Talent.com
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareMadison, WI, US
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 DESCRIPTION

Job Summary

Leads and directs a team supporting clinical systems. Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. Considers business problems "end-to-end" : including people, process, and technology, both within and outside the enterprise, as part of any design solution. Monitors emerging technologies for potential application within or across the business. Provides solution ideation to drive operational excellence, efficiencies and compliance for clinical functions supported through technology. Maintains lights-on support and governance of clinical system changes. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

  • Responsible for collaborating with the information technology team (IT) for product delivery through oversight and management of the system development lifecycle (SDLC).
  • Manages teams that drive business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations
  • Serves as industry subject matter expert in the functional area and leads clinical systems to meet critical needs.
  • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
  • Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
  • Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation through delivery.
  • Establishes and manages key performance metrics and develops goals and strategies to achieve corporate objectives.
  • Serves as mentor, coach and leader to the application design and development and support teams.

Required Qualifications

  • At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics or health care environment, or equivalent combination of relevant education and experience.
  • At least 3 years management / leadership experience in a clinical leadership, clinical systems and / or informatics, utilization management, or care management role.
  • Experience leading cross-functional teams and change management.
  • Experience aligning clinical systems with organizational goals.
  • Project management experience to include managing timelines, resources, and stakeholder expectations.
  • Previous data integration and analytics experience.
  • Operational and process improvement experience.
  • Ability to work collaboratively in a highly matrixed organization.
  • Excellent organizational, problem-solving and critical-thinking skills.
  • Strong written and verbal communication skills.
  • Microsoft Office suite / applicable software program(s) proficiency.
  • Preferred Qualifications

  • Registered Nurse (RN). License must be active and unrestricted in state of practice. Product owner / management certification (CSM, SAFe PO / PM, or other Lean Agile Product Management Certifications)
  • Sigma Black Belt certification or Information Technology Infrastructure Library (ITIL) certification.
  • 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 : $97,299 - $189,732 / 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 Director • Madison, WI, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareMADISON, US
    serp_jobs.job_card.full_time
    Leads and directs a team supporting clinical systems.Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technolo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    State Licensed Orthopedic Spine Director

    State Licensed Orthopedic Spine Director

    VirtualVocationsMadison, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for an Associate Medical Director, Orthopedic Spine Surgery.Key Responsibilities Provide timely medical reviews that meet quality parameters Document all communication and d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Director of Outpatient Services

    Director of Outpatient Services

    Rogers Behavioral HealthMadison, WI, United States
    serp_jobs.job_card.full_time
    The Director of Outpatient Services leads and is accountable to disciplines for the operational and clinical components of all service delivery for the outpatient site(s) assigned.Coordination with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director, Technology Service Excellence

    Director, Technology Service Excellence

    MedicaMadison, WI, US
    serp_jobs.job_card.full_time
    Director, Technology Service Excellence.Medica is seeking an experienced Director for Technology Service Excellence.This role is ideal for an innovative and strategic thinker with a depth of experi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - ER - Emergency Room - $2285 / Week

    Travel Nurse - RN - ER - Emergency Room - $2285 / Week

    Fusion Medical StaffingFort Atkinson, WI, US
    serp_jobs.job_card.full_time
    Fusion Medical Staffing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Fort Atkinson, WI. Shift : Inquire Start Date : 10 / 27 / 2025 Duration : 13 weeks Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Nurse - RN - Home Health - $2326 / Week

    Travel Nurse - RN - Home Health - $2326 / Week

    Fusion Medical StaffingBeaver Dam, WI, US
    serp_jobs.job_card.full_time
    Fusion Medical Staffing is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Beaver Dam, WI. Shift : Inquire Start Date : 11 / 10 / 2025 Duration : 17 weeks Pay : $23...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Otolaryngology in Monroe, WI

    Physician (MD / DO) - Otolaryngology in Monroe, WI

    LocumJobsOnlineMonroe, WI, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Otolaryngology MD in Monroe, Wisconsin, 53566!.Monroe, WI has charm and community pride with its biennial Cheese Days festival, scenic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director of Clinical Reimbursement

