Talent.com
Program Manager, Healthcare Services - Clinical Systems
Program Manager, Healthcare Services - Clinical SystemsMolina Healthcare • Atlanta, GA, US
No longer accepting applications
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina Healthcare • Atlanta, GA, US
18 days 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 • Atlanta, GA, US

    Related jobs
    Program Manager

    Program Manager

    VirtualVocations • Atlanta, Georgia, United States
    Full-time
    A company is looking for a Program Manager (Remote).Key Responsibilities Develop, evaluate, coordinate, implement, and monitor Payment Integrity initiatives across the health plan Support perfor...Show more
    Last updated: 30+ days ago • Promoted
    Program Manager of Pharma Relations

    Program Manager of Pharma Relations

    VirtualVocations • Decatur, Georgia, United States
    Full-time
    A company is looking for a Program Manager of Pharma Relations to lead pharmaceutical partnerships and ensure successful program delivery. Key Responsibilities Manage client relationships and act ...Show more
    Last updated: 4 days ago • Promoted
    Program Operations Manager

    Program Operations Manager

    Abby Care • Atlanta, GA, US
    Full-time
    We're looking for a passionate and empathetic individual to join us as a Program Operations Manager.This is a Full-Time Onsite position based in Atlanta, GA. You'll oversee on-the-ground operations ...Show more
    Last updated: 30+ days ago • Promoted
    Clinical Trial Project Manager

    Clinical Trial Project Manager

    VirtualVocations • Marietta, Georgia, United States
    Full-time
    A company is looking for a Clinical Trial Mid-Level Project Manager to provide operational oversight and coordination for pediatric acute leukemia clinical trials. Key Responsibilities Support bid...Show more
    Last updated: 14 days ago • Promoted
    Nurse Manager Trauma Program

    Nurse Manager Trauma Program

    WellStar Kennestone Hospital • Griffin, GA, United States
    Full-time
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission i...Show more
    Last updated: 30+ days ago • Promoted
    California Licensed Clinical Program Manager

    California Licensed Clinical Program Manager

    VirtualVocations • Alpharetta, Georgia, United States
    Full-time
    A company is looking for a RN Clinical Program Manager.Key Responsibilities Lead the alignment, standardization, and improvement of patient length of stay for designated populations Serve as a l...Show more
    Last updated: 3 days ago • Promoted
    Neurohospitalist Program Director | Prestigious Health System in Atlanta

    Neurohospitalist Program Director | Prestigious Health System in Atlanta

    Jackson Physician Search • Buford, GA, United States
    Full-time
    A leading health system in the Greater Atlanta area is seeking an experienced Program Director to lead its Neurohospitalist team across two campuses. This position is ideal for a neurologist with st...Show more
    Last updated: 4 hours ago • Promoted • New!
    Program Manager

    Program Manager

    RAPID EAGLE INC • Atlanta, GA, US
    Full-time
    We are seeking a dynamic and strategic Program Manager with strong communication skills and a background in complex program management, particularly in testing. The ideal candidate will have experie...Show more
    Last updated: 2 days ago • Promoted
    Regional Manager Value-Based Programs

    Regional Manager Value-Based Programs

    VirtualVocations • Decatur, Georgia, United States
    Full-time
    A company is looking for a Regional Manager, Value-Based Programs.Key Responsibilities Develop and implement value-based programs and contracts, ensuring alignment with local health plan budgets ...Show more
    Last updated: 3 days ago • Promoted
    Senior Principal Product Manager - Regulatory & Clinical Programs

    Senior Principal Product Manager - Regulatory & Clinical Programs

    Georgia Staffing • Atlanta, GA, US
    Full-time
    Senior Principal Product Manager.Oracle Health Data Intelligence (HDI) is building the next generation of intelligent, cloud-based healthcare platformscombining clinical, payer, and regulatory data...Show more
    Last updated: 2 days ago • Promoted
    Construction Program Manager / Healthcare Construction

    Construction Program Manager / Healthcare Construction

    Meadows & Ohly, LLC • Alpharetta, GA, US
    Full-time
    The Program Manager is required to manage the execution of all aspects of assigned healthcare projects.This includes defining the project’s objectives and overseeing quality control throughou...Show more
    Last updated: 30+ days ago • Promoted
    Healthcare Provider Project Manager

    Healthcare Provider Project Manager

    Cynet Systems • Atlanta, GA, US
    Full-time
    Coordinate the onboarding of client inbound and outbound integrations with health care providers, service providers, and state and federal agencies (ie. Ensures all parts of a business system onboar...Show more
    Last updated: 30+ days ago • Promoted
    Project Manager I - Clinical

    Project Manager I - Clinical

    VirtualVocations • Marietta, Georgia, United States
    Full-time
    A company is looking for a Project Manager I in the Medical Group.Key Responsibilities Develops and implements strategic initiatives to drive organizational growth and success Manages project co...Show more
    Last updated: 3 days ago • Promoted
    Senior Program Manager, Healthcare Construction / Development

    Senior Program Manager, Healthcare Construction / Development

    Meadows & Ohly, LLC • Alpharetta, GA, US
    Full-time
    The Senior Program Manager is required to take a leadership role in the execution of all aspects of assigned healthcare projects. This includes defining the project’s objectives and overseeing...Show more
    Last updated: 30+ days ago • Promoted
    Program Manager RN - Pediatric Cardiology Practices

    Program Manager RN - Pediatric Cardiology Practices

    Wellstar Health Systems, Inc. • Marietta, GA, US
    Full-time
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission i...Show more
    Last updated: 7 days ago • Promoted
    Healthcare Product Delivery Manager

    Healthcare Product Delivery Manager

    VirtualVocations • Alpharetta, Georgia, United States
    Full-time
    A company is looking for a Product Delivery Manager in the healthcare sector focused on Medicaid and Medicare.Key Responsibilities Drive end-to-end delivery of high-impact healthcare projects mod...Show more
    Last updated: 14 days ago • Promoted
    Program Manager

    Program Manager

    BCD Travel • Atlanta, GA, United States
    Full-time
    At BCD Meetings & Events (BCD M&E), we provide more than meeting and event planning services : we create connections that inspire, motivate and change behavior for our customers.As the world's most ...Show more
    Last updated: 30+ days ago • Promoted
    Licensed Clinical Services Manager

    Licensed Clinical Services Manager

    VirtualVocations • Marietta, Georgia, United States
    Full-time
    A company is looking for a Clinical Services and Operations Manager.Key Responsibilities Oversee day-to-day operations for all clinical programs, ensuring compliance and performance standards Mo...Show more
    Last updated: 2 days ago • Promoted