Post job

Associate Program Director jobs at HCA Healthcare - 58 jobs

  • Program Manager - REMOTE

    Molina Healthcare 4.4company rating

    Columbus, OH jobs

    Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. **Job Duties** + Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives + Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. + Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. + 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 EXPERIENCE** : + Understanding of healthcare provider engagement or payer-provider program management. + Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). + Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. + Familiarity with clinical, quality, or risk adjustment program workflows. + Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. + Ability to interpret healthcare data and translate insights into program improvements. + Experience tracking KPIs, closure rates, and program performance metrics. + Detail-oriented with strong follow-through and accountability. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-129.6k yearly 11d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Program Manager - Remote (MI)

    Molina Healthcare 4.4company rating

    Long Beach, CA jobs

    In this role you will be responsible for ensuring Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting the needs of the communities served across Molina's Michigan footprint. You will lead strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Your contributions will be instrumental in making business decisions that aim to improve the health and wellbeing of Michigan residents. The ideal candidate will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of establishing and expanding Molina's partnerships with Community-Based Organizations. You are collaborative, working across health plan departments to improve overall knowledge of health related social needs, partnerships and relationships within the State of Michigan. This role utilizes market research and analysis to increase community engagement in key business decisions. 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. Job Duties Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan's Community Reinvestment and In Lieu of Service billing strategies Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community. Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member's needs Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and ILOS billing requirements Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities. Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc. Develops strategy to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration. Required Knowledge/Skills/Abilities 5-10 years experience in business development, community relations or health care related activities. Demonstrated ability in relationship building and cross-sector collaboration. Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and and experience with practical application of those concepts. Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. Generate leads from referrals and local-tactical research and prospecting. Schedule individual meetings and group presentations from assigned/self-generated leads. Travel across State of Michigan, up to 25% of time required REQUIRED EDUCATION: Bachelor's Degree or equivalent experience. PREFERRED EDUCATION: Master's Degree in Public Health, Public Policy or Healthcare Administration preferred. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $121k-168k yearly est. Auto-Apply 35d ago
  • Program Manager - REMOTE

    Molina Healthcare 4.4company rating

    Cleveland, OH jobs

    Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. **Job Duties** + Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives + Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. + Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. + 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 EXPERIENCE** : + Understanding of healthcare provider engagement or payer-provider program management. + Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). + Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. + Familiarity with clinical, quality, or risk adjustment program workflows. + Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. + Ability to interpret healthcare data and translate insights into program improvements. + Experience tracking KPIs, closure rates, and program performance metrics. + Detail-oriented with strong follow-through and accountability. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-129.6k yearly 11d ago
  • Program Manager - REMOTE

    Molina Healthcare 4.4company rating

    Akron, OH jobs

    Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. **Job Duties** + Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives + Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. + Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. + 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 EXPERIENCE** : + Understanding of healthcare provider engagement or payer-provider program management. + Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). + Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. + Familiarity with clinical, quality, or risk adjustment program workflows. + Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. + Ability to interpret healthcare data and translate insights into program improvements. + Experience tracking KPIs, closure rates, and program performance metrics. + Detail-oriented with strong follow-through and accountability. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-129.6k yearly 11d ago
  • Program Manager - REMOTE

    Molina Healthcare 4.4company rating

    Cincinnati, OH jobs

    Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. **Job Duties** + Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives + Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. + Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. + 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 EXPERIENCE** : + Understanding of healthcare provider engagement or payer-provider program management. + Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). + Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. + Familiarity with clinical, quality, or risk adjustment program workflows. + Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. + Ability to interpret healthcare data and translate insights into program improvements. + Experience tracking KPIs, closure rates, and program performance metrics. + Detail-oriented with strong follow-through and accountability. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-129.6k yearly 11d ago
  • Program Manager - REMOTE

    Molina Healthcare 4.4company rating

    Dayton, OH jobs

    Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. **Job Duties** + Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives + Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. + Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. + 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 EXPERIENCE** : + Understanding of healthcare provider engagement or payer-provider program management. + Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). + Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. + Familiarity with clinical, quality, or risk adjustment program workflows. + Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. + Ability to interpret healthcare data and translate insights into program improvements. + Experience tracking KPIs, closure rates, and program performance metrics. + Detail-oriented with strong follow-through and accountability. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-129.6k yearly 11d ago
  • Program Manager - REMOTE

    Molina Healthcare 4.4company rating

    Ohio jobs

    Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. **Job Duties** + Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives + Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. + Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. + 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 EXPERIENCE** : + Understanding of healthcare provider engagement or payer-provider program management. + Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). + Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. + Familiarity with clinical, quality, or risk adjustment program workflows. + Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. + Ability to interpret healthcare data and translate insights into program improvements. + Experience tracking KPIs, closure rates, and program performance metrics. + Detail-oriented with strong follow-through and accountability. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJCorp \#LI-AC1 Pay Range: $80,168 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-129.6k yearly 11d ago
  • Program Manager (Provider Network)

    Molina Healthcare Inc. 4.4company rating

    Columbus, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare 4.4company rating

    Columbus, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing with ties to market SAI goals. + Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. + Plans and directs schedules as well as project budgets. + Monitors the project from inception through delivery. + May engage and oversee the work of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent combination of education and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent presentation and communication skills. + Experience partnering with different levels of leadership across the organization. **PREFERRED EDUCATION** : Graduate Degree or equivalent combination of education and experience. **PREFERRED EXPERIENCE** : - 5-7 years of Program and/or Project management experience. - Provider Network and SAI - Excel and PowerPoint - Managed Care experience. - Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 60d+ ago
  • Program Director (Network Management) - Remote in Washington

