Program Manager -Payment Integrity/Prepayment Solutions (Remote)

Lensa; West Valley City (UT); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare company is seeking a remote Program Manager for Payment Integrity/Prepayment Solutions Implementation. The role involves managing projects, collaborating with teams, and ensuring process improvements. Candidates should have strong project management experience, particularly in healthcare, and proficiency in relevant tools.

Benefits

Competitive benefits and compensation package

Qualifications

• 3-5 years of Program and/or Project management experience.
• Operational Process Improvement experience.
• Healthcare industry experience.

Responsibilities

• Collaborate with teams on internal projects and programs.
• Plan and direct schedules and budgets.
• Monitor projects from start to finish.

Skills

Project Management

Agile

Communication

Process Improvement

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Jira

PowerPoint

Excel

Job description

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Molina Healthcare is hiring for a Program Manager – Payment Integrity/Prepayment Solutions Implementation.

This role is remote and can be worked from states we are focused on hiring in.

Highly Qualified Candidates Will Have The Following Experience:

• Knowledge of claims / claims processing.
• Experience working within Payment Integrity and/or Prepayment solutions.
• Project Management, and/or Technical Project Management.
• Above average to expert level in Agile, Jira, PowerPoint, Excel.
• Understanding of claims vendors and their functions. Experience engaging vendors and ensuring technology implementation.
• Coding experience is a plus!
• Familiarity with QNXT is a plus.

Job Summary

Responsible for internal business projects involving department or cross-functional teams, delivering products from design to completion. Plans schedules and budgets, monitors project progress, and may oversee external vendors. Focuses on project/program management.

Job Duties

• Collaborate with teams on internal projects and programs.
• Plan and direct schedules and budgets.
• Monitor projects from start to finish.
• Engage and oversee external vendors when necessary.
• Focus on process improvement and organizational change management.
• Lead and manage teams in executing business programs.
• Serve as subject matter expert and lead programs to meet needs.
• Communicate with customers to analyze needs and develop requirements.
• Provide recommendations for process improvements.
• Create business requirements documents, test plans, and training materials.
• Generate and distribute reports.
• Travel up to twice per year.

Job Qualifications

Required Education: Bachelor's Degree or equivalent experience.

Preferred Education: Graduate Degree or equivalent experience.

Required Experience/Skills:

• 3-5 years of Program and/or Project management experience.
• Operational Process Improvement experience.
• Healthcare industry experience.
• Proficiency with Microsoft Project and Visio.
• Excellent communication and presentation skills.
• Experience working with leadership at various levels.

Preferred Experience:

• 5-7 years of Program and/or Project management experience.
• Managed Care experience.
• Experience in a highly matrixed organization.

Preferred Certifications:

• PMP, Six Sigma Green Belt, Black Belt, or similar certifications.

To all current Molina employees: Please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.