Remote LTSS Healthcare Programs Manager

Molina Healthcare, Inc.; Oregon; Hybrid; USD 110,000 - 150,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Program Manager for LTSS Healthcare Services.

This remote role supports multiple markets and regulatory compliance, delivering healthcare programs from design through implementation. The ideal candidate has deep LTSS experience, strong project management, and the ability to collaborate with health plans, vendors, and cross-functional teams to ensure quality and cost-effective member care.

Qualifications

• Minimum 5 years in health care, with 3+ years in utilization management, care management, care transitions, behavioral health, or equivalent.
• Active licensure/certification listed in requirements or state-specific mandates; must be active and unrestricted unless contract requires otherwise.
• Strong analytical and problem-solving abilities.
• Strong organizational and time-management skills.
• Ability to work in a cross-functional, professional environment.
• Experience with state, federal, and third-party regulations.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office and navigating online portals/databases.

Responsibilities

• Plan and execute healthcare services projects and programs with cross-functional teams to deliver products from design to completion.
• Provide ongoing communication on goals, evaluation, and compliance with standardized protocols.
• May oversee external vendors when engaged.
• Focus on process improvement and organizational change management.
• Lead healthcare services programs to meet critical needs.
• Translate customer needs into functional requirements.
• Conduct quality audits to assess staff education and service quality and implement quality initiatives.
• Create BRDs, test plans, RTMs, and user training materials.

Skills

Healthcare experience

Regulatory knowledge

Analytical skills

Time management

Cross-functional teamwork

Communication skills

MS Office proficiency

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Program Manager for LTSS Healthcare Services.

This remote role supports multiple markets and regulatory compliance, delivering healthcare programs from design through implementation. The ideal candidate has deep LTSS experience, strong project management, and the ability to collaborate with health plans, vendors, and cross-functional teams to ensure quality and cost-effective member care.