Talent.com
Program Manager, Healthcare Services - Clinical Program Design
Program Manager, Healthcare Services - Clinical Program DesignMolina Healthcare • Milwaukee, WI, US
Program Manager, Healthcare Services - Clinical Program Design

Program Manager, Healthcare Services - Clinical Program Design

Molina Healthcare • Milwaukee, WI, 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

    [job_alerts.create_a_job]

    Program Manager Healthcare Services Clinical Program Design • Milwaukee, WI, US

    [internal_linking.similar_jobs]
    Clinical Services Manager

    Clinical Services Manager

    Stanton Optical • Pleasant Prairie, WI, US
    [job_card.full_time]
    Do you have a passion to train and coach team members to deliver a remarkable patient experience? Are you a role model and leader that advocates for your sales team? You will ensure that patients r...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Care Manager (must reside in Wisconsin)

    Care Manager (must reside in Wisconsin)

    Molina Healthcare Careers • Milwaukee, Wisconsin, US
    [job_card.full_time]
    JOB DESCRIPTION Job Summary Provides support for care management / care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Travel Outpatient Clinic Registered Nurse

    Travel Outpatient Clinic Registered Nurse

    Access Healthcare • Pleasant Prairie, WI, US
    [job_card.full_time]
    Access Healthcare is seeking a travel nurse RN Clinic for a travel nursing job in Pleasant Prairie, Wisconsin.Job Description & Requirements. Access Healthcare Job ID #75262954.Pay package is ba...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of Clinical and Community-Based Services

    Director of Clinical and Community-Based Services

    Jewish Family Services Inc. • Milwaukee, WI, US
    [job_card.full_time]
    The Director of Clinical and Community-Based Services provides strategic leadership and administrative oversight of the.Jewish Family Services (JFS) Outpatient Mental Health Clinic and Comprehensiv...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Manager Well-being

    Program Manager Well-being

    Children's Wisconsin • Milwaukee, WI, US
    [job_card.full_time]
    At Children's Wisconsin, we believe kids deserve the best.Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children.We provide primary ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Manager | Drives

    Program Manager | Drives

    Leonardo DRS • Menomonee Falls, WI, United States
    [job_card.full_time]
    The Leonardo DRS Naval Power Systems business is a trusted provider of innovative naval gas and hybrid power systems, control technology and support solutions for the U. Navy and navies around the w...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Nutrition Services Manager

    Nutrition Services Manager

    Healthcare Services Group • Cedarburg, WI, United States
    [job_card.full_time]
    Role : Food Service Director / Dining Services Director.Join Healthcare Services Group (HCSG) as a Food Service Director, leading the dining department at a long-term care facility.At HCSG, we are p...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Manager, Healthcare Category Management

    Manager, Healthcare Category Management

    Blue Cross and Blue Shield of North Carolina • Milwaukee, WI, United States
    [job_card.full_time]
    Join us as our Manager, Healthcare Category Management-a pivotal leader driving strategic sourcing and vendor governance for essential categories. In this dynamic role, you will lead and inspire a t...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Sr. Program Manager-Medical Devices (W2)

    Sr. Program Manager-Medical Devices (W2)

    Re Focus LLC • Milwaukee, WI, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Job Description : Projects managed will be small to medium and have impact to the business plan.Establish and lead a multidisciplinary team, potentially in globally d...[show_more]
    [last_updated.last_updated_variable_days]
    Manager Nursing Services

    Manager Nursing Services

    Rogers Behavioral Health • Brown Deer, WI, United States
    [job_card.full_time]
    Schedule : Monday - Friday (7a - 3 : 30p).The Nursing Services Manager coordinates the various disciplines and leads the development of all aspects of the clinical program. He / She is responsible for th...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Center Manager

    Center Manager

    Planned Parenthood of Wisconsin, Inc. • Milwaukee, WI, United States
    [job_card.full_time]
    At Planned Parenthood of Wisconsin, Inc.PPWI), we work to provide quality, affordable health care services, comprehensive education, and strong advocacy. We serve over 60,000 patients annually in 18...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Home Health RN Clinical Manager 10K Sign on Bonus

    Home Health RN Clinical Manager 10K Sign on Bonus

    Aveanna Healthcare • Brookfield, WI, US
    [job_card.full_time]
    K Sign on Bonus Position Overview The RN Clinical Manager works under the direction and guidance of the Branch Administrator to provide supervision of all clinical staff working with high medical a...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Regional Physical Therapy Director

    Regional Physical Therapy Director

    CORA Physical Therapy • Kansasville, WI, United States
    [job_card.full_time]
    Regional Physical Therapy Director (Full-Time).Are you ready to advance your career as a.Regional Physical Therapy Director. Join a team that is transforming the healthcare landscape and rediscover ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinic Manager - Physical Therapist - Milwaukee East

    Clinic Manager - Physical Therapist - Milwaukee East

    Athletico Physical Therapy • Milwaukee, WI, United States
    [job_card.full_time]
    Athletico's Greater Purpose is to empower people, inspire hope and transform lives.We accomplish this by providing exceptional, progressive, and cost-effective fitness, performance and rehabilitati...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Care Manager (must reside in Wisconsin)

    Care Manager (must reside in Wisconsin)

    Molina Healthcare • Milwaukee, Wisconsin, US
    [job_card.full_time]
    JOB DESCRIPTION Job Summary Provides support for care management / care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Program Manager-24 Hour Care (1st Shift)

    Program Manager-24 Hour Care (1st Shift)

    St. Charles Inc • Milwaukee, WI, US
    [job_card.full_time]
    Responsible for the initiation, over-site, performance and continual monitoring of programming for clients.Ensures fiscal viability of ongoing programs and monitors adherence to licensing, accredit...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Director

    Clinical Director

    The Recovery Village • Milwaukee, WI, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Join us in our recovery work as a dedicated and enthusiastic Clinical leader in our newest facility, coming to Milwaukee, WI!. We prioritize behavioral health and assist individuals in overcoming th...[show_more]
    [last_updated.last_updated_variable_days]
    Senior Project Manager (Healthcare)

    Senior Project Manager (Healthcare)

    Jobot • Butler, WI, US
    [job_card.full_time]
    We are seeking a highly motivated and experienced Senior Project Manager to lead healthcare construction projects, while playing a critical role within our organization helping manage the division....[show_more]
    [last_updated.last_updated_30] • [promoted]