Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareAKRON, OH, 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 • AKRON, OH, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    RN - Progressive Care Unit

    RN - Progressive Care Unit

    Cleveland ClinicAkron, OH, US
    serp_jobs.job_card.full_time
    ONA Bidding Period : 08 / 02 / 25 to 08 / 06 / 25.Join us at Cleveland Clinic Akron General Hospital where we have been providing world-class care to our community for over 100 years.Here, we strive for pat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    LifeStance HealthKidron, OH, 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
    Licensed Crisis Therapist : Mobile Response and Stabilization Services

    Licensed Crisis Therapist : Mobile Response and Stabilization Services

    Applewood CentersLodi, OH, US
    serp_jobs.job_card.full_time
    The MRSS Licensed Crisis Therapist will provide mobile response and stabilization services to youth (age 2-20) and families who have called the crisis hotline with a family identified crisis.The MR...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Long-Term Acute Care - $1,930 per week in Canton, OH

    Travel Nurse RN - Long-Term Acute Care - $1,930 per week in Canton, OH

    TravelNurseSourceCanton, OH, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Prolink to find a qualified LTAC RN in Canton, Ohio, 44701!.Prolink is a premier workforce solutions organization, fulfilling comprehensive staffing, technology, c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Occupational Therapist (OT) - $2,070 per week in Wooster, OH

    Travel Occupational Therapist (OT) - $2,070 per week in Wooster, OH

    AlliedTravelCareersWooster, OH, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Core Medical Group to find a qualified Occupational Therapist (OT) in Wooster, Ohio, 44691!. CoreMedical Group has hundreds of exciting and rewarding travel assig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Healthcare Transformation Manager

    Healthcare Transformation Manager

    VirtualVocationsCleveland, Ohio, United States
    serp_jobs.job_card.full_time
    A company is looking for a Manager, Healthcare Transformation.Key Responsibilities Lead initiatives to transform healthcare delivery systems Collaborate with stakeholders to identify and impleme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Clinical Program Manager

    Clinical Program Manager

    Applewood CentersCleveland, OH, US
    serp_jobs.job_card.full_time
    Now Offering a $2,000 Sign-on Bonus.Our Residential Treatment program is currently hiring a Clinical Program Manager to provide dedicated leadership and supervision to our staff and clients.Specifi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Long-Term Acute Care - $1,468 to $1,628 per week in Canton, OH

    Travel Nurse RN - Long-Term Acute Care - $1,468 to $1,628 per week in Canton, OH

    TravelNurseSourceCanton, OH, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified LTAC RN in Canton, Ohio, 44708!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24 / 7 s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Licensed Mental Health Clinical Supervisor : Mobile Response and Stabilization Services (MRSS)

    Licensed Mental Health Clinical Supervisor : Mobile Response and Stabilization Services (MRSS)

    Applewood CentersMedina, OH, US
    serp_jobs.job_card.full_time
    Under the supervision of the Mobile Response Stabilization Program Manager, the Licensed Shift Supervisor will take and assign crisis calls from the 24 / 7 hotline to have clinicians respond face to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    BrightSpring Health ServicesCanton, OH, 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_30
    • serp_jobs.job_card.promoted
    Physical Therapist

    Physical Therapist

    MEDPRO GROUPWooster, OH, US
    serp_jobs.job_card.full_time
    Job Description - Physical Therapist.Responsible for maintaining quality care of patients and service to clients by physical therapy and administrative staff. Provide medical treatment for patients ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Nurse Practitioner (PRN) Health Risk assessments (Per Visit) (Cuyahoga County)

    Nurse Practitioner (PRN) Health Risk assessments (Per Visit) (Cuyahoga County)

    HarmonyCaresMedina, OH, United States
    serp_jobs.job_card.full_time
    HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-bas...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    Anchor Manufacturing Group, Inc.Cleveland, OH, United States
    serp_jobs.job_card.full_time +1
    For over 50 years, Anchor Manufacturing Group has excelled at producing safety related metal assemblies for steering columns, brakes, chassis, energy absorbing structural supports and other safety ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Long-Term Acute Care - $1,200 to $2,200 per week in Canton, OH

    Travel Nurse RN - Long-Term Acute Care - $1,200 to $2,200 per week in Canton, OH

    TravelNurseSourceCanton, OH, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Job.LTAC RN in Canton, Ohio, 44702!.ALL requirements listed in job description & submittal requirements are NON-NEGOTIABLE and no exceptions will be made.Night...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,906 to $2,106 per week in Wooster, OH

    Travel Physical Therapist (PT) - $1,906 to $2,106 per week in Wooster, OH

    AlliedTravelCareersWooster, OH, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Ventura MedStaff to find a qualified Physical Therapist (PT) in Wooster, Ohio, 44691!. Are you ready to take your Travel career to the next level? See places you...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Manager

    Clinical Manager

    Compass AssociatesCleveland, OH, US
    serp_jobs.job_card.full_time
    Clinical Manager - Behavioral Health.Health, Dental and Vision Insurance, Life Insurance, PTO and more.Behavioral Health - Residential (Res). Compass Associates are delighted to be assisting a respe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Occupational Therapist (LTC / SNF)

    Travel Occupational Therapist (LTC / SNF)

    Core Medical GroupWooster, OH, US
    serp_jobs.job_card.permanent +1
    Core Medical Group is seeking a travel Long Term Care (LTC) Occupational Therapist for a travel job in Wooster, Ohio.Job Description & Requirements. CoreMedical Group has hundreds of exciting an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Occupational Therapist (OT) - $2,400 per week in Wooster, OH

    Travel Occupational Therapist (OT) - $2,400 per week in Wooster, OH

    AlliedTravelCareersWooster, OH, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Prime HealthCare Staffing to find a qualified Occupational Therapist (OT) in Wooster, Ohio, 44691!. Prime HealthCare Staffing is currently seeking a travel Occupa...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 HealthcareAkron, OH, 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
    • serp_jobs.job_card.promoted
    Clinical Mental Health Counselor

    Clinical Mental Health Counselor

    Applewood CentersMedina, OH, US
    serp_jobs.job_card.full_time
    Applewood Centers is a private, nonprofit agency providing mental health services, social services and education to children, adolescents and families living in Cuyahoga and Lorain counties.Dedicat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days