Project Manager (Appeals & Grievances)

Molina Healthcare Inc; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

Molina Healthcare Inc. is seeking a skilled project manager to support multiple Appeals and Grievances regions. The role involves planning, coordinating, and delivering complex projects from inception through delivery, with cross-functional teamwork and vendor oversight.

Ideal candidates bring 3+ years in project management, strong data analysis, and proficiency with Office tools. Collaboration with executives and governance changes are key aspects of the job.

Qualifications

• At least 3 years of professional experience in project management or related role.
• 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.
• Ability to manage multiple projects with competing priorities.
• Ability to create clear, concise reports.
• Ability to lead small meetings and capture action items.

Responsibilities

• Manages all aspects of assigned projects through the lifecycle, including scope, schedule, resources, quality, costs and change.
• Develops and maintains detailed project plans with milestones and dates.
• Revises plans to meet changing needs.
• Schedules and conducts project meetings and records minutes.
• Prepares project status reports for leadership.
• Facilitates follow-up with stakeholders.
• Coordinates process improvements and governance changes.
• Oversees external vendors when engaged.
• Provides training to project management team members.
• Acts as liaison between Appeals & Grievances and PEGA teams.
• Manages SOPs, workflows, and job aides for PEGA.
• Creates process documents across states.
• Works with executive teams.

Skills

Project management

Data analysis

Communication

Time management

Cross-functional collaboration

Tools

Excel

PowerPoint

Microsoft Visio

Microsoft Project

Job description

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.

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