Molina Healthcare
Program Manager Hcs (Remote)
Program Manager Hcs | Molina Healthcare | UnitedStates
Program Manager Hcs | Molina Healthcare | United States
Knowledge/Skills/Abilities
- In collaboration with others, 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.
- Manages programs providing ongoing communication of 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 the business.
- Serves as a subject matter expert and leads programs 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 for process improvement opportunities.
- Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
- Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
Job Qualifications
Required Education
- Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
- OR Bachelor’s or master’s degree in Nursing, Gerontology, Public Health, Social Work or related field.
Required Experience
- 5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
- Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
- Experience working within applicable state, federal, and third party regulations.
Required License, Certification, Association
- If licensed, license must be active, unrestricted and in good standing.
- Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred Education
Master’s Degree preferred.
Preferred Experience
- 3+ years supervisory/management experience in a managed healthcare environment.
- Medicaid/Medicare Population experience with increasing responsibility.
- 3+ years of clinical nursing experience.
Preferred License, Certification, Association
Any of the following:
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $65,791.66 – $142,548.59 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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