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

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareTX, 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 • TX, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Home Health Physical Therapist - $2,796 per week

    Travel Home Health Physical Therapist - $2,796 per week

    Synergy Medical StaffingAbilene, TX, United States
    serp_jobs.job_card.permanent
    Synergy Medical Staffing is seeking a travel Home Health Physical Therapist for a travel job in Abilene, Texas.Job Description & Requirements. Shift : 8 Hrs, 08 : 00 : 00-16 : 00 : 00, 8.When you join Synerg...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    Clinical Therapist I - North

    Clinical Therapist I - North

    Hendrick Medical CenterAbilene, Texas, United States, 79601
    serp_jobs.job_card.full_time
    Assess, treat, and care for patients with breathing disorders.Assume primary responsibility for all respiratory care modalities, including the supervision of respiratory therapy students and new gr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Leadership Advancement Program

    Leadership Advancement Program

    Biolife Plasma Services CareersAbilene, Texas, US
    serp_jobs.job_card.full_time
    By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Tak...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Physical Therapist (PT) - Home Health - PRN

    Physical Therapist (PT) - Home Health - PRN

    Enhabit Home Health & HospiceAbilene, TX, United States
    serp_jobs.job_card.full_time
    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, E...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Regional Director of Operations- North Florida

    Regional Director of Operations- North Florida

    Thrive Pet HealthcareRemote, TX, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    This individual must live in or be willing to relocate to Florida • • •.Director of Regional Operations- North Florida .Thrive Pet Healthcare hospitals and will strive to identify synergies and foster...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director of Radiology

    Director of Radiology

    Ballinger Memorial HospitalAbilene, TX, US
    serp_jobs.job_card.full_time
    Ballinger Memorial Hospital District.Ballinger Memorial Hospital District offers.All employees are enrolled in the TCDRS retirement plan, with a. Full-Time employees are eligible for medical, dental...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Clinical Director (Physical Therapist)

    Clinical Director (Physical Therapist)

    FYZICAL Therapy and Balance CentersAbilene, TX, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Exponentially increase the value of your Physical Therapy degree when you join FYZICAL, the nation's leading PT company, as our Clinical Director in Abilene, TX!. Our independently owned practice of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Program Manager

    Program Manager

    OMNI Consulting SolutionsAbilene, TX, US
    serp_jobs.job_card.full_time
    Title : MILCON Program Manager / Engineer III.Location : On-site at Dyess AFB, TX.OMNI is seeking an experienced MILCON Program Manager to support the B-21 Program Management Office (PMO), AFCEC, and t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Revenue Cycle Support Manager

    Revenue Cycle Support Manager

    MCKESSONTX, United States
    serp_jobs.job_card.full_time
    McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare.We are known for delivering insights, products, and services that make quality care more accessibl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Coordinator- Accreditation & Continuing Education Expert

    Coordinator- Accreditation & Continuing Education Expert

    Hendrick Medical CenterAbilene, Texas, United States, 79601
    serp_jobs.job_card.full_time
    Coordinator- Accreditation & Continuing Education Expert.A Bachelors-prepared registered nurse responsible for obtaining and maintaining accreditation / recognition for Hendrick Medical Center’s educ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    OR Charge RN - Specialty Teams Coordinator SS OR

    OR Charge RN - Specialty Teams Coordinator SS OR

    Hendrick Medical CenterAbilene, Texas, United States, 79601
    serp_jobs.job_card.full_time
    OR Charge RN - Specialty Teams Coordinator SS OR.Under general supervision and collaboration with the OR Manager, plans, organizes, directs and controls all activities involved in the effective, e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physical Therapist (PT) - Home Health

    Physical Therapist (PT) - Home Health

    Enhabit Home Health & HospiceAbilene, TX, United States
    serp_jobs.job_card.full_time
    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, E...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Leadership Management Program

    Leadership Management Program

    Biolife Plasma Services CareersAbilene, TX, United States
    serp_jobs.job_card.full_time
    By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further attest th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    PATIENT SERVICES LEAD (FULL TIME)

    PATIENT SERVICES LEAD (FULL TIME)

    Morrison HealthcareAbilene, TX, US
    serp_jobs.job_card.full_time +1
    We are hiring immediately for a full time.Hendrick Medical Center South - 6250 Highway 82-84, Abilene, TX 79606.Note : online applications accepted only. Full time schedule; days and hours may vary.P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Project Manager- Mission Critical Construction

    Project Manager- Mission Critical Construction

    Gregory ConstructionTye, TX, US
    serp_jobs.job_card.full_time
    Project Manager – Mission Critical Construction.El Paso, TX (Travel IS required).As a faith-driven, team-focused company, we deliver. God, serve others, pursue excellence, and grow profitably....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director, Strategy and Optimization Oncology

    Director, Strategy and Optimization Oncology

    MCKESSONTX, United States
    serp_jobs.job_card.full_time
    McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare.We are known for delivering insights, products, and services that make quality care more accessibl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Center Manager Readiness Program - Relocation Required

    Center Manager Readiness Program - Relocation Required

    Biolife Plasma Services CareersAbilene, Texas, US
    serp_jobs.job_card.full_time
    By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Tak...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    RN-Surgical Services

    RN-Surgical Services

    Hendrick Medical CenterAbilene, Texas, United States, 79601
    serp_jobs.job_card.full_time
    Registered Nurses deliver care to patients utilizing the nursing process.Nurses collaborate with other professional disciplines to ensure effective patient care delivery and achievement of desired ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    RN-Surgery Center-South

    RN-Surgery Center-South

    Hendrick Medical CenterAbilene, Texas, United States, 79601
    serp_jobs.job_card.full_time
    Registered Nurses deliver care to patients utilizing the nursing process.Nurses collaborate with other professional disciplines to ensure effective patient care delivery and achievement of desired ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    RN - Home Health in Abilene, Texas - $2,100 / week

    RN - Home Health in Abilene, Texas - $2,100 / week

    VettedAbilene, TX, United States
    serp_jobs.job_card.full_time
    Vetted is seeking a RN - Home Health for a travel job in Abilene, Texas.The assignment starts on ASAP and is 13 weeks long with 10 hour shifts 4 days a week. You must live 60 miles away from the fac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day