Molina Healthcare · 1 day ago
Remote Program Manager, HCS
AZ
Full-time
Remote
Senior Level
$73K/yr - $171K/yr
5+ years exp
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Responsibilities
Plans and executes internal Healthcare Services projects and programs involving department or cross-functional teams of subject matter experts, delivering products from the design process to completion.
Manages programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes.
May engage and oversee the work of external vendors.
Focuses on process improvement, organizational change management, program management and other processes relative to the business.
Serves as a subject matter expert and leads programs to meet critical needs.
Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
Works with operational leaders within the business to provide recommendations for process improvement opportunities.
Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
Qualification
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Required
Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
OR Bachelor's or master’s degree in Nursing, Gerontology, Public Health, Social Work or related field.
5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
Experience working within applicable state, federal, and third party regulations.
If licensed, license must be active, unrestricted and in good standing.
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred
Master's Degree preferred.
3+ years supervisory/management experience in a managed healthcare environment.
Medicaid/Medicare Population experience with increasing responsibility.
3+ years of clinical nursing experience.
Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10,001+ employees
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (33)
2022 (36)
2021 (33)
2020 (60)
Funding
Current Stage
Public CompanyTotal Funding
$753.11M2021-11-16Post Ipo Debt· $750M
2014-09-09Post Ipo Equity· $3.11M
2003-07-02IPO· undefined
Leadership Team
Dave Reynolds
Executive Vice President, Regional Health Plans
Debbie Simkins
Vice President, Office of the CIO
Recent News
2024-11-13
Fierce Healthcare
2024-11-07
Company data provided by crunchbase
