Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareDallas, TX, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.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.
  • serp_jobs.job_alerts.create_a_job

    Clinical Program Manager • Dallas, TX, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    StaffingDallas, TX, US
    serp_jobs.job_card.full_time
    Staffing Industry Analysts for our accelerated growth of 300% in the last 3 years with over 5500+ employees globally, with over 30+ locations in the US and global operations in 32 countries.We beli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    ARLINGTON, TX 76011Arlington, TX, US
    serp_jobs.job_card.full_time
    The Program Manager is responsible for overseeing the daily operations and service delivery of residential and community programs supporting individuals with developmental disabilities.This role en...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Therapy Program Manager

    Therapy Program Manager

    BrightSpring Health ServicesIrving, TX, US
    serp_jobs.job_card.full_time
    Pate Rehabilitation is seeking an experienced clinician to fill the role of Program Manager.The Program Manager works in conjunction with all disciplines to provide clinical and program oversight a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Regional Program Director

    Regional Program Director

    Enhabit Home Health & HospiceDallas, TX, US
    serp_jobs.job_card.full_time
    Enhabit Home Health & Hospice Regional Program Director.Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Communications Program Manager

    Communications Program Manager

    Parkland Health and Hospital SystemDallas, TX, US
    serp_jobs.job_card.full_time
    Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Communications Program Manager

    Communications Program Manager

    Parkland Health and Hospital System (PHHS)Dallas, TX, United States
    serp_jobs.job_card.full_time
    Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Services Manager - Standardization

    Program Services Manager - Standardization

    VizientIrving, TX, US
    serp_jobs.job_card.full_time
    When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    Cynet SystemsFrisco, TX, US
    serp_jobs.job_card.full_time
    Pay Range : $70hr - $75hr Own and drive the creation, standardization, and maintenance of program-level documentation, ensuring that operational processes, workflows, standards, and procedures are c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Manager Care Management - MansfieldMansfield, TX

    Manager Care Management - MansfieldMansfield, TX

    AdventHealthMansfield, TX, US
    serp_jobs.job_card.full_time
    Manager Care Management Texas Health Mansfield Affiliate Of Adventhealth.Texas Health Huguley Hospital is a joint venture with AdventHealth, and these two faith-based organizations have a long hist...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Services Manager - Standardization

    Program Services Manager - Standardization

    Vizient, Inc.Irving, TX, United States
    serp_jobs.job_card.full_time
    When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents. We provide extensive opportunities for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Communications Program Manager

    Communications Program Manager

    Parkland Health & Hospital SystemDallas, TX, US
    serp_jobs.job_card.full_time
    Communications Program Manager.Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    SamprasoftDallas, TX, US
    serp_jobs.job_card.full_time
    Full ownership of a strategic client account, ensuring successful delivery of large-scale product development programs while proactively identifying and addressing challenges.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Interim Program Director

    Interim Program Director

    Horizon Health CorporationLewisville, TX, US
    serp_jobs.job_card.permanent +1
    Interim Program Director of Behavioral Health (PRN) - Nationwide Travel (75% or more).Interim Program Director of Behavioral Health (PRN). Program Director is hired, and hours of work and days are s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Program Manager Health Economics Value-Based Care- Health Plan

    Program Manager Health Economics Value-Based Care- Health Plan

    Parkland Health & Hospital SystemDallas, TX, US
    serp_jobs.job_card.full_time
    Program Manager Health Economics Value-Based Care- Health Plan.Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    KaavDallas, TX, US
    serp_jobs.job_card.full_time
    Full ownership of a strategic client account, ensuring successful delivery of large-scale product development programs while proactively identifying and addressing challenges.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    BowheadPlano, TX, US
    serp_jobs.job_card.full_time
    Bowhead is seeking a Program Manager who will have responsibility for all aspects of program / contract performance in Plano, TX. The Program Manager will provide leadership along with Project Manager...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Program Manager Health Economics Value-Based Care- Health Plan

    Program Manager Health Economics Value-Based Care- Health Plan

    Parkland Health and Hospital System (PHHS)Dallas, TX, United States
    serp_jobs.job_card.full_time
    Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    BrightSpring Health ServicesArlington, TX, US
    serp_jobs.job_card.full_time
    The Program Manager is responsible for overseeing the daily operations and service delivery of residential and community programs supporting individuals with developmental disabilities.This role en...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days