Talent.com
Program Manager, Healthcare Services - Clinical Program Design
Program Manager, Healthcare Services - Clinical Program DesignMolina Healthcare • Macon, GA, US
Program Manager, Healthcare Services - Clinical Program Design

Program Manager, Healthcare Services - Clinical Program Design

Molina Healthcare • Macon, GA, 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]

    Clinical Program Manager • Macon, GA, US

    [internal_linking.similar_jobs]
    Clinical Nutrition Manager

    Clinical Nutrition Manager

    Compass Group • Warner Robins, GA, United States
    [job_card.full_time]
    Take the next step in your career with Morrison Healthcare as a Clinical Nutrition Manager! Location : Emory Hospital Warner Robins - Warner Robins, GA Setting : 237-bed acute care hospital Schedul...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    BCBA Clinical Director

    BCBA Clinical Director

    Surpass Behavioral Health • Warner Robins, GA, United States
    [job_card.full_time]
    Feeling overwhelmed by your caseload or finding it hard to maintain a healthy work-life balance? At Surpass Behavioral Health, we're here to support you every step of the way, so you can focus on w...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of Surgical Services

    Director of Surgical Services

    Emory Health Care • Warner Robins, GA, United States
    [job_card.full_time]
    Houston Healthcare endeavors to create an environment that fosters self-development and continued learning of its employees in order to achieve the organization’s mission, which is accomplished thr...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physician (MD / DO) - Family Practice in Monticello, GA

    Physician (MD / DO) - Family Practice in Monticello, GA

    LocumJobsOnline • Monticello, GA, US
    [job_card.full_time]
    Doctor of Medicine | Family Practice.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with The Inline Group to find a qualified Family Practice MD in Monticello, Georgia, 31...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse - RN - Behavioral Health - $1446 / Week

    Travel Nurse - RN - Behavioral Health - $1446 / Week

    Fusion Medical Staffing • Warner Robins, GA, US
    [job_card.full_time]
    Fusion Medical Staffing is seeking an experienced Behavioral Health Registered Nurse for an exciting Travel Nursing job in Warner Robins, GA. Shift : Inquire Start Date : 01 / 26 / 2026 Duration : 13 weeks...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse - Registered Nurse - Behavioral Health - $1446 / Week

    Travel Nurse - Registered Nurse - Behavioral Health - $1446 / Week

    Fusion Medical Staffing • Warner Robins, GA, US
    [job_card.full_time]
    Fusion Medical Staffing is seeking an experienced Behavioral Health Registered Nurse for an exciting Travel Nursing job in Warner Robins, GA. Shift : Inquire Start Date : 01 / 26 / 2026 Duration : 13 weeks...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Program Manager

    Senior Program Manager

    VirtualVocations • Macon, Georgia, United States
    [job_card.full_time]
    A company is looking for a Senior Program Manager to lead a large-scale Clinical Engineering outsourcing initiative.Key Responsibilities Provide overall leadership for the Clinical Engineering ou...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Nutrition Manager

    Clinical Nutrition Manager

    Morrison Healthcare • Warner Robins, GA, US
    [job_card.full_time]
    Take the next step in your career with Morrison Healthcare as a Clinical Nutrition Manager! .Emory Hospital Warner Robins - Warner Robins, GA. We go the extra mile for our Dietitians with benef...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Associate Program Manager (Project Mgt, PST, MST, CST Remote)

    Associate Program Manager (Project Mgt, PST, MST, CST Remote)

    Molina Healthcare • Macon, GA, United States
    [job_card.full_time]
    Molina Healthcare is hiring a remote • •Associate Program Manager • •.This is a fantastic next step for those early in their Program Management / Project Management career to learn and grow! Candidat...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Clinic Manager - Physical Therapist - Warner Robins, GA

    Clinic Manager - Physical Therapist - Warner Robins, GA

    Athletico Physical Therapy • Warner Robins, GA, USA
    [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]
    Senior Clinical Program Manager

    Senior Clinical Program Manager

    VirtualVocations • Macon, Georgia, United States
    [job_card.full_time]
    A company is looking for a Senior Clinical Program Manager.Key Responsibilities Lead the planning, execution, and management of condition management programs across various health conditions Man...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Manager - Clinical Nutrition

    Manager - Clinical Nutrition

    Houston Healthcare • Warner Robins, GA, United States
    [job_card.full_time]
    Day - 8 Hour (United States of America)The Clinical Nutrition Manager (CNM) directs and manages all aspects of patient nutrition. Utilizes evidence-based practices and standards of care as establish...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physical Therapist (PT) - Home Health

    Physical Therapist (PT) - Home Health

    Enhabit Home Health & Hospice • MACON, Georgia, US
    [job_card.full_time]
    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, E...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Program Manager

    Clinical Program Manager

    VirtualVocations • Macon, Georgia, United States
    [job_card.full_time]
    A company is looking for a Clinical Program Manager responsible for managing and tracking clinical projects to advance strategic objectives. Key Responsibilities Manage and track clinical projects...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinic Manager - In Center

    Clinic Manager - In Center

    Dialysis Care Center • Macon, GA, US
    [job_card.full_time]
    Supports the mission, core values and customer service of Home Dialysis Services & Dialysis Care Center, LLC (HDS / DCC). Adheres to the HDS / DCC Policies and Procedures and Compliance Program incl...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Core Case Manager

    Core Case Manager

    River Edge Behavioral Health Center • Macon, Georgia, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and making a difference in the lives of clients and their ...[show_more]
    [last_updated.last_updated_30]
    Clinical Manager - Home Health

    Clinical Manager - Home Health

    BrightSpring Health Services • Warner Robins, GA, US
    [job_card.full_time]
    Are you looking for a new leadership opportunity?.In this vital leadership role, you’ll oversee high-quality, patient-centered care while supporting and mentoring a team of clinicians.If you&...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physical Therapist (PT) - Home Health - PRN

    Physical Therapist (PT) - Home Health - PRN

    Enhabit Home Health & Hospice • MACON, Georgia, US
    [job_card.full_time]
    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, E...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]