Healthcare Programs Lead — Process & Quality Impact

Molina Healthcare; Los Angeles (CA); On-site; USD 84,000 - 164,000; Full time

Benefits offered by this job

Competitive benefits package

EOE M/F/D/V

Job summary

Molina Healthcare in Los Angeles, CA, seeks a senior healthcare services leader to oversee program design, execution, and evaluation while ensuring compliance with regulations and contracts. You will guide cross-functional teams, manage vendor relationships, and drive quality and cost-efficient member care.

The role emphasizes collaboration, analytical thinking, and strong communication within a regulatory-driven environment to deliver impactful healthcare services programs.

Qualifications

• Minimum 5 years health care experience including clinical operations.
• At least 3 years in utilization management, care management, transitions, or related areas.
• Active licensure required if mandated by state contract or regulations.
• Excellent written and verbal communication and documentation skills.

Responsibilities

• Lead and plan healthcare services projects with cross-functional teams.
• Ensure program goals and quality protocols are followed and documented.
• Oversee external vendors as needed.
• Drive process improvement and change management initiatives.
• Lead healthcare services programs to meet critical needs.
• Translate customer needs into functional requirements and BRDs.

Skills

Analytical skills

Time management

Communication skills

Cross-functional collaboration

Education

RN licensure

LPN/LVN licensure

Tools

Microsoft Office

Job description

Molina Healthcare in Los Angeles, CA, seeks a senior healthcare services leader to oversee program design, execution, and evaluation while ensuring compliance with regulations and contracts. You will guide cross-functional teams, manage vendor relationships, and drive quality and cost-efficient member care.

The role emphasizes collaboration, analytical thinking, and strong communication within a regulatory-driven environment to deliver impactful healthcare services programs.