Clinical Operations Program Lead

Molina Talent Acquisition; United States; Vor Ort; USD 90.000 - 150.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a seasoned Program/Project Manager to join the Clinical Operations Enablement team. You will guide the implementation of the Clinical COE vision across the enterprise and collaborate with leaders nationwide to align new clinical projects with governance standards.

You will create and maintain policies, workflows, playbooks and reports; manage budgets; partner with Legal, Compliance and Information Security; and support portfolio management and change initiatives to

Qualifikationen

• At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience.
• Operational Process Improvement experience.
• Managed Care experience, preferably in a shared service, CoE or matrixed environment.
• Experience with Microsoft Project and Visio.
• 2+ years of program or project management experience within a healthcare or managed care environment or PMP certification.
• Knowledge of healthcare operations, including utilization management and case management, regulatory requirements, and population health programs.
• Managed care experience across Medicaid, Medicare, and Marketplace lines of business.
• Strong presentation skills and experience presenting to diverse audiences to include senior leaders.

Aufgaben

• Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program.
• Manages program budget, as applicable, supporting project prioritization.
• Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld.
• Tracks performance metrics and ensures value realization from deployed solutions.
• Coordinates recurring meetings to support governance framework and decision-making processes, as needed.
• At the direction of program leadership, supports portfolio management and/or initiative-specific change and project management.
• Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral.
• Routinely reviews program collateral to ensure current and accurate reflection of business needs.
• Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team.
• Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
• Generates and distributes standard reports on schedule.

Kenntnisse

Program management

Operational Process Improvement

Managed Care experience

Tools

Microsoft Project

Visio

Jobbeschreibung

Molina Healthcare is seeking a seasoned Program/Project Manager to join the Clinical Operations Enablement team. You will guide the implementation of the Clinical COE vision across the enterprise and collaborate with leaders nationwide to align new clinical projects with governance standards.

You will create and maintain policies, workflows, playbooks and reports; manage budgets; partner with Legal, Compliance and Information Security; and support portfolio management and change initiatives to