Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareLeander, TX, US
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 • Leander, TX, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Program Manager 2

    Program Manager 2

    Abacus Service CorporationAustin, TX, US
    serp_jobs.job_card.full_time
    Texas Health and Human Services Commission is seeking a Program Manager for a project management role.The position is estimated at 500 hours and there is one available position.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medical Director

    Medical Director

    Lago Vista Animal ClinicLeander, TX, US
    serp_jobs.job_card.full_time
    Medical Director - Lago Vista Animal Clinic (Lago Vista, TX).At Lago Vista Animal Clinic in Lago Vista, TX, we are AAHA-Accredited and dedicated to providing compassionate and comprehensive veterin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    Diverse LynxAustin, TX, US
    serp_jobs.job_card.full_time
    Program Manager Full Stack, DevOps, CI / CD.Diverse Lynx LLC is an Equal Employment Opportunity employer.All qualified applicants will receive due consideration for employment without any discrimina...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Program Manager, Experience, Innovation & Technology

    Senior Program Manager, Experience, Innovation & Technology

    UT Health AustinAustin, TX, US
    serp_jobs.job_card.full_time
    Senior Program Manager, Experience, Innovation & Technology.The Senior Program Manager, Experience, Innovation & Technology is expected to lead a critical workstream within a major hospital constru...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Project Manager - Health

    Project Manager - Health

    HKSAustin, TX, US
    serp_jobs.job_card.full_time
    A primary managerial position in a specific project and shares responsibility for project successes.Recognized ability to impact revenue and growth. Manages the firm's resources (people, processes a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Operations Manager

    Clinical Operations Manager

    DiaSorinAustin, TX, US
    serp_jobs.job_card.full_time
    This position plays an integral role in the development, and maintenance of Clinical studies and activities timelines in accordance with Luminex PMO timeline requirements as well as administrative ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    CesiumAstroAustin, TX, US
    serp_jobs.job_card.full_time
    At CesiumAstro, we are developers and pioneers of out-of-the-box communication systems for satellites, UAVs, launch vehicles, and other space and airborne platforms. We take pride in our dynamic and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Revenue Cycle Manager

    Revenue Cycle Manager

    Rocky Mountain Laboratories LLCAustin, TX, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Revenue Cycle Manager (RCM) Rocky Mountain Laboratories – Austin, TX About Us Rocky Mountain Laboratories is a clinical laboratory providing comprehensive laboratory services.We are dedicated...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager / Training Lead

    Program Manager / Training Lead

    Contact Government ServicesAustin, TX, US
    serp_jobs.job_card.full_time
    Dallas, TX / Remote / Hybrid / Austin, TX.Project Management / Full Time On-Site.Department : Project Management.Here at CGS, we are seeking a Program Manager / Training Lead to assist with the design...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Product Manager - Healthcare

    Product Manager - Healthcare

    SimplexAustin, TX, US
    serp_jobs.job_card.full_time
    This role is local to Austin, TX.You must be in Austin, TX, or willing to relocate.Our health-tech client is seeking a Product Manager who will play a critical role in shaping and driving the succe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareAustin, TX, US
    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
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    Best Buddies InternationalAustin, TX, US
    serp_jobs.job_card.full_time
    Best Buddies International is a nonprofit 501(c)(3) organization dedicated to establishing a global volunteer movement that creates opportunities for one-to-one friendships, integrated employment, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    Clearance JobsAustin, TX, US
    serp_jobs.job_card.full_time
    Integral Federal is seeking a dynamic and experienced Program Manager (PM) to lead and oversee the Army Futures Command (AFC) Directorate of Intelligence and Security (DOIS) Information and Securit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Procedural RN - Cancer Treatment Center - PT

    Procedural RN - Cancer Treatment Center - PT

    Baylor Scott & White HealthKilleen, TX, US
    serp_jobs.job_card.part_time
    Location : Temple, TX - Baylor Scott & White Vasicek Cancer Treatment Center - 2401 S.Shift : Part-time, Day Shift, 24 hours per week (8 hour shifts). Saturday and Sunday (plus Monday OR Friday).H...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Manager- Healthcare Consulting

    Manager- Healthcare Consulting

    EisnerAmperAustin, TX, United States
    serp_jobs.job_card.full_time
    At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact.Whether you're starting out in your career or taking your next step as a seasone...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Manager, Training Programs

    Manager, Training Programs

    Mia AestheticsAustin, TX, US
    serp_jobs.job_card.full_time
    At Mia Aesthetics, we are not just leading the way in plastic surgery—we're redefining it.Our goal is simple : to ensure everyone has access to the highest quality plastic surgery without the premiu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Growth Manager Austin, TXAustin, TX

    Clinical Growth Manager Austin, TXAustin, TX

    FayAustin, TX, US
    serp_jobs.job_card.full_time
    Clinical Growth Manager Austin, TX.As a Clinical Growth Manager, you'll lead efforts to grow our referral network of healthcare providersfrom primary care to specialistsensuring more patients acce...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - LDRP - Labor Delivery Recovery & Postpartum

    Travel Nurse RN - LDRP - Labor Delivery Recovery & Postpartum

    Catapult HealthcareMarble Falls, TX, US
    serp_jobs.job_card.full_time
    Catapult Healthcare is seeking a travel nurse RN LDRP - Labor Delivery Recovery & Postpartum for a travel nursing job in Marble Falls, Texas. Job Description & Requirements.LDRP - Labor Deli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Program Manager - Round Rock, TX

    Program Manager - Round Rock, TX

    StaffingRound Rock, TX, US
    serp_jobs.job_card.full_time
    USC and GC preferred - No third parties Agencies or Corp to Corp.Qualifications : 5+ years IT Project Management or engineering experience preferably with external customer facing web software proje...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Therapist Physical 1

    Therapist Physical 1

    Baylor Scott & White HealthKingsland, TX, US
    serp_jobs.job_card.full_time
    Physical Therapist - Marble Falls, Texas.Location - 800 West Hwy 71, Marble Falls, 78654.Facility - Marble Falls Medical Center. Shift / Schedule : FT (8) hours per day.Here at Baylor Scott & White...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30