Talent.com
Program Manager, Healthcare Services - Clinical Program Design
Program Manager, Healthcare Services - Clinical Program DesignMolina Healthcare • Akron, OH, US
Program Manager, Healthcare Services - Clinical Program Design

Program Manager, Healthcare Services - Clinical Program Design

Molina Healthcare • Akron, OH, 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 • Akron, OH, US

    [internal_linking.similar_jobs]
    Clinical Services Manager - Akron E, OH (Field Based)

    Clinical Services Manager - Akron E, OH (Field Based)

    Insulet Corporation • Akron, OH, US
    [job_card.full_time]
    Are you ready to take your career to the next level by joining a global medical device market leader in diabetes care? At Insulet Corporation, we are transforming lives with innovative products tha...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Manager - Health Sciences

    Manager - Health Sciences

    Cleveland Clinic • Akron, OH, United States
    [job_card.temporary]
    Join us at Cleveland Clinic Akron General Hospital where we have been providing world-class care to our community for over 100 years. Here, we strive for patient-centered care and comfort with our c...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Dietitian - Inpatient-Nutrition Clinical Services

    Clinical Dietitian - Inpatient-Nutrition Clinical Services

    MetroHealth • Cleveland, OH, US
    [job_card.full_time]
    Day Shift Hours; Rotating Saturday and Holiday Coverage.The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-be...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    RN Care Manager - CPC Plus Program

    RN Care Manager - CPC Plus Program

    Summa Health System • Barberton, OH, United States
    [job_card.full_time]
    RN Care Manager - CPC Plus Program.Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99.Exceptional candidates gr...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Patient Services Manager

    Patient Services Manager

    Aramark • Akron, OH, US
    [job_card.full_time] +1
    Patient Services Manager at Cleveland Clinic Akron General Hospital in Akron, OH.The Patient Service Manager will support the Patient Services Operation in the Food & Nutrition Department and will ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Associate Director, Clinical R&D (Care Operations & Delivery)

    Associate Director, Clinical R&D (Care Operations & Delivery)

    Flourish Health • Cleveland, Ohio, .US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Associate Director, Clinical R&D.In this role, you will own complex, cross-functional projects, translating clinical workflows into scalable, technology-supported processes.You will drive carepod l...[show_more]
    [last_updated.last_updated_variable_days]
    Clinical Coordinator : 6 Medical

    Clinical Coordinator : 6 Medical

    Akron Children's Hospital • Akron, OH, US
    [job_card.full_time]
    Assists manager in the daily operations at the unit level, in collaboration with interdisciplinary teams.Assesses, plans, implements, and evaluated delivery of patient care on assigned unit and shi...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Manager

    Program Manager

    Connections In Ohio • Cleveland, OH, US
    [job_card.full_time]
    Intellectual Disabilities Program Developer.We are seeking an energetic and creative Intellectual Disabilities Program Developer to oversee the training, program development, and operation of sever...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Associate Clinical Manager

    Associate Clinical Manager

    ChenMed • Maple Heights, OH, United States
    [job_card.full_time]
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Home Health Physical Therapist

    Travel Home Health Physical Therapist

    Host Healthcare • Akron, OH, US
    [job_card.full_time]
    Host Healthcare is seeking a travel Home Health Physical Therapist for a travel job in Akron, Ohio.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours per week (su...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physical Therapist Assistant Therapy Program Manager

    Physical Therapist Assistant Therapy Program Manager

    Trinity Rehab Services • Northfield, OH, US
    [job_card.full_time]
    Trinity Rehab Services is a therapy company founded and run by therapists.Our integrity, passion and commitment to excellence in patient care make us the ideal choice for therapists seeking a work ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Manager I GBD Special Programs

    Manager I GBD Special Programs

    Elevance Health • Independence, OH, United States
    [job_card.full_time]
    Manager I GBD Special Programs - LTSS.Experience with the Ohio Waiver Program is essential.Cincinnati, Columbus, Mason, or Seven Hills, Ohio. This role requires associates to be in-office.This appro...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Manager

    Program Manager

    KeyCorp • Cleveland, OH, US
    [job_card.full_time]
    The Key Technology, Operations, and Services (KTOS) Data Literacy Program Manager is responsible for executing the strategy for Data Literacy programs, inclusive of Data Inventory, Data Catalog, Pa...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Accreditation Program Manager - South Submarket

    Accreditation Program Manager - South Submarket

    USA Jobs • Akron, OH, US
    [job_card.full_time]
    Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare.Here, you will receive endless support and appreciation while building a rewa...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    ICF Program Manager

    ICF Program Manager

    Koinonia Homes • Independence, Ohio, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Koinonia is Northeast Ohio’s leading agency dedicated to ending the social, physical, and economic isolation of people with intellectual and developmental disabilities (IDD) and other complex condi...[show_more]
    [last_updated.last_updated_30]
    Case Manager

    Case Manager

    Phoenix Group Home, LLC • Cleveland, OH, US
    [job_card.full_time]
    Case Manager, Behavioral Health.Outpatient sites and Community.The Case Managers primary role, under the direction of Regional Leadership and the Case Manager Supervisor, is to provide support and ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Director, Occupational Therapy

    Program Director, Occupational Therapy

    Tri C Company Inc • Cleveland, OH, United States
    [job_card.full_time]
    Program Director, Occupational Therapy.Associate Dean, Health Professions M & E.Administration and Professionals.Standard College Hours : M-F, 8 : 30am-5pm). The Program Director oversees and is respon...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Director, Nursing

    Program Director, Nursing

    Tri-C • Beachwood, OH, US
    [job_card.full_time]
    Recruitment Type : External / Internal.Employment Type : Administration and Professionals.Work Schedule : M-F, 8 : 30am-5pm Late hours when needed. Job Description : In collaboration with the Dean, Associat...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]