Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareShively, KY, 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 • Shively, KY, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareLouisville, KY, United States
    serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    Program Manager

    Program Manager

    CenturiaFort Knox, Kentucky, United States, 40121
    serp_jobs.job_card.full_time
    Centuria, a Service-Disabled Veteran-Owned Small Business (SDVOSB), has been delivering IT, Engineering, and Scientific solutions to the Federal Government since 2002. During our two decades of serv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Home Health RN - $2,210 per week

    Travel Home Health RN - $2,210 per week

    Core Medical GroupShelbyville, KY, United States
    serp_jobs.job_card.full_time +2
    Core Medical Group is seeking a travel nurse RN Home Health for a travel nursing job in Shelbyville, Kentucky.Job Description & Requirements. Client in AZ seeking Registered Nurse : Home Health.We ar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Polysomnographic Technologist

    Polysomnographic Technologist

    AscensionSalem, IN, United States
    serp_jobs.job_card.full_time
    Monday-Friday, on call hours to help troubleshoot / answer questions for home sleep studies.Various health insurance options & wellness plans. Retirement benefits including employer match plans.Long-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    The Kidz ClubLouisville, KY, US
    serp_jobs.job_card.full_time
    Join our team of passionate pediatric healthcare professionals empowering Kidz to be kids through PPEC daily skilled nursing!. The Program Manager (PM) is responsible for the management of programmi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Program Manager - Medical Devices

    Senior Program Manager - Medical Devices

    FreudenbergJeffersonville, IN, US
    serp_jobs.job_card.full_time
    Working at Freudenberg : We will wow your world!.Provide leadership, goal-setting, communications, and facilitation skills to guide and motivate project personnel in a matrixed environment.Lead proj...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health Services CareersLouisville, Kentucky, US
    serp_jobs.job_card.full_time
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to. Essential Duties & Responsibilities : .Responsible for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Operating Room Registered Nurse

    Travel Operating Room Registered Nurse

    Medical SolutionsCarrollton, KY, US
    serp_jobs.job_card.full_time
    Medical Solutions is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Carrollton, Kentucky.Job Description & Requirements. We’re seeking talented healthcare profes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Operating Room - $2,428 per week in Carrollton, KY

    Travel Nurse RN - Operating Room - $2,428 per week in Carrollton, KY

    TravelNurseSourceCarrollton, KY, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified OR RN in Carrollton, Kentucky, 41008!.A facility in Carrollton, KY is seeking its next amazing RN (Registered Nurse) to work ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Behavioral Health Program Manager

    Behavioral Health Program Manager

    Charlestown PlaceNew Albany, IN, US
    serp_jobs.job_card.full_time
    Behavioral Health Program Manager.Be a part of something meaningfuljoin Charlestown Place at New Albany as a Behavioral Health Program Manager in our dedicated Skilled Nursing Community! Make a dif...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Program Director

    Program Director

    Baptist HealthRadcliff, KY, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    With centers located nationwide, Intuitive Health provides their health system partners a vital bridge from fee for service to value-based care by improving inappropriate ER utilization in a way th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Mental Health Therapist (LPCC / LCSW / LMFT)

    Licensed Mental Health Therapist (LPCC / LCSW / LMFT)

    LifeStance HealthTaylorsville, KY, US
    serp_jobs.job_card.full_time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel CT Tech - $2472.16 / Week

    Travel CT Tech - $2472.16 / Week

    FlexCareMadison, IN, US
    serp_jobs.job_card.full_time
    FlexCare is seeking an experienced CT Tech for an exciting Travel Allied job in Madison, IN.Shift : 3x12 hr days Start Date : 10 / 26 / 2025 Duration : 13 weeks Pay : $2472. NOTE : THIS IS A TRAVEL STAFFING ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Emergency Medicine

    Emergency Medicine

    Team HealthScottsburg, Indiana, US
    serp_jobs.job_card.full_time
    Emergency Medicine physician employment in Indiana : Are you a clinician who aims to make a difference in the lives of your patients by providing quality care? TeamHealth needs someone like you! De...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Clinical Manager

    Clinical Manager

    Baptist HealthRadcliff, KY, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    If you want to advance your RN career to a whole new level and build new, valuable skills, Intuitive Health, in partnership with Baptist Health, invites you to consider our Clinical Manager role.In...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    WIC Clinic Manager

    WIC Clinic Manager

    New Hope Services IncHanover, IN, US
    serp_jobs.job_card.full_time
    New Hope Services (NHS) is proudly celebrating 65 years of service to Southern Indiana and our extended service area.NHS has built the capacity to provide a full continuum of human services from ch...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health - $2,210 per week in Shelbyville, KY

    Travel Nurse RN - Home Health - $2,210 per week in Shelbyville, KY

    TravelNurseSourceShelbyville, KY, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Core Medical Group to find a qualified Home Health RN in Shelbyville, Kentucky, 40065!. Client in AZ seeking Registered Nurse : Home Health.We are looking for a heal...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health ServicesLouisville, KY, United States
    serp_jobs.job_card.full_time
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to. Essential Duties & Responsibilities : .Responsible for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Med Surg

    Travel Nurse RN - Med Surg

    Malone Healthcare - NursingMadison, IN, US
    serp_jobs.job_card.full_time
    Malone Healthcare - Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Madison, Indiana.Job Description & Requirements. About Malone Healthcare - Nursing.With a commitment...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Medical-Surgical - $2,159 per week in Madison, IN

    Travel Nurse RN - Medical-Surgical - $2,159 per week in Madison, IN

    TravelNurseSourceMadison, IN, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Focus Staff to find a qualified Med / Surg RN in Madison, Indiana, 47243!.Want to be a crucial part of the care continuum? Join the Focus Staff team as a travel.Medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days