Talent.com
Director, Clinical Systems
Director, Clinical SystemsMolina Healthcare • TACOMA, US
serp_jobs.error_messages.no_longer_accepting
Director, Clinical Systems

Director, Clinical Systems

Molina Healthcare • TACOMA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.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.
  • serp_jobs.job_alerts.create_a_job

    Clinical Director • TACOMA, US

    Job_description.internal_linking.related_jobs
    US Licensed Associate Medical Director

    US Licensed Associate Medical Director

    VirtualVocations • Kent, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for an Associate Medical Director to drive medical strategy and oversight across its clinical trial portfolio. Key Responsibilities Provide medical monitoring and safety overs...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Senior Director of Renewals

    Senior Director of Renewals

    VirtualVocations • Renton, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Director of Renewals to lead the renewal strategy for their client base.Key Responsibilities Own and execute strategies to protect and grow recurring revenue whi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    State Licensed Medical Director

    State Licensed Medical Director

    VirtualVocations • Kent, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Director / Physician Reviewer.Key Responsibilities Review hospital medical records for DRG Clinical Validation and other review activities Develop and update cli...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Director, Clinical Operations

    Director, Clinical Operations

    Jade Biosciences • Seattle, WA, United States
    serp_jobs.job_card.temporary
    Boston, Massachusetts, United States; San Francisco, California, United States; Seattle, Washington, United States.Jade Biosciences is focused on developing innovative, best-in-class therapies to a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Arizona Licensed Thoracic Imaging Director

    Arizona Licensed Thoracic Imaging Director

    VirtualVocations • Seattle, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Remote Division Director of Thoracic Imaging.Key Responsibilities Provide leadership and coordination for thoracic imaging services across all sites Ensure high-qualit...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    State Licensed Associate Medical Director

    State Licensed Associate Medical Director

    VirtualVocations • Renton, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for an Associate Medical Director - PRN (Remote U.Key Responsibilities Oversee clinical decision-making aspects of the Utilization Management program Collaborate with Region...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Director of Enhanced Care Management

    Director of Enhanced Care Management

    VirtualVocations • Seattle, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director of Enhanced Care Management.Key Responsibilities Direct and oversee operations of the enhanced care management program Supervise Clinical Managers, Clinical C...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Licensed Medical Director

    Licensed Medical Director

    VirtualVocations • Tacoma, Washington, United States
    serp_jobs.job_card.part_time
    A company is looking for a part-time Medical Director with expertise in psychiatry.Key Responsibilities Oversee the quality and safety of psychiatric care and medication management services Enga...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Sales Director - Healthcare

    Sales Director - Healthcare

    VirtualVocations • Seattle, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Sales Director in the Healthcare Industry for remote work.Key Responsibilities Build and maintain relationships with midsize to enterprise-level clients in the healthca...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Director of Psychometrics

    Director of Psychometrics

    VirtualVocations • Renton, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director of Psychometrics and Research.Key Responsibilities Direct activities related to psychometrics, data systems, and applied quantitative research Oversee a team ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Director of Reimbursement

    Director of Reimbursement

    VirtualVocations • Renton, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director of Reimbursement (Remote).Key Responsibilities Oversee government payor reporting and ensure timely filing of cost reports Manage invoicing and compliance for...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Senior Clinical Product Manager

    Senior Clinical Product Manager

    VirtualVocations • Renton, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Clinical Product Manager, Behavioral Science.Key Responsibilities Serve as a core member of product development squads, accountable for clinical direction and ou...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Practice Director

    Practice Director

    VirtualVocations • Renton, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Practice Director to lead and manage a radiology practice in Albany, GA, or surrounding areas. Key Responsibilities Lead the radiology practice and collaborate with phys...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    MD Appeals Medical Director

    MD Appeals Medical Director

    VirtualVocations • Kent, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for an Appeals M.Member Appeals to perform clinical reviews and adjudications of appeals and grievances cases. Key Responsibilities Conduct individual case reviews for appeals...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    State Licensed Director of Clinical Excellence

    State Licensed Director of Clinical Excellence

    VirtualVocations • Kent, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Lead the operational delivery of the post-acute care program to ensure coordinated patient transiti...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Director of IVD Assay Development

    Director of IVD Assay Development

    VirtualVocations • Kent, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director, IVD Assay Development.Key Responsibilities Lead the design and execution of development studies for colorectal cancer tests Oversee Analytical Validation (AV...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Director of Patient Support

    Director of Patient Support

    VirtualVocations • Renton, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director of Patient Support to lead a high-performing team responsible for patient engagement and retention. Key Responsibilities Build and inspire a team of Patient Sup...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    State Licensed Patient Care Director

    State Licensed Patient Care Director

    VirtualVocations • Tacoma, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director, Patient Care to lead and evolve their Care Navigation and Clinical teams.Key Responsibilities Lead and develop a high-performing Patient Care organization Es...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Associate Medical Director, Metabolic Health

    Associate Medical Director, Metabolic Health

    VirtualVocations • Kent, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for an Associate Medical Director, Metabolic Health.Key Responsibilities Provide medical leadership for the metabolic health prescribing program and supervise advanced practi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Senior Director of Value-Based Care

    Senior Director of Value-Based Care

    VirtualVocations • Tacoma, Washington, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Director of Value-Based Care, VBC - Data and Analytics.Key Responsibilities Lead quantitative research and analysis to provide actionable recommendations for VBC...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted