Healthcare Programs Manager – Quality & Change

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

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a seasoned leader to provide subject matter expertise in healthcare services, helping design, execute, and evaluate programs while ensuring regulatory and contractual compliance. The role supports quality member care and cost-effective outcomes.

The position emphasizes collaboration with cross-functional teams, vendors, and customers to align needs with functional requirements, audits, and BRD creation. Strong communication and organizational skills are essential.

Qualifications

• Minimum 5 years in health care with clinical operations experience.
• 3+ years in utilization/ care management or related areas.
• Strong analytical and problem-solving abilities.
• Excellent organizational and time-management skills.
• Ability to work in a cross-functional, professional environment.
• Experience with state/federal regulations and contracts.

Responsibilities

• Lead healthcare services projects from design to completion with cross-functional teams.
• Communicate program goals, evaluation, and support to ensure compliance with protocols.
• May oversee external vendors delivering services.
• Drive process improvement and program management initiatives.
• Lead healthcare services programs to meet critical needs.
• Translate customer needs into functional requirements.
• Conduct quality audits and implement quality initiatives.
• Create BRDs, test plans, RTMs, and training materials.

Skills

Healthcare leadership

Regulatory compliance

Analytical thinking

Time management

Cross-functional collaboration

Communication

Microsoft Office

Education

RN/LVN/LPN/LPCC/LMFT credentials

Clinical licensure/certification (where required)

Tools

Microsoft Office

Online portals & databases

Job description

Molina Healthcare is seeking a seasoned leader to provide subject matter expertise in healthcare services, helping design, execute, and evaluate programs while ensuring regulatory and contractual compliance. The role supports quality member care and cost-effective outcomes.

The position emphasizes collaboration with cross-functional teams, vendors, and customers to align needs with functional requirements, audits, and BRD creation. Strong communication and organizational skills are essential.