Talent.com
Director, Clinical Systems

Director, Clinical Systems

Molina HealthcareMESA, 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 • MESA, US

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

    Medical Oncology Director

    VirtualVocationsGilbert, Arizona, 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

    VirtualVocationsChandler, Arizona, 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, Surgical Services

    Director, Surgical Services

    K.A. RecruitingMesa, AZ, US
    serp_jobs.job_card.full_time +1
    New Nursing Leadership Opportunity.Full-time and permanent position with opportunities for growth and a full, comprehensive benefits package including PTO, health insurance, life insurance, 401k, a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Orthopedic Surgery Medical Director

    Orthopedic Surgery Medical Director

    VirtualVocationsMesa, Arizona, United States
    serp_jobs.job_card.full_time
    A company is looking for an Associate Medical Director, Orthopedic Surgery.Key Responsibilities Provide timely medical reviews that meet quality parameters Document communication and decision-ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Associate Director RN PCU

    Associate Director RN PCU

    Banner HealthMesa, AZ, US
    serp_jobs.job_card.full_time
    Banner Baywood Medical Center has served the growing East Valley for more than 30 years, and every day we work hard to provide the best care to our patients. The Banner Baywood Neuro Progressive Car...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Director, Healthcare Systems

    Director, Healthcare Systems

    B Braun MedicalPhoenix, AZ, United States
    serp_jobs.job_card.full_time
    You're an important part of our future.Hopefully, we're also a part of your future! At B.Braun, we protect and improve the health of people worldwide. You support this vision, bringing expertise and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Area Director

    Area Director

    CorticaScottsdale, AZ, US
    serp_jobs.job_card.full_time
    Cortica is looking for an Area Director to join its growing team! As Area Director, you will oversee all patient-facing operations across multiple clinic locations in a rapidly growing healthcare o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Operations Manager

    Clinical Operations Manager

    VirtualVocationsMesa, Arizona, 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
    PMR Med Director – $100K Bonus

    PMR Med Director – $100K Bonus

    The Staff PadChandler, AZ, United States
    serp_jobs.job_card.full_time
    Opportunity Highlights Role Focus : This is a Medical Directorship in Physical Medicine & Rehabilitation—designed for physicians ready to lead clinical strategy and operations.Directorship Stipend...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Licensed Clinical Manager

    Licensed Clinical Manager

    AdeccoMesa, AZ, US
    serp_jobs.job_card.full_time
    We are currently seeking a .Behavioral Health and Substance Abuse facilities in .If you are passionate about helping your community and looking for an exceptional growth opportunity...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director of Client Success - Healthcare RCM

    Director of Client Success - Healthcare RCM

    XpertDoxScottsdale, AZ, US
    serp_jobs.job_card.full_time
    Current RCM Manager ready to step into a Director role.XpertDox is a fast-growing healthcare AI company revolutionizing how hospitals and clinics handle medical coding. Our flagship product, XpertCo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Associate Director of Clinical Services

    Associate Director of Clinical Services

    Centria AutismMesa, AZ, US
    serp_jobs.job_card.full_time
    Are you a skilled Board Certified Behavior Analyst (BCBA) who is passionate about empowering fellow Clinical Leaders? If you're a natural mentor that thrives when disseminating clinical knowled...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director, Stem Cell Transplant Program

    Director, Stem Cell Transplant Program

    Banner HealthGilbert, AZ, US
    serp_jobs.job_card.permanent
    Director, Stem Cell Transplant Program.Banner MD Anderson Cancer Center.Division of Cancer Medicine at the Banner MD Anderson Cancer Center (BMDACC). Phoenix, Arizona is actively seeking a Director ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director, Tech Management / ENTECH

    Director, Tech Management / ENTECH

    Banner HealthPhoenix, AZ, US
    serp_jobs.job_card.full_time
    Director, Tech Management / ENTECH.There is no better time to be in healthcare IT.As a Director, Tech Management / ENTECH, you will be part of the Technology Management team providing implementation, s...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

    VirtualVocationsGilbert, Arizona, 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
    • serp_jobs.job_card.new
    Medical Director Utilization Management - Clinical Advocacy and Support - Remote in US

    Medical Director Utilization Management - Clinical Advocacy and Support - Remote in US

    UnitedHealth GroupScottsdale, AZ, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    State Licensed Medical Director

    State Licensed Medical Director

    VirtualVocationsGilbert, Arizona, 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
    BCBA Clinical Director

    BCBA Clinical Director

    Action Behavior CentersApache Junction, AZ, United States
    serp_jobs.job_card.full_time
    APPLICATIONS ARE REVIEWED DAILY.YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.Our Patients : an intentional focus on small caseloads with a compassionate care approach 2. Our Culture : Our Core Values are...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30