Senior Healthcare Programs Manager: Impact & Compliance

Molina Healthcare; San Jose (CA); On-site; USD 84,000 - 164,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare in California seeks an experienced healthcare services leader to provide subject matter expertise and drive program design, execution and evaluation while ensuring regulatory compliance.

The role emphasizes governance of care management, utilization management, behavioral health, and cross-functional collaboration, with strong analytic, communication, and project management skills essential.

Qualifications

• At least 5 years in health care operations or clinical operations.
• Experience with utilization management, care management, or related areas is preferred.
• Ability to interpret and apply regulations and contractual commitments.

Responsibilities

• Lead healthcare services programs and projects from design through completion.
• Ensure adherence to standardized protocols and processes across teams.
• Oversee or coordinate external vendors as needed.
• Develop BRDs, test plans, RTMs, and training materials.

Skills

Strong analytical skills

Communication skills

Cross-functional collaboration

Organizational skills

Regulatory compliance knowledge

Education

RN/LVN/LPN/LPCC/LMFT licensure (as applicable)

Tools

Microsoft Office

Job description

Molina Healthcare in California seeks an experienced healthcare services leader to provide subject matter expertise and drive program design, execution and evaluation while ensuring regulatory compliance.

The role emphasizes governance of care management, utilization management, behavioral health, and cross-functional collaboration, with strong analytic, communication, and project management skills essential.