Talent.com
Program Manager, Healthcare Services (Must Reside in New Mexico)
Program Manager, Healthcare Services (Must Reside in New Mexico)Molina Healthcare • Los Lunas, New Mexico, United States
Program Manager, Healthcare Services (Must Reside in New Mexico)

Program Manager, Healthcare Services (Must Reside in New Mexico)

Molina Healthcare • Los Lunas, New Mexico, 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 DESCRIPTION Job SummaryProvides 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.
  • 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 : $73,102 - $142,549 / 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

    Program Manager • Los Lunas, New Mexico, United States

    Job_description.internal_linking.related_jobs
    Program Director

    Program Director

    Clearance Jobs • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    GDIT Program Manager For Hybrid Architecture And Development For Experimental Systems (HADES).Seize your opportunity to make a personal impact as a GDIT Program Manager for the Hybrid Architecture ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    University of New Mexico • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    The Accelerating Resilience Innovations in Drylands (ARID) Institute is actively hiring for a Program Manager to manage and support the newly funded FOR-NM (Forest Research for New Mexico Water and...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Program Director

    Program Director

    General Dynamics • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    GDIT Program Manager For Hybrid Architecture And Development For Experimental Systems (HADES).Seize your opportunity to make a personal impact as a GDIT Program Manager for the Hybrid Architecture ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Program Manager (Mgr Programs 2) - 25635

    Program Manager (Mgr Programs 2) - 25635

    Clearance Jobs • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    This opportunity resides with All-Domain Operations (ADO), a business group within HII's Mission Technologies division.All-Domain Operations comprises multi-domain operations, platforms and logisti...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Program Director

    Program Director

    New Season • ALBUQUERQUE, NM, US
    serp_jobs.job_card.full_time
    For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in clas...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days
    Director - Clinical and Quality Programs

    Director - Clinical and Quality Programs

    Presbyterian Healthcare Services • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve.We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Program Specialist

    Program Specialist

    University of New Mexico • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    Position Summary : See the Position Description for additional information.Employees who provide services or work in patient care or clinical areas are required to be in compliance with the Universi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Population Health Manager - Remote in New Mexico

    Population Health Manager - Remote in New Mexico

    UnitedHealth Group • Albuquerque, NM, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    Alakaina Family of Companies • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    The Alaka`ina Foundation Family of Companies (FOCs) is looking for a Program Manager to support DOE NNSA CATS in Albuquerque, NM. This position is primarily remote, but individual must reside in / nea...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    QNM-I Program Manager

    QNM-I Program Manager

    University of New Mexico • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    High school diploma or GED; at least 6 years of experience 2 of which are management level experience directly related to the duties and responsibilities specified. Completed degree(s) from an accre...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Health Plan Network Strategy Director

    Health Plan Network Strategy Director

    Presbyterian Healthcare Services • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    Health Plan Network Strategy Director.Presbyterian is seeking a Health Plan Network Strategy Director to lead strategic initiatives in provider contracting, network development, and adequacy.This r...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Program Director

    Program Director

    Sevita • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    Program Director, IDD Services.Are you ready to take the next step in your social and human services career? As our program director for IDD services, you'll do more than manage programsyou'll empo...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior Program Manager

    Senior Program Manager

    Clearance Jobs • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    We are seeking a highly skilled Program Manager to lead a mission-critical IT security program supporting a Federal Government environment. The ideal candidate will have a strong background in IT pr...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Program Manager - Space Technologies

    Program Manager - Space Technologies

    BlueHalo • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    Program Manager - Space Technologies.BlueHalo, an AV company, has an immediate opening for a mid-career Program Manager to support satellite electronics programs within the Space Technologies busin...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    CISC Program Manager-Senior

    CISC Program Manager-Senior

    Presbyterian Healthcare Services • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    Presbyterian is seeking a CISC Program Manager-Senior.The CISC Program Manager will play a critical role in supporting CISC leadership and program operations. This individual will ensure seamless pr...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Program Director

    Program Director

    General Dynamics Information Technology • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    GDIT Program Manager For Hybrid Architecture and Development for Experimental Systems (HADES).Seize your opportunity to make a personal impact as a GDIT Program Manager for the Hybrid Architecture ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    Community Options, Inc. • Albuquerque, NM, US
    serp_jobs.job_card.full_time
    We are actively seeking an experienced .The Program Manager leads a team to provide person-centered care tailored to meet the needs of individuals with intellectual and developmental disabilities.T...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Program Manager, Medicare Stars & Quality Improvement (Remote)

    Program Manager, Medicare Stars & Quality Improvement (Remote)

    Molina Healthcare • Albuquerque, NM, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement initiatives and education programs. Responsible for Medicare Stars pro...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted