Program Manager (Clinical COE)

Job Summary

Become a member of the Clinical Operations Enablement team as we guide the implementation of the Clinical COE vision throughout the Molina enterprise. This position offers the opportunity to work with Molina leaders across the nation and ensure that new clinical projects are implemented while remaining aligned with the Clinical COE’s organizational vision.

Job Duties

• Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program.
• 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.
• 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.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
• Generates and distributes standard reports on schedule.

Job Qualifications

• 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.

Preferred Qualifications:

• 2+ years of program or project management experience within a healthcare or managed care environment or PMP certification.
• Knowledge of healthcare operations, including utilization management and case management, regulatory requirements, and population health programs.
• Managed care experience across Medicaid, Medicare, and Marketplace lines of business.
• Strong presentation skills and experience presenting to diverse audiences to include senior leaders.