Program Manager, Healthcare Services - Clinical Program Design
Molina HealthcareBoise, ID, US
[job_card.full_time]
Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation and support, and ensuring compliance w...[show_more][last_updated.last_updated_variable_days]
[promoted]
Technical Program Manager
METABoise, ID, United States
[job_card.full_time]
The Meta Product Technical Program Management (TPM) community is pioneering technologies to bring people (and businesses) closer together at a global scale.
Product TPMs work at the cross-section be...[show_more][last_updated.last_updated_variable_days]
IT Program Manager
RIT SolutionsBoise, ID, US
[job_card.full_time]
Senior It Program Manager, Web & Ai_& Cloud.Location : 100% Remote (work PST time zone) US Citizen, Green Card or H4 EAD.
Please have these on the resume under the companies, not just the summary" Mu...[show_more][last_updated.last_updated_30]
[promoted]
Sustainability Program Manager
Boise Cascade CompanyBoise, ID, US
[job_card.full_time]
Boise Cascade has an exciting opening for a Sustainability Program Manager.Please review the responsibilities and needed qualifications below and apply today!.
The Sustainability Program Manager lea...[show_more][last_updated.last_updated_variable_days]
Principal Program Manager
HDRBoise, ID, US
[job_card.full_time] +1
At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and n...[show_more][last_updated.last_updated_variable_days]
Senior Lead Engineering Program Manager
Idaho StaffingBoise, ID, US
[job_card.full_time]
We are igniting business growth by connecting people, data and applications quickly, securely, and effortlessly.Together, we are building a culture and company from the people up committed to tea...[show_more][last_updated.last_updated_variable_days]
Program Manager
NutanixBoise, Idaho
[job_card.full_time]
Are you an experienced Program Manager with a proven track record in managing complex transformation projects and a strong foundation in federal contracts? If so, you'll be excited to join our newl...[show_more][last_updated.last_updated_30]
[promoted]
[new]
Senior Principal Technical Program Manager - Engineering Architecture
OracleBoise, ID, United States
[job_card.full_time]
Join the Oracle Cloud Infrastructure (OCI) team and seize the opportunity to build and manage a range of large-scale, integrated cloud services in a distributed, multi-tenant environment.At OCI, we...[show_more][last_updated.last_updated_variable_hours]
Senior Program Manager
Clearwater AnalyticsBoise, ID, US
[job_card.full_time]
The Program Manager is responsible for identifying and finalizing project / implementation scope.Develops detailed implementation plans including internal, client and third-party resourcing.Manages a...[show_more][last_updated.last_updated_variable_days]
Data Engineering Manager
MachinifyBoise, ID, US
[job_card.full_time]
Machinify is the leading provider of AI-powered software products that transform healthcare claims and payment operations.
Each year, the healthcare industry generates over $200B in claims mispaymen...[show_more][last_updated.last_updated_30]
Digital Marketing Program Manager
Albertsons CompanyBoise, ID, US
[job_card.full_time]
Job Opportunity At Albertsons Companies.Are you ready to take the next step in your career? Join us for an exciting opportunity at Albertsons Companies, where innovation and customer service go han...[show_more][last_updated.last_updated_30]
Sr. Program Manager II
MicronBoise, Idaho, USA
[job_card.full_time]
Our vision is to transform how the world uses information to enrich life for.Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of inf...[show_more][last_updated.last_updated_variable_days]
[promoted]
Senior Engineering Manager, Cloud Engineering
MozillaBoise, ID, US
[job_card.full_time]
Senior Engineering Manager, Cloud Engineering.Mozilla Corporation is the non-profit-backed technology company that has shaped the internet for the better over the last 25 years.We make pioneering b...[show_more][last_updated.last_updated_variable_days]
[promoted]
Program Manager, Migrations
RelativityBoise, ID, United States
[job_card.full_time]
Relativity's Account Services team within the Relativity Success team, ensures each customer or partner account for Relativity's business has a group of dedicated individuals to manage the account ...[show_more][last_updated.last_updated_30]
Sustainability Program Manager
Boise CascadeBoise, ID, US
[job_card.full_time]
Sustainability Program Manager.Boise Cascade has an exciting opening for a Sustainability Program Manager.Please review the responsibilities and needed qualifications below and apply today!.The Sus...[show_more][last_updated.last_updated_variable_days]
Manager - Process Engineering
PlexusBoise, ID, US
[job_card.full_time]
At Plexus, our vision is to help create the products that build a better world.We partner with leading Aerospace / Defense, Healthcare / Life Sciences and Industrial companies to design, manufacture an...[show_more][last_updated.last_updated_30]
[new]
Program Manager
ArmaninoBoise, Idaho
[job_card.full_time]
At Armanino, you determine your career path.This means it's possible to pursue challenges you are passionate about, in industries you care about.
Among the top 20 Largest Accounting and Consulting F...[show_more][last_updated.last_updated_variable_hours]
[new]
Program Manager for Data Engineering
VirtualVocationsBoise, Idaho, United States
[job_card.full_time]
A company is looking for a Program Manager (Data Engineering Integrations).Key Responsibilities Own end-to-end implementation programs across multiple teams and clients, ensuring accountability f...[show_more][last_updated.last_updated_variable_hours]
[promoted]
Pharmacist (Facility Program Manager)
Veterans Affairs, Veterans Health AdministrationBoise, ID, United States
[job_card.permanent]
Summary This Pharmacist serves a broad and expansive role throughout the entire Boise VA Medical Center in the coordination and delivery of the Veteran Access and Accountability Act prescription be...[show_more][last_updated.last_updated_variable_days]
Program Manager, Healthcare Services - Clinical Program Design
Molina HealthcareBoise, ID, US
[job_card.variable_days_ago]
[job_preview.job_type]
[job_card.full_time]
[job_card.job_description]
Healthcare Services Expert
Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
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.
Required Qualifications
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 Qualifications
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.
Pay Range : $80,168 - $171,058 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V