Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareBellevue, IA, US
job_description.job_card.1_day_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 • Bellevue, IA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Travel Labor & Delivery Registered Nurse

    Travel Labor & Delivery Registered Nurse

    PRN HealthcareClinton, IA, US
    serp_jobs.job_card.full_time
    PRN Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Clinton, Iowa.Job Description & Requirements. PRN Healthcare Job ID #1452816.Pay package is based on 12...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Registered Nurse - Medical-Surgical - $1,767 to $1,920 per week in Clinton, IA

    Travel Registered Nurse - Medical-Surgical - $1,767 to $1,920 per week in Clinton, IA

    TravelNurseSourceClinton, IA, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Host Healthcare to find a qualified Med / Surg RN in Clinton, Iowa, 52732!.Host Healthcare is an award-winning travel healthcare company with an immediate opening fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - LD - Labor and Delivery - $2024.68 / Week

    Travel Nurse - RN - LD - Labor and Delivery - $2024.68 / Week

    FlexCareClinton, IA, US
    serp_jobs.job_card.full_time
    FlexCare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Clinton, IA. Shift : 3x12 hr nights Start Date : ASAP Duration : 13 weeks Pay : $2024.BLS;ACL...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Labor & Delivery Registered Nurse

    Travel Labor & Delivery Registered Nurse

    TRS HealthcareClinton, IA, US
    serp_jobs.job_card.full_time
    TRS Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Clinton, Iowa.Job Description & Requirements. TRS Healthcare Job ID #1382923.Pay package is based on 12...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel MRI Technologist

    Travel MRI Technologist

    Medical Solutions AlliedDarlington, WI, US
    serp_jobs.job_card.full_time
    Medical Solutions Allied is seeking a travel MRI Technologist for a travel job in Darlington, Wisconsin.Job Description & Requirements. We’re seeking talented healthcare professionals whos...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 - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    MSSIClinton, IA, US
    serp_jobs.job_card.full_time
    MSSI is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Clinton, Iowa.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours per week (subje...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Long-Term Care - $1,660 per week in Savanna, IL

    Travel Nurse RN - Long-Term Care - $1,660 per week in Savanna, IL

    TravelNurseSourceSavanna, IL, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Core Medical Group to find a qualified Long-Term Care RN in Savanna, Illinois, 61074!.Client in IL seeking Registered Nurse : LTC / SNF. We are looking for a healthcar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Labor & Delivery Registered Nurse

    Travel Labor & Delivery Registered Nurse

    Nightingale NursesClinton, IA, US
    serp_jobs.job_card.full_time
    Nightingale Nurses is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Clinton, Iowa.Job Description & Requirements. You may not realize it, but as an RN with real world ...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 - Labor & Delivery - $1,809 to $2,006 per week in Clinton, IA

    Travel Nurse RN - Labor & Delivery - $1,809 to $2,006 per week in Clinton, IA

    TravelNurseSourceClinton, IA, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified Labor / Delivery RN in Clinton, Iowa, 52732!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pack...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Licensed Clinical Therapist (LCSW, LPC, LMFT)

    Licensed Clinical Therapist (LCSW, LPC, LMFT)

    LifeStance HealthBlanchardville, WI, US
    serp_jobs.job_card.full_time +1
    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 Nurse RN - Long Term Care (LTC) Long Term Care

    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Assured NursingGalena, IL, US
    serp_jobs.job_card.full_time
    Assured Nursing is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Galena, Illinois. Job Description & Requirements.Assured Nursing Job ID #34337531.Pay...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 - Labor & Delivery - $1,990 per week in Clinton, IA

    Travel Nurse RN - Labor & Delivery - $1,990 per week in Clinton, IA

    TravelNurseSourceClinton, IA, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Core Medical Group to find a qualified Labor / Delivery RN in Clinton, Iowa, 52732!.Client in IA seeking Registered Nurse : Labor & Delivery.We are looking for a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Travel Nurses, Inc.Clinton, IA, US
    serp_jobs.job_card.full_time
    RN Labor and Delivery for a travel nursing job in Clinton, Iowa.Job Description & Requirements.Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-fr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Triage StaffingClinton, IA, US
    serp_jobs.job_card.full_time
    Triage Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Clinton, Iowa.Job Description & Requirements. Travel Nursing : Labor and Delivery Clinton.Location : &nbs...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    Travel Nurse RN - Long Term Care (LTC) Long Term Care

    GrapeTree Medical Staffing LTCGalena, IL, US
    serp_jobs.job_card.full_time
    GrapeTree Medical Staffing LTC is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Galena, Illinois. Job Description & Requirements.Pay package is based ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Residential Care Facility Supervisor / Med Manager

    Residential Care Facility Supervisor / Med Manager

    imagine the PossibilitiesBellevue, IA, United States
    serp_jobs.job_card.full_time +1
    This is an IN OFFICE, overnight position with the hours of 6pm-6am • •.This role operates administratively in a.Residential Care Facility (RCF) Setting. Rather than institutionalizing individuals who ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Travel CT Technologist

    Travel CT Technologist

    KPG AlliedClinton, IA, US
    serp_jobs.job_card.permanent
    KPG Allied is seeking a travel CT Technologist for a travel job in Clinton, Iowa.Job Description & Requirements.Candidates must have at least 1 years of paid experience in the last 3 years.Paid...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 - Long-Term Care - $1,644 per week in Dubuque, IA

    Travel Nurse RN - Long-Term Care - $1,644 per week in Dubuque, IA

    TravelNurseSourceDubuque, IA, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Skyline Med Staff to find a qualified Long-Term Care RN in Dubuque, Iowa, 52001!.Join the Best in Travel Nursing! Skyline Med Staff was honored as the #1 Best Tra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours