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Molina Healthcare
Program Manager (Member Interventions)Molina Healthcare • Jackson, MS, United States
Program Manager (Member Interventions)

Program Manager (Member Interventions)

Molina Healthcare • Jackson, MS, United States
23 hours ago
Job type
  • Full-time
Job description

Program Management Support

Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable.

This role supports the National Quality Interventions team and will be responsible for executing quality initiatives that support HEDIS, STARS, and CAHPS.

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.
  • Coordinates recurring meetings to support governance framework and decision-making processes, as needed.
  • At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management.
  • 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.
  • Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
  • Generates and distributes standard reports on schedule.

Job Qualifications:

Required 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.
  • Strong presentation and communication skills.

Preferred Qualifications:

  • Experience with HEDIS, STARS, CAHPS, or similar quality frameworks.
  • Familiarity with CMS, NCQA, and accreditation requirements.
  • Proven ability to manage full program lifecycle: strategy, design, implementation, and performance monitoring.
  • Experience collaborating with clinical, operations, analytics, product, and health plan teams.
  • Experience with tools like JIRA, Salesforce, or similar for tracking program workflows.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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Program Manager (Member Interventions) • Jackson, MS, United States

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