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

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareColumbus, OH, United States
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 • Columbus, OH, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    BE / BC Non-Proceduralist Pain Management Physician – Columbus, OH

    BE / BC Non-Proceduralist Pain Management Physician – Columbus, OH

    OhioHealthColumbus, US
    serp_jobs.job_card.full_time
    Join an award winning, physician-led health system that prides itself on an inclusive, collegial and innovative culture.Join a collaborative group of experts in pain management, medical spine, and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medical Manager

    Medical Manager

    ChenMedWhitehall, OH, US
    serp_jobs.job_card.full_time
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Regional Director of Clinical Services

    Regional Director of Clinical Services

    National Church ResidencesColumbus, OH, US
    serp_jobs.job_card.full_time
    Regional Director Of Clinical Services.According to prescribed policies and procedures of the organization including all applicable state, federal and accreditation regulations and under the genera...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Associate Chief Medical Officer

    Associate Chief Medical Officer

    ChenMedWhitehall, OH, US
    serp_jobs.job_card.full_time
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Health Information Management (HIM) Manager

    Health Information Management (HIM) Manager

    ClearSky HealthLancaster, OH, US
    serp_jobs.job_card.full_time
    Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses.We distinguish ourselves through our commitment to excellence, to our patient...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Requisition Project Executive - Healthcare

    Requisition Project Executive - Healthcare

    Gilbane Building CompanyColumbus, OH, US
    serp_jobs.job_card.full_time
    Do you consider yourself to be a highly technical, strong communicator with the desire to work in a team environment on complex projects? Gilbane is seeking a Project Executive to lead healthcare p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Director

    Clinical Director

    StaffosaurusGahanna, OH, US
    serp_jobs.job_card.full_time
    Our organization is committed to making a positive impact on the lives of individuals facing mental health and substance use challenges. As a leader in the healthcare industry, we strive to create a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Director

    Clinical Director

    hopebridgeDublin, OH, US
    serp_jobs.job_card.full_time
    The Clinical Director (CD) provides clinical oversight to ABA services within a center, supports a small caseload and provides ongoing structured mentorship to BCBAs in the center.The CD is integra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Hospital Medicine Physician

    Hospital Medicine Physician

    Sound PhysiciansLondon, US
    serp_jobs.job_card.full_time
    Your future is waiting for you as a Hospital Medicine Physician in London, Kentucky.We believe in bringing “better” to our local community in London, Kentucky—better care, better&...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Manager

    Clinical Manager

    ChenMedWhitehall, OH, US
    serp_jobs.job_card.full_time
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Associate Medical Officer

    Associate Medical Officer

    ChenMedWhitehall, OH, US
    serp_jobs.job_card.full_time
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.new
    Clinical Operations Manager

    Clinical Operations Manager

    Entyre IncColumbus, OH, US
    serp_jobs.job_card.full_time
    At Entyre Care, we believe that everyone deserves to live a dignified and independent life at home.To that end, we support friends and families in providing home care for their beloved ones with pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Center Clinical Manager

    Center Clinical Manager

    ChenMedColumbus, OH, US
    serp_jobs.job_card.full_time
    We're changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Center Clinical Director, Associate

    Center Clinical Director, Associate

    ChenMedGranville, OH, US
    serp_jobs.job_card.full_time
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Clinical Area Manager - Northwest OH

    Clinical Area Manager - Northwest OH

    Electromed Inc.Columbus, OH, US
    serp_jobs.job_card.full_time
    It is no longer ok to just be competitive regarding how we treat our people in everything we do.Our leadership team believes wholeheartedly we need to be beyond competitive and cultivate a culture ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Inpatient Psychiatric Medical Director in Columbus, OH

    Inpatient Psychiatric Medical Director in Columbus, OH

    Trinity HealthColumbus, US
    serp_jobs.job_card.full_time
    Full-time Board-Certified General Adult Psychiatrist.The facility is a an 80-bed acute treatment center specializing in treating men and women who are experiencing behavioral or mental health crisi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    PRN Coordinator (Clinical Operations)

    PRN Coordinator (Clinical Operations)

    Cardinal HealthUSA, Ohio, Dublin
    serp_jobs.job_card.full_time
    What Clinical Operations contributes to Cardinal Health.As a PRN, this individual will work on the assigned practice's PPS Analytics portal inputting specific information into the charts of assigne...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Palliative Care Clinical Administrator

    Palliative Care Clinical Administrator

    OhioHealthColumbus, OH, US
    serp_jobs.job_card.full_time
    Palliative Care Clinical Administrator.We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.We work...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Health Care Plan Management Administrator

    Health Care Plan Management Administrator

    STRSColumbus, OH, US
    serp_jobs.job_card.full_time
    Health Care Plan Management Administrator.The State Teachers Retirement System of Ohio (STRS Ohio) is seeking a Health Care Plan Management Administrator to join its Member Benefits / Health Care / Fi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Director

    Clinical Director

    Rise Up RecoveryLancaster, OH, US
    serp_jobs.job_card.full_time
    Directly report to the Executive Director.Review Discharge Statements for discharged clients.Represent Rise Up Recovery in court, when necessary. Participate in interviews for new staff.Provide lead...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days