Be an early applicantLess than 25 applicantsPosted by Agency

Company

Molina Healthcare · 9 hours ago

COE UM Program Director

Arizona, United States

Full-time

Remote

Director/Executive

$88K/yr - $207K/yr

7+ years exp

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H1B Sponsor Likely

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Responsibilities

Manages one or more Healthcare Services clinical programs using staff and matrixed resources with oversight from AVP and VP as needed.

May supervise one or more Program Managers.

Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs.

Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management.

Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy.

Collaborates and facilitates activities with other units at corporate and Molina Plans.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Managed healthcare experienceClinical operationsNursing licenseState regulationsFederal regulationsThird-party regulationsOperational improvementProcess improvementUtilization Management CertificationCertified Professional in Health Care QualityBusiness strategy developmentConsultative roleSubject Matter ExpertCollaboration skills

Required

Bachelor's Degree in Healthcare-related field (equivalent combination of education, experience and/or Nursing license will be considered in lieu of Bachelor's Degree).

7+ years managed healthcare experience with line management responsibility including clinical operations.

Experience working within applicable state, federal, and third-party regulations.

If licensed, license must be active, unrestricted and in good standing.

Preferred

Bachelor's Degree in Nursing or a master’s degree in Business, Social Work or other healthcare related field.

10+ years managed care experience

Operational and process improvement experience

Active, unrestricted State Registered Nursing (RN) license in good standing.

Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10001+ employees

https://careers.molinahealthcare.com

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)