Project Manager, Payment Integrity (Managed Care) Remote

Molina Healthcare, Inc.; United States; Remote; USD 54,000 - 118,000; Full time

Job summary

Molina Healthcare is seeking a Project Manager for Payment Integrity (Managed Care) located in the United States. You will coordinate new and renewing programs, work with senior leaders and vendors, and create workflows and presentations to drive program success.

You will manage project plans, milestones, budgets, and stakeholder involvement across Medicare, Medicaid, and Marketplace programs, ensuring timely delivery in a fast-paced, matrixed environment.

Qualifications

• 3+ years of professional project management experience or equivalent.
• Operational/process improvement experience.
• PM skills across Waterfall, Agile, or hybrid.
• Data analysis skills and ability to produce reports.
• Strong problem-solving and organizational skills.
• Ability to manage multiple projects with competing priorities.
• Clear, concise reporting and meeting note capture.
• Ability to work cross-collaboratively in a matrixed org.
• Proficient in Microsoft Office and related tools.

Responsibilities

• Manage project scope, schedule, resources, quality, costs, and change.
• Develop detailed project plans with milestones and dates.
• Revise plans to meet changing needs and requirements.
• Schedule and run project meetings with agendas and minutes.
• Prepare status reports for leadership.
• Follow up on action items with stakeholders.
• Coordinate process improvements and governance changes.
• Oversee external vendors as needed.
• Provide training and support to project management staff.

Skills

Project management

Data analysis

Communication

Time management

Cross-functional collaboration

Stakeholder management

Tools

Excel

PowerPoint

Project

Visio

Job description

Project Manager, Payment Integrity (Managed Care) Remote

United States

Trending

Job Description

Payment Integrity is seeking a Project Manager to support implementation work across Medicare, Medicaid, and Marketplace programs. The role is intended to coordinate new and renewing programs that affect providers and members while supporting broader departmental projects.

Candidates should be able to work with senior leaders and external vendors, create PowerPoint presentations and workflows, schedule effectively, manage competing priorities, and handle challenging deadlines and stakeholders. Experience with Molina or another managed care organization in a similar role is preferred.

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.

• 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.

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

Job Info

• Job Identification 2039944
• Job Category Cross-Enterprise Roles
• Posting Date 10/27/2026, 08:00 PM
• Job Schedule Full time
• Locations United States
• Salary Range $54373.27 - $117808.76 ~ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.