Talent.com
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareColumbus, GA, 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 • Columbus, GA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Medical Oncology Director

    Medical Oncology Director

    VirtualVocationsColumbus, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Director.Key Responsibilities Conduct clinical case reviews with interdisciplinary teams for anti-cancer therapies Lead multidisciplinary discussions to suppor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Medical Director - Utilization Management

    Medical Director - Utilization Management

    VirtualVocationsColumbus, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Director Utilization Management - Clinical Advocacy and Support.Key Responsibilities : Conduct coverage reviews and render coverage determinations based on membe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Director, Clinical Operations

    Director, Clinical Operations

    Molina HealthcareColumbus, GA, United States
    serp_jobs.job_card.full_time
    Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Duties • Directs all Clinical Contact Center o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,544 to $1,712 per week in Eufaula, AL

    Travel Physical Therapist (PT) - $1,544 to $1,712 per week in Eufaula, AL

    AlliedTravelCareersEufaula, AL, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified Physical Therapist (PT) in Eufaula, Alabama, 36027!. Ready to start your next travel adventure? LRS Healthcare offers a full be...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,035 per week in Eufala, AL

    Travel Physical Therapist (PT) - $2,035 per week in Eufala, AL

    AlliedTravelCareersEufala, AL, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Centra Healthcare Solutions to find a qualified Physical Therapist (PT) in Eufala, Alabama, 36027!. Centra Healthcare Solutions is seeking an experienced Physical...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Nurse Practitioner - Correctional Urgent Care

    Nurse Practitioner - Correctional Urgent Care

    CoreCivicLumpkin, GA, US
    serp_jobs.job_card.full_time
    CoreCivic is seeking a Nurse Practitioner Correctional Urgent Care for a job in Lumpkin, Georgia.Job Description & Requirements. Compensation : $100,000 -$144,000 / yr.At Corecivic, we do more than...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    State Licensed Orthopedic Spine Director

    State Licensed Orthopedic Spine Director

    VirtualVocationsColumbus, Georgia, 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
    Clinical Operations Manager

    Clinical Operations Manager

    VirtualVocationsColumbus, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Line Manager to oversee the execution of clinical trials and manage clinical study teams.Key Responsibilities Lead the operational planning and execution of clinical tr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Center Medical Director (CMD)

    Center Medical Director (CMD)

    CSLAuburn University, AL, US
    serp_jobs.job_card.full_time
    Do Work That Matters At Csl Plasma!.CSL Plasma is one of the world's largest collectors of human plasma.Our work helps to ensure that people with rare and serious diseases are able to live normal, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Counselor (LPC, LCSW, LMFT) - Upatoi, GA

    Licensed Counselor (LPC, LCSW, LMFT) - Upatoi, GA

    LifeStance HealthUpatoi, GA, 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 Physical Therapist (PT) - $1,720 to $1,873 per week in Eufaula, AL

    Travel Physical Therapist (PT) - $1,720 to $1,873 per week in Eufaula, AL

    AlliedTravelCareersEufaula, AL, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Host Healthcare to find a qualified Physical Therapist (PT) in Eufaula, Alabama, 36027!. Host Healthcare is an award-winning travel healthcare company with an imm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    State Licensed Medical Director

    State Licensed Medical Director

    VirtualVocationsColumbus, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Remote Medical Director, Inpatient Medicare.Key Responsibilities Direct and coordinate medical management, quality improvement, and credentialing functions Perform med...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Remote Finance Director - AI Trainer

    Remote Finance Director - AI Trainer

    Data AnnotationAuburn, Alabama
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Counselor (LPC, LCSW, LMFT) - Fortson, GA

    Licensed Counselor (LPC, LCSW, LMFT) - Fortson, GA

    LifeStance HealthFortson, GA, 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 Counselor (LPC, LCSW, LMFT) - Cusseta, GA

    Licensed Counselor (LPC, LCSW, LMFT) - Cusseta, GA

    LifeStance HealthCusseta, GA, 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
    Medical Device Sales – Paid Internship

    Medical Device Sales – Paid Internship

    Medical Sales CollegeMidland, Georgia, US
    serp_jobs.job_card.internship
    Description Medical Device Sales - Paid Internship Looking for a rewarding and lucrative career in the medical sales industry? Our paid Internship may be the right path for you! Here are just some ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director of Admissions Systems & Technology

    Director of Admissions Systems & Technology

    InsideHigherEdColumbus, Georgia, United States
    serp_jobs.job_card.full_time +1
    Director of Admissions Systems & Technology.Great universities inspire the very best in us.They nurture new ideas, fresh perspectives, and creative problem-solving. They challenge students to discov...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Licensed Counselor (LPC, LCSW, LMFT) - Seale, AL

    Licensed Counselor (LPC, LCSW, LMFT) - Seale, AL

    LifeStance HealthSeale, AL, 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