Project Manager (Appeals & Grievances)

Molina Healthcare; United States; On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare seeks a Project Manager to support internal business projects from inception through delivery. You will plan and manage project schedules, milestones, budgets, stakeholder involvement, and quality outcomes, while coordinating cross-functional teams to ensure successful completion and governance.

The role requires strong communication and analytic skills to translate needs into actionable plans. This position will support multiple Appeals and Grievances regions.

Qualifications

• At least 3 years of professional experience in project management or a related role, or equivalent combination of relevant education and experience.
• Operational/process improvement experience.
• Project management experience/skills.
• Knowledge of project management methodologies (Waterfall, Agile, or hybrid).
• Data analysis skills/experience.
• Strong problem-solving skills.
• Strong organizational and time-management skills.
• Proven ability to manage multiple projects simultaneously with competing priorities.
• Ability to create clear, accurate, complete, and concise reports.
• Ability to effectively lead small meetings and capture concise notes and action items.
• Ability to work cross-collaboratively across a highly matrixed organization.
• Effective verbal/written/presentation communication skills.
• Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.

Responsibilities

• Manages all aspects of assigned projects throughout the project lifecycle including project scope, schedule, resources, quality, costs and change; supports projects of moderate to high-level complexity.
• Develops and maintains detailed project plans to include milestones, tasks, and target/actual dates of completion.
• Revises project plans as appropriate to meet changing needs and requirements.
• Schedules and conducts project meetings to include logistics, agendas, and meeting minutes.
• Prepares and submits project status reports to leadership.
• Facilitates project follow-up items with applicable stakeholders.
• Coordinates project-related process improvements, workflow changes, project/program implementation and governance changes, etc.
• May engage and oversee the work of external vendors.
• Provides training and support to new and existing project management team members.
• Act as a liaison between Appeals & Grievances and PEGA teams.
• Manage SOPs, Workflows, job aide for Pega
• Create process documents across all states
• Work with executive teams.

Skills

Project management

Data analysis

Cross-functional coordination

Stakeholder management

Reporting

Communication

Meeting facilitation

Time management

MS Office suite

Agile/Waterfall

Tools

Microsoft Office Suite

Project

Visio

Job description

Job Summary

Provides support for internal business projects from inception through delivery. Plans and managed project schedules, milestones, budgets, stakeholder involvement, and quality/delivery. Collaborates cross-functionally with departments and cross-functional teams of subject matter experts to ensure project completion and success.

This candidate will be supporting multiple Appeals and Grievances regions

Essential Job Duties

• Manages all aspects of assigned projects throughout the project lifecycle including project scope, schedule, resources, quality, costs and change; supports projects of moderate to high-level complexity.
• Develops and maintains detailed project plans to include milestones, tasks, and target/actual dates of completion.
• Revises project plans as appropriate to meet changing needs and requirements.
• Schedules and conducts project meetings to include logistics, agendas, and meeting minutes.
• Prepares and submits project status reports to leadership.
• Facilitates project follow-up items with applicable stakeholders.
• Coordinates project-related process improvements, workflow changes, project/program implementation and governance changes, etc.
• May engage and oversee the work of external vendors.
• Provides training and support to new and existing project management team members.
• Act as a liaison between Appeals & Grievances and PEGA teams.
• Manage SOPs, Workflows, job aide for Pega
• Create process documents across all states
• Work with executive teams.

Required Qualifications

• At least 3 years of professional experience in project management or a related role, or equivalent combination of relevant education and experience.
• Operational/process improvement experience.
• Project management experience/skills.
• Knowledge of project management methodologies (Waterfall, Agile, or hybrid).
• Data analysis skills/experience.
• Strong problem-solving skills.
• Strong organizational and time-management skills.
• Proven ability to manage multiple projects simultaneously with competing priorities.
• Ability to create clear, accurate, complete, and concise reports.
• Ability to effectively lead small meeting and capture concise notes and action items.
• Ability to work cross-collaboratively across a highly matrixed organization.
• Effective verbal/written/presentation communication skills.
• Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.

Preferred Qualifications

• Project Management Professional (PMP) and/or Six Sigma Green Belt certification.
• Health care/managed care experience.

Benefits

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