Molina Healthcare · 1 day ago
Digital Channel Manager - Availity/Authorizations - Remote
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Responsibilities
Define business vision and strategic plan for the channel owned.
Develop and maintain effective and trusting relationships with stakeholders such as Health Plan and Corporate partners, external vendors and Information Technology to understand their needs, strategies, priorities and key issues.
Build and maintain a strong understanding of channel features, functions and processes. Maintain documentation on channel functionality, interfaces and business rules such that they remain the channel SMEs and are able to transfer knowledge to others when needed.
Work as a liaison between the business and IT to deliver key business value through IT solutions.
Responsible for approving all changes (enhancements and projects) that impact their channel, involved in project scope, requirements reviews, demos and UAT so as to maintain an understanding of project work impacting channels. If project deliveries are not up to quality levels or not within the vision of the channel they have the authority to "No Go" any project changes.
Assist in the trouble shooting and investigation of production issues or defects within the channel owned.
Document, manage and maintains Policies and Procedures, standards and guidelines in relation to best practices, service levels, compliance and regulatory needs for channel.
Actively participate in the new business RFP process, ensuring that channel vision and RFP commitments align.
As project work varies from time to time may also perform the role of Project Product Owner (PO), particularly for work which is focused on their channel.
Qualification
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Required
Bachelor’s Degree or equivalent combination of education and experience
5+ years experience in Health Insurance field, demonstrates Healthcare business process and/or functional knowledge
5+ years experience in customer facing web / portal product ownership or development
Demonstrates use of effective communications and soft skills to build and maintain effective relationships
Experience managing, prioritizing and handling the intake of requests from various business partners across multiple domain areas
Experience in defining strategic vision and multi-year roadmaps in customer facing systems, ideally online properties
Preferred
Graduate Degree, MBA or equivalent combination of education and experience
Agile Product Owner experience
Systems maintenance and development experience
JIRA
Agile Production Owner Certification (e.g. CSPO, A-CSPO)
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
Funding
Current Stage
Public CompanyTotal Funding
$1.5B2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
2014-09-09Post Ipo Equity· $3.11M
Leadership Team
Recent News
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2024-12-10
2024-12-10
2024-12-10
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