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

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareBellevue, NE, 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 • Bellevue, NE, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Assistant Program Director - Crisis Stabilization and Resource Center

    Assistant Program Director - Crisis Stabilization and Resource Center

    Heartland Family ServicePapillion, NE, US
    serp_jobs.job_card.full_time
    Assistant Program Director - Crisis Stabilization and Resource Center.At Heartland Family Service, we are committed to building a culture that is trauma informed and values and celebrates diversity...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - LD - Labor and Delivery - $2467.38 / Week

    Travel Nurse - RN - LD - Labor and Delivery - $2467.38 / Week

    Host HealthcareNebraska City, NE, US
    serp_jobs.job_card.full_time
    Host Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Nebraska City, NE. Shift : Inquire Start Date : 10 / 22 / 2025 Duration : 13 weeks Pay : $...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcarePapillion, NE, US
    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

    MedicaOmaha, NE, United States
    serp_jobs.job_card.full_time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    VirtualVocationsOmaha, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Program Manager Strategic Operations to oversee project alignment with operational strategies. Key Responsibilities Lead and manage multiple strategic projects for speci...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse - Registered Nurse - LD - Labor and Delivery - $2467.38 / Week

    Travel Nurse - Registered Nurse - LD - Labor and Delivery - $2467.38 / Week

    Host HealthcareNebraska City, NE, US
    serp_jobs.job_card.full_time
    Host Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Nebraska City, NE. Shift : Inquire Start Date : 10 / 22 / 2025 Duration : 13 weeks Pay : $...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Product Manager - Healthcare

    Product Manager - Healthcare

    VirtualVocationsOmaha, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Product Manager - Healthcare Price Transparency Data Solution (Remote / Work From Home).Key Responsibilities Define and communicate the product vision, strategy, and road...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health ServicesOmaha, NE, United States
    serp_jobs.job_card.full_time
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to. Essential Duties & Responsibilities : .Responsible for ...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

    Malone Healthcare - NursingNebraska City, NE, US
    serp_jobs.job_card.full_time
    Malone Healthcare - Nursing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Nebraska City, Nebraska. Job Description & Requirements.About Malone Healthcare - Nursing....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Principal Program Manager

    Principal Program Manager

    VirtualVocationsOmaha, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Principal Program Manager to lead complex, high-visibility programs and initiatives within Business Technology. Key Responsibilities Lead the planning, execution, and de...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director of Program Management

    Director of Program Management

    VirtualVocationsOmaha, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Lead Director of Program Management.Key Responsibilities Collaborate with clinical and operational leaders to identify business needs and strategic objectives Analyze ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Care Manager (RN)

    Care Manager (RN)

    Molina HealthcareOmaha, NE, United States
    serp_jobs.job_card.full_time
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Manager Food-Nutrition Services

    Manager Food-Nutrition Services

    Common Spirit HealthOmaha, NE, US
    serp_jobs.job_card.full_time
    Manager Food-Nutrition Services.The posted compensation range of $27.CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.Comm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health Services CareersOmaha, Nebraska, US
    serp_jobs.job_card.full_time
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to. Essential Duties & Responsibilities : .Responsible for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Manager Clinical Research

    Program Manager Clinical Research

    Creighton UniversityOmaha, NE, United States
    serp_jobs.job_card.full_time
    Creighton University's School of Medicine is seeking to hire a Program Manager to manage and oversee administration programs for the School of Medicine in Clinical Research.Programs are scientific,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - LD - Labor and Delivery - $2467.38 / Week - Hiring Now

    Travel Nurse - RN - LD - Labor and Delivery - $2467.38 / Week - Hiring Now

    Host HealthcareNebraska City, NE, US
    serp_jobs.job_card.full_time
    Host Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Nebraska City, NE. Shift : Inquire Start Date : 10 / 22 / 2025 Duration : 13 weeks Pay : $...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareCOUNCIL BLUFFS, US
    serp_jobs.job_card.full_time
    Leads and directs a team supporting clinical systems.Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technolo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Care Manager

    Care Manager

    Molina HealthcareCouncil Bluffs, IA, US
    serp_jobs.job_card.full_time
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Manager Clinical Education

    Manager Clinical Education

    Common Spirit HealthPapillion, NE, US
    serp_jobs.job_card.full_time
    The posted compensation range of $43.CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Manager Practice Operations

    Manager Practice Operations

    Methodist Health SystemElkhorn, NE, US
    serp_jobs.job_card.full_time
    Why Work For Nebraska Methodist Health System?.At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ.We call it The Meaning of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days