverage at Facility in Southeastern Iowa

    CRNA Needed for Locum Tenens Coverage at Facility in Southeastern Iowa

    HealthEcareers - ClientMaxwell, IA, USA
    Full-time
    Job Reference Id : ORD-202790-CRNA-IA.Dates Needed : November ? Ongoing.Assignment Type : Inpatient; OR.Board Certification Required : Yes. A Community Hospital is seeking a CRNA for locum tenens co...Show moreLast updated: 2 days ago
    • Promoted
    Dermatology Physician

    Dermatology Physician

    The Iowa Clinic, P.C.Waukee, Iowa, United States
    Permanent
    J oin O ne of the L argest Physician - Owned and Governed Multi - Specialty Clinics in the Midwest.Join 3 Dermatologists (1 Mohs) as well as 5 experienced APPs. Profit sharing from aesthetic departm...Show moreLast updated: 30+ days ago