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

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareHouston, TX, US
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 • Houston, TX, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Operations Manager (Legacy Alief Bissonnet Clinic)

    Operations Manager (Legacy Alief Bissonnet Clinic)

    Legacy Community HealthHouston, TX, US
    serp_jobs.job_card.full_time
    Operations Manager (Alief Bissonnet) - Job Overview.Step into the future of community healthcare with Legacy Community Health as an Operations Manager, where innovation meets compassion.This role i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Practice Manager, Hendrick Clinic South

    Practice Manager, Hendrick Clinic South

    Hendrick Medical CenterHouston, TX, US
    serp_jobs.job_card.full_time
    The Practice Manager is responsible for overall leadership; growth; marketing; administration and performance of all aspects of clinic activities to ensure accomplishment of its objectives.Bachelor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Practice Manager II

    Practice Manager II

    Methodist Health SystemLa Marque, TX, US
    serp_jobs.job_card.full_time
    Your Job : The Office Manager will supervise the daily operations of the facility to ensure a smooth, efficient operations process is carried out daily. You will work closely with Physicians to ensur...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Plant Health Care Manager

    Plant Health Care Manager

    Monarch Landscape ManagementHouston, TX, US
    serp_jobs.job_card.full_time
    Monarch Landscape Management is seeking a knowledgeable and proactive Plant Health Care Manager to lead our efforts in diagnosing, treating, and preventing landscape pest and disease issues.This ro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Manager - Cardiac Tele / IMU

    Clinical Manager - Cardiac Tele / IMU

    Memorial HermannHouston, TX, US
    serp_jobs.job_card.full_time
    Memorial Hermann Greater Heights is a Level III Trauma Center and Magnet designated acute care facility.Currently seeking a Nurse Manager to lead our 30 bed Cardiac Telemetry / IMU unit overseeing ap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    EP Clinical Manager - Houston, TX

    EP Clinical Manager - Houston, TX

    Boston ScientificHouston, TX, US
    serp_jobs.job_card.full_time
    EP Clinical Manager - Houston, TX.Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance. At Boston Scientific, we'll give you the opportunity to harness all that...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Operations Manager - Montrose Clinic

    Operations Manager - Montrose Clinic

    Legacy Community HealthHouston, TX, US
    serp_jobs.job_card.full_time
    Operations Manager - Montrose Clinic.Join us in transforming the future of community healthcare as an Operations Manager at Legacy Community Health. We are seeking a forward-thinking leader to innov...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Associate Center Clinical Director - Houston, TX

    Associate Center Clinical Director - Houston, TX

    Hueman Physician RecruitingHouston, TX, US
    serp_jobs.job_card.full_time
    Associate Center Clinical Director – Houston, TX.Full-Time | Monday–Friday, 7 : 30 AM–5 : 00 PM.Make a Meaningful Impact in Senior Primary Care. Join a purpose-driven team transforming...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 CentersHouston, TX, 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. Our Culture : Our Core Values are m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Services Manager - Houston South (Field Based)

    Clinical Services Manager - Houston South (Field Based)

    Insulet CorporationHouston, TX, US
    serp_jobs.job_card.full_time
    Are you ready to take your career to the next level by joining a global medical device market leader in diabetes care? At Insulet Corporation, we are transforming lives with innovative products tha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Manager, Provider Contracting - Houston, TX market - Healthcare

    Manager, Provider Contracting - Houston, TX market - Healthcare

    CignaHouston, TX, US
    serp_jobs.job_card.full_time
    Manager, Provider Contracting Network Management.Supports our Houston, TX market - Candidate will be required to live in the Houston, TX area. The Manager, Provider Contracting Network Management se...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director of RCM & Patient Access

    Director of RCM & Patient Access

    Allergy & Ent AssociatesHouston, TX, US
    serp_jobs.job_card.full_time
    Director of Revenue Cycle Management and Patient Access.Allergy & ENT Associates is looking for a Director of Revenue Cycle Management and Patient Access at our Central Office in North Houston, TX!...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Manager, Hendrick Clinic Access Center

    Manager, Hendrick Clinic Access Center

    Hendrick Medical CenterHouston, TX, US
    serp_jobs.job_card.full_time
    Leadership And Direction For Ongoing Process Improvement.Provides leadership and direction for ongoing process improvement. change management through interdisciplinary work across settings; and col...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Director

    Clinical Director

    Memorial Hermann Surgery Center, Woodlands Parkway (11030)THE WOODLANDS, Texas, United States
    serp_jobs.job_card.full_time
    Memorial Hermann Surgery Center – Woodlands Parkway, in partnership with United Surgical Partners International (USPI), is a state-of-the-art ambulatory surgery center committed to providing except...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Manager - Center for Advanced Cardiology (Katy & Sugar Land)

    Clinical Manager - Center for Advanced Cardiology (Katy & Sugar Land)

    Memorial HermannSugar Land, TX, US
    serp_jobs.job_card.full_time
    At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our comm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Associate Medical Officer

    Associate Medical Officer

    ChenMedAcres Homes, TX, 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 Manager, Abdominal Transplant Clinic

    Clinical Manager, Abdominal Transplant Clinic

    Memorial HermannHouston, TX, US
    serp_jobs.job_card.full_time
    At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our comm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Associated Center Clinical Director

    Associated Center Clinical Director

    ChenMedHuffman, TX, 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
    Manager Clinic Practice I

    Manager Clinic Practice I

    Common Spirit HealthHouston, TX, US
    serp_jobs.job_card.full_time
    The Practice Manager I is responsible for managing the daily administrative and technical support sections of a medical clinic in accordance with established policies, procedures, and standards.Ant...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Manager Clinic Practice II

    Manager Clinic Practice II

    Common Spirit HealthTomball, TX, US
    serp_jobs.job_card.full_time
    CommonSpirit Health is building a healthier future for all through its integrated health services.As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health del...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30