Molina Healthcare · 3 weeks ago
Program Manager, Healthcare Services - Clinical Program Design
200 Oceangate, Long Beach, CA, 90802, US
Full-time
Onsite
Senior Level
5+ years expMolina Healthcare is a leading provider in the healthcare sector, and they are seeking a Program Manager for Healthcare Services focusing on Clinical Program Design. The role involves providing subject matter expertise and leadership in healthcare services, ensuring compliance with standards, and managing projects to enhance member care.
Health CareHospitalMedical
Responsibilities
Collaboratively 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
Provides ongoing communication related to program 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 business needs
Serves as a subject matter expert and leads healthcare services programs to meet critical needs
Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements
Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate
Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents
Qualification
Required
At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice
Strong analytical and problem-solving skills
Strong organizational and time-management skills
Ability to work in a cross-functional, professional environment
Experience working within applicable state, federal, and third-party regulations
Strong verbal and written communication skills
Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases
Preferred
Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification
Leadership experience
Medicaid/Medicare population experience
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ 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
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
Sherwood News
2026-01-09
2026-01-03
Company data provided by crunchbase