    Director of Clinical Reimbursement

    IlluminusMadison, WI, US
    serp_jobs.job_card.full_time
    The Director of Clinical Reimbursement oversees the accurate and timely completion of the Minimum Data Set (MDS) by leading and supporting a team of Clinical Reimbursement Specialists.This role spa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director of Rehab / DOR

    Director of Rehab / DOR

    Aegis TherapiesSauk City, WI, US
    serp_jobs.job_card.full_time
    Director of Rehabilitation / DOR - CCRC.Schedule : 40 hours per week, Monday to Friday.Setting : Rehabilitation Center, Continuing Care Retirement Community. Location : Maplewood of Sauk Prairie - Sauk...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Director

    Clinical Director

    Pinnacle Senior LivingStoughton, WI, US
    serp_jobs.job_card.full_time
    Clinical Director Opportunity At Stoughton Meadows Assisted Living.Are you ready to make a meaningful impact in the lives of others and help provide life changing experiences for seniors and their ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Sr. Director, Clinical Account Management -PBM Clients

    Sr. Director, Clinical Account Management -PBM Clients

    Navitus Health SolutionsMadison, WI, US
    serp_jobs.job_card.full_time
    Director Of Clinical Account Management.Are you a former pharmacist who has moved into a sales role? If so, Navitus Health Solutions is seeking a Sr. Director of Clinical Account Management to join ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Nurse - RN - Home Health - $2566 / Week

    Travel Nurse - RN - Home Health - $2566 / Week

    Cynet HealthBeaver Dam, WI, US
    serp_jobs.job_card.full_time
    Cynet Health is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Beaver Dam, WI. Shift : 5x8 hr days Start Date : 11 / 10 / 2025 Duration : 17 weeks Pay : $2566 / We...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Pediatrics - General / Other in Monroe, WI

    Physician (MD / DO) - Pediatrics - General / Other in Monroe, WI

    LocumJobsOnlineMonroe, WI, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Monroe, Wisconsin, 53566!.As industry leaders and Joint Commission Certified, CompHealth applies over 40 years of ten...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Pediatrics - General / Other in Fort Atkinson, WI

    Physician (MD / DO) - Pediatrics - General / Other in Fort Atkinson, WI

    LocumJobsOnlineFort Atkinson, WI, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Fort Atkinson, Wisconsin, 53538!.Practice the whole realm of outpatient internal medicine care, and inpatient / outpati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Hospitalist in Fort Atkinson, WI

    Physician (MD / DO) - Hospitalist in Fort Atkinson, WI

    LocumJobsOnlineFort Atkinson, WI, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Hospitalist MD in Fort Atkinson, Wisconsin, 53538!.Whether you are searching for a position in your area or in another state, we have ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director of Outpatient Services - Shorewood Behavioral Health

    Director of Outpatient Services - Shorewood Behavioral Health

    Acadia HealthcareMadison, WI, US
    serp_jobs.job_card.full_time
    Director Of Outpatient Services - Shorewood Behavioral Health.Location : This is a full-time on-site position located in Madison, Wisconsin, Shorewood Behavioral Health is a newly opened, 120-bed ac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Director of Nursing

    Director of Nursing

    GpacMadison, Wisconsin, United States
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Director of Nursing – Long-Term Care / Home Health.Madison, WI] | Full-Time | Competitive Compensation & Benefits.A respected healthcare organization is seeking an experienced.This role i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Oncology - General / Other in Monroe, WI

    Physician (MD / DO) - Oncology - General / Other in Monroe, WI

    LocumJobsOnlineMonroe, WI, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Oncology MD in Monroe, Wisconsin, 53566!.Monroe, WI has charm and community pride with its biennial Cheese Days festival, scenic bike ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Pediatrics - General / Other in Baraboo, WI

    Physician (MD / DO) - Pediatrics - General / Other in Baraboo, WI

    LocumJobsOnlineBaraboo, WI, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Baraboo, Wisconsin, 53913!.This position is located just north of Wisconsin's capitol city.You will enjoy a charming ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinic Director

    Clinic Director

    CI Pediatric Therapy CentersVerona, WI, US
    serp_jobs.job_card.full_time
    At CI Pediatric Therapy Centers, we are committed to evidence-based practice, client success, and a rewarding work environment. We believe we all do our best when surrounded by supportive colleagues...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30