Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareCLEVELAND, OH, 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 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 • CLEVELAND, OH, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Assistant Director of Nursing

    Assistant Director of Nursing

    Danbury North RidgevilleAvon Lake, OH
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    You don’t just clock in at a job.You walk in the door to a work family who wants to make the day count.We truly believe our employees and residents are a family that comes together to enjoy t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    RN - Progressive Care Unit

    RN - Progressive Care Unit

    Cleveland ClinicAkron, OH, US
    serp_jobs.job_card.full_time
    ONA Bidding Period : 08 / 02 / 25 to 08 / 06 / 25.Join us at Cleveland Clinic Akron General Hospital where we have been providing world-class care to our community for over 100 years.Here, we strive for pat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Medical / Surgical RN

    Travel Medical / Surgical RN

    Host HealthcareWilloughby, OH, US
    serp_jobs.job_card.full_time
    Host Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Willoughby, Ohio.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours per week (s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Crisis Therapist : Mobile Response and Stabilization Services

    Licensed Crisis Therapist : Mobile Response and Stabilization Services

    Applewood CentersLodi, OH, US
    serp_jobs.job_card.full_time
    The MRSS Licensed Crisis Therapist will provide mobile response and stabilization services to youth (age 2-20) and families who have called the crisis hotline with a family identified crisis.The MR...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Program Director

    Program Director

    SevitaBedford, OH, US
    serp_jobs.job_card.full_time +1
    Program Director, Idd Services.Have you been looking for a fantastic role to continue your career path in social and human services? Look no further. This role is critical to our success and exempli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Mental Health Therapist - Outpatient - Eating Disorders

    Mental Health Therapist - Outpatient - Eating Disorders

    LifeStance HealthAvon Lake, OH, 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
    Clinical Therapist : Child & Adolescent Group Services

    Clinical Therapist : Child & Adolescent Group Services

    Bellefaire JCBAvon Lake, OH, US
    serp_jobs.job_card.full_time
    Bellefaire JCB is among the nation's largest, most experienced child service agencies providing a variety of mental health, substance abuse, education, and prevention services.Bellefaire JCB he...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Mental Health Counselor

    Clinical Mental Health Counselor

    Applewood CentersHomerville, OH, US
    serp_jobs.job_card.full_time
    Applewood Centers is a private, nonprofit agency providing mental health services, social services and education to children, adolescents and families living in Cuyahoga and Lorain counties.Dedicat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Triage StaffingWilloughby, OH, US
    serp_jobs.job_card.full_time
    Triage Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Willoughby, Ohio.Job Description & Requirements. Travel Nursing : Progressive Care Unit Willou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Mental Health Therapist - Outpatient - PTSD EMDR

    Mental Health Therapist - Outpatient - PTSD EMDR

    LifeStance HealthAvon Lake, OH, 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 Medical / Surgical RN

    Travel Medical / Surgical RN

    Planet HealthcareWilloughby, OH, US
    serp_jobs.job_card.full_time
    Planet Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Willoughby, Ohio.Job Description & Requirements. Planet Healthcare Job ID #69926271.Pay package is based on 12...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Mental Health Clinical Supervisor : Mobile Response and Stabilization Services (MRSS)

    Licensed Mental Health Clinical Supervisor : Mobile Response and Stabilization Services (MRSS)

    Applewood CentersRocky River, OH, US
    serp_jobs.job_card.full_time
    Under the supervision of the Mobile Response Stabilization Program Manager, the Licensed Shift Supervisor will take and assign crisis calls from the 24 / 7 hotline to have clinicians respond face to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Manager

    Clinical Manager

    Compass AssociatesCleveland, OH, US
    serp_jobs.job_card.full_time
    Clinical Manager - Behavioral Health.Health, Dental and Vision Insurance, Life Insurance, PTO and more.Behavioral Health - Residential (Res). Compass Associates are delighted to be assisting a respe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Telemetry RN

    Travel Telemetry RN

    Medical SolutionsEuclid, OH, US
    serp_jobs.job_card.full_time
    Medical Solutions is seeking a travel nurse RN Telemetry for a travel nursing job in Euclid, Ohio.Job Description & Requirements. We’re seeking talented healthcare professionals whose adve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Outpatient Therapist - Lorain (Part-Time 20-28 hrs / week)

    Outpatient Therapist - Lorain (Part-Time 20-28 hrs / week)

    Applewood CentersAvon Lake, OH, US
    serp_jobs.job_card.part_time
    Applewood Centers is a private, nonprofit agency providing mental health services, social services and education to children, adolescents and families living in Cuyahoga and Lorain counties.Dedicat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareAkron, OH, United States
    serp_jobs.job_card.full_time
    Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation and support, and ensuring compliance w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Clinical Program Manager

    Clinical Program Manager

    Applewood CentersCleveland, Ohio, United States
    serp_jobs.job_card.permanent
    Now Offering a $2,000 Sign-on Bonus.Our Residential Treatment program is currently hiring a Clinical Program Manager to provide dedicated leadership and supervision to our staff and clients.Specifi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Account Manager (Westlake, OH)

    Account Manager (Westlake, OH)

    MRG ExamsAvon Lake, OH, US
    serp_jobs.job_card.full_time
    As an Account Manager for our VA Disability division, you will coordinate with a team of medical practitioners dedicated to meeting client needs. Your primary responsibilities will include maintaini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - OR - Operating Room - $1770.41 / Week

    Travel Nurse - RN - OR - Operating Room - $1770.41 / Week

    FlexCareEuclid, OH, US
    serp_jobs.job_card.full_time
    FlexCare is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in Euclid, OH.Shift : 5x8 hr days Start Date : 10 / 31 / 2025 Duration : 13 weeks Pay : $1770.Why Clini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Medical-Surgical - $1,668 to $1,849 per week in Euclid, OH

    Travel Nurse RN - Medical-Surgical - $1,668 to $1,849 per week in Euclid, OH

    TravelNurseSourceEuclid, OH, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified Med / Surg RN in Euclid, Ohio, 44119!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days