Molina Healthcare · 1 hour ago
Program Manager – Clinical Data Acquisition Strategy & Performance – Remote
United States
Full-time
Remote
Mid, Senior Level
4+ years expMolina Healthcare is seeking a Program Manager for Clinical Data Acquisition Strategy & Performance. The role involves leading internal business projects, managing program controls, and ensuring the accurate collection of medical records and clinical data to drive Risk Adjustment and Quality performance and compliance.
Health CareHospitalMedical
Responsibilities
Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks, and best practices for respective programs
Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs
Ensures accurate, compliant, and timely delivery of data for Risk Adjustment initiatives across Medicare, Medicaid, and Marketplace lines of business
Partners with operational and technical teams to enhance data workflows, improve retrieval efficiency, and streamline provider facing processes
Supports the development and rollout of provider education strategies and materials related to documentation, data submission, and risk adjustment accuracy
Aides in developing provider facing and internal communication materials, including marketing collateral, education content, and informational guides
Identifies opportunities for workflow enhancement, automation, and process redesign within clinical data acquisition
Manages program budget, as applicable, supporting project prioritization
Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld
Tracks performance metrics and ensures value realization from deployed solutions
Coordinates recurring meetings to support governance framework and decision-making processes, as needed
At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management
Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral
Routinely reviews program collateral to ensure current and accurate reflection of business needs
Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team
Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations
Generates and distributes standard reports on schedule
Qualification
Required
At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience
Operational Process Improvement experience
Managed Care experience, preferably in a shared service, CoE or matrixed environment
Experience with Microsoft Project and Visio
Strong presentation and communication skills
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
2026-01-17
Company data provided by crunchbase