Talent.com
serp_jobs.error_messages.no_longer_accepting
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareLincoln, NE, United States
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 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 • Lincoln, NE, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Supervisor Clinic Nursing

    Supervisor Clinic Nursing

    Common Spirit HealthLincoln, NE, US
    serp_jobs.job_card.full_time
    The Supervisor Clinic Nursing assists the Clinic Administrator / Practice Manager with general supervision, direction, and support of the daily operations of the clinic in accordance with establishe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Performance Excellence Consultant (Clinical)

    Performance Excellence Consultant (Clinical)

    Bryan HealthLincoln, Nebraska, United States, 68506
    serp_jobs.job_card.full_time
    Performance Excellence Consultant (Clinical).The Performance Excellence Consultant is an improvement practitioner responsible for leading the adoption of the Bryan Health Improvement System by deve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Obstetrics and Gynecology in Beatrice, NE

    Locum Physician (MD / DO) - Obstetrics and Gynecology in Beatrice, NE

    LocumJobsOnlineBeatrice, NE, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with CompHealth to find a qualified Obstetrics and Gynecology MD in Beatrice, Nebraska, 68310!. Interested in this assignment? Or maybe you still have not found what you a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.new
    PRN Nurse House Supervisor

    PRN Nurse House Supervisor

    Emerald Nursing & Rehab LancasterLincoln, Nebraska
    serp_jobs.job_card.part_time
    serp_jobs.filters_job_card.quick_apply
    The Nurse House Supervisor plays a crucial role in overseeing and coordinating nursing services within the facility.The House Supervisor works closely with the Director of Nursing (DON) to ensure t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Administrative Programs Officer II - Behavioral Health Operations Team - Central Office

    Administrative Programs Officer II - Behavioral Health Operations Team - Central Office

    Nebraska GovernmentLincoln, NE, US
    serp_jobs.job_card.full_time
    Administrative Programs Officer II - Behavioral Health Operations Team - Central Office (Open).The Nebraska Department of Correctional Services (NDCS) is seeking a highly organized and detail-orien...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Clinical Improvement Consultant

    Clinical Improvement Consultant

    Bryan HealthLincoln, Nebraska, United States, 68506
    serp_jobs.job_card.full_time
    Clinical Improvement Consultant.Responsible for planning, development, implementation, and ongoing use of health care information programs and data technology which support clinical quality needs, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Manager Clinical Services Hospice

    Manager Clinical Services Hospice

    Common Spirit HealthLincoln, NE, US
    serp_jobs.job_card.full_time
    Manager Clinical Services Hospice.The Manager, Clinical Services contributes to the delivery of high quality care by ensuring the coordination, continuity, and quality of clinical care follows a ph...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health ServicesLincoln, NE, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Treatment Center Director / Program Director.BAART Programs is looking for an accountable, process oriented and efficient leader of operations for our Opiate Treatment Program.A great Treatment Cente...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health Services CareersLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    Description Treatment Center Director / Program Director BAART Programs.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to.Essential Duties & Respons...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Nurse Manager - Emergency (West Campus)

    Nurse Manager - Emergency (West Campus)

    Bryan HealthLINCOLN, Nebraska, US
    serp_jobs.job_card.full_time
    Provides leadership and supervision of daily operations for assigned services or patient care units.Assures the delivery of quality, patient-centered care in a manner reflective of the Medical Cent...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Administrator - Office Manager

    Clinical Administrator - Office Manager

    Lighthouse Autism CenterLincoln, NE, US
    serp_jobs.job_card.full_time
    Are you looking for a fun, rewarding career dedicated to helping children reach their full potential? If so, we want YOU to join us as Clinical Administrator at Lighthouse Autism Center! As a Clini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Health Market Department Manager

    Health Market Department Manager

    Hy-VeeLincoln, NE, US
    serp_jobs.job_card.full_time
    Healthmarket Department Manager.At Hy-Vee our people are our strength.We promise "a helpful smile in every aisle" and those smiles can only come from a workforce that is fully engaged and committed...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Nurse Supervisor

    Nurse Supervisor

    TradeJobsWorkForce68446 Syracuse, NE, US
    serp_jobs.job_card.full_time
    Nurse Supervisor Job Duties : Accomplishes nursing human resource objectives by selecting, orie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    A Nebraska Facility Is Searching for a Locum Tenens Obstetrics Gynecologist

    A Nebraska Facility Is Searching for a Locum Tenens Obstetrics Gynecologist

    HealthEcareers - ClientBeatrice, NE, USA
    serp_jobs.job_card.full_time
    Interested in this assignment? Or maybe you still have not found what you are looking for? Contact one of our specialty-specific recruiters to get access to our vast network of open jobs, including...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Nurse Manager

    Nurse Manager

    Bryan HealthLINCOLN, Nebraska, US
    serp_jobs.job_card.full_time
    Provides leadership and supervision of daily operations for assigned services or patient care units.Assures the delivery of quality, patient-centered care in a manner reflective of the Medical Cent...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Manager Practice Operations - Gretna Clinic

    Manager Practice Operations - Gretna Clinic

    Methodist Health SystemGretna, NE, US
    serp_jobs.job_card.full_time
    At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Obstetrics and Gynecology in Beatrice, NE

    Locum Physician (MD / DO) - Obstetrics and Gynecology in Beatrice, NE

    LocumJobsNetworkBeatrice, NE, US
    serp_jobs.job_card.full_time +1
    LocumJobsNetwork is working with CompHealth to find a qualified Obstetrics and Gynecology MD in Beatrice, Nebraska, 68310!. Interested in this assignment? Or maybe you still have not found what you ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Physical Therapist - Beatrice, NE - PRN

    Physical Therapist - Beatrice, NE - PRN

    Good SamaritanBeatrice, NE, US
    serp_jobs.job_card.full_time +1
    Join our not-for-profit organization.S 22nd St, Beatrice, NE 68310, USA.As a Physical Therapist, you will play a vital role in enhancing the lives of our clients. Your responsibilities will include : ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Prevention Administrator I - Behavioral Health

    Prevention Administrator I - Behavioral Health

    Nebraska GovernmentLincoln, NE, US
    serp_jobs.job_card.full_time
    Prevention Administrator I - Behavioral Health (Open).The Division of Behavioral Health is seeking a state prevention administrator to provide leadership and administrative oversight of multiple pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Medical Surgical

    Medical Surgical

    Aya HealthcareBeatrice, NE, US
    serp_jobs.job_card.part_time
    Performs information processing and documentation relating to patient charts and physician orders.Assists nursing personnel with care of patient as directed. Answers internal and external telephone ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30