    Molina Healthcare 4.4company rating

    Long Beach, WA jobs

    Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members. Senior Program Management Professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership skills; should be well experienced and comfortable presenting to C level executives; ability to drive structure and organization; extensive working knowledge of portfolio and project management tools and methodologies; ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing, written and verbal communication abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic relationship with Corporate EPMO and IT. Manage the issue escalation/resolution process. KNOWLEDGE/SKILLS/ABILITIES Manages programs using staff and matrixed resources with oversight from AVP and VP as needed Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy Collaborates and facilitates activities with other units at corporate and Molina Plans. JOB QUALIFICATIONS Required Education Bachelor's degree or equivalent combination of education and experience Required Experience 7-9 years Preferred Education Graduate Degree or equivalent combination of education and experience Preferred Experience 10+ years experience Managed Care industry experience - Medicaid, Medicare, Marketplace. Network Management and Public Policy New Program implementation experience (inpatient/outpatient) Behavioral Health - Configuration, PCM, Providers Billing Guides To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $77k-133k yearly est. Auto-Apply 50d ago
  • Care Transformation Program Manager

    Banner Health 4.4company rating

    Remote

    Department Name: Care Transformation Work Shift: Day Job Category: General Operations Estimated Pay Range: $32.09 - $53.48 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Banner Plans & Networks (BPN) is an integrated network for Medicare and private health plans. Known nationally as an innovative leader, BPN insurance plans and physicians work collaboratively to keep members in optimal health while reducing costs. Supporting our members and vast network of providers is a team of professionals known for innovation, collaboration, and teamwork. If you would like to contribute to this leading-edge work, we invite you to bring your experience and skills to BPN. The Care Transformation Program Manager will support network performance by organizing, structuring and analyzing performance data to identify operational opportunities, trending data and developing reports that will be used in a variety of meetings. Will be responsible for creating solutions, not managing established processes. The ideal candidate will have a strong data analytics and data reporting background with Excel and PowerBI experience. Schedule Generally Monday - Friday 8am - 5pm Hybrid most work can be done remotely with occasional travel to Phoenix Corporate or Mesa Corporate. Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position provides oversight of the Care Transformation department initiatives, projects, communications and operational work that is provided by the Care Transformation department. This position will support leadership in development and implementation of processes to increase efficiency and effectiveness in successfully achieving department and organizational goals. CORE FUNCTIONS 1. Serves as an example to peers for both behaviors and performance of job functions. Provides Managerial Care Transformation experience and training to Care Transformation representatives, and acts as a knowledge resource for internal customers. Serve as a primary resource in complex and/or sensitive cases. 2. Provides coaching, training, staff development, mentoring and overall support to assigned staff. Participation and responsibilities related to performance evaluation, performance improvement, coaching, training, mentoring, and time card processes. Creates a strong culture of engagement, inclusiveness, creativity, knowledge sharing to support the provider relations team and department. 3. Provides collaborative approach with leadership, partner departments and contracted providers in leading this work. 4. Create, develop, and manage communication materials, letters, content for provider newsletters, power point presentations, and other Care Transformation or provider communication resources as required. 5. Oversee, coordinate, and support provider engagement, and communications. Maintains all levels of communication with network providers, informing them of any operational, procedural, and contractual changes and updates. 6. Support Directors to consistently meet monthly goals as determined by management. Assists Directors with network development in various geographic regions within the organization, negotiates, implements and maintains managed care initiatives with payers and providers. 7. Works cohesively with appropriate parties to ensure delivery of outstanding customer service while facilitating timely research and issue resolution, in a positive work environment, that supports the department's ongoing goals and objectives. 8. Works on special projects as assigned. 9. Assists in the development and maintenance of a comprehensive provider network for Banner Networks. The incumbent must have a thorough understanding of managed care, medical office procedure, provider relations experience, medical claims and contracting. In addition, the incumbent must have excellent verbal and written communication skills, determine work priorities and is expected to accomplish all tasks with minimal supervision and instruction. Experience required in direct supervision and coaching of assigned teams. Analytical knowledge required. MINIMUM QUALIFICATIONS Must possess a strong knowledge of healthcare as normally obtained through the completion of a bachelor's degree in business, healthcare administration, or related work experience. Requires a proficiency level typically acquired through a minimum of four years of experience in healthcare operational/financial management or related field. Must have an excellent understanding of medical terminology and knowledge of CPT and ICD-10 coding. Must have an understanding of HEDIS, STARS and other value-based performance initiatives as required by government programs. Must have the ability to effectively communicate both verbally and in writing. Must know how or learn to program data retrieval utilities and queries. The incumbent must possess the ability to track and analyze statistical data. This position requires a mathematical aptitude, computer experience, typing skills and the ability to work on a variety of projects in an organized fashion. Adept at creating and communicating a clear and detailed program plan to internal/external stakeholders, effectively aligning resources and motivating multi-disciplinary teams to achieve goals and create partnership-style relationships. Demonstrated technical, organizational, project management and negotiation capabilities. Proficient in written communications, power point and presentations. Must be a self-starter with excellent ability to implement and execute. Ability to balance the big picture with the day-to-day delivery details, connecting key project needs and internal resources to prioritize the workload. Strong desire to improve the lives of patients, their care givers, and families. Possesses compassion and empathy coupled with accountability and execution. Requires proficiency in the use of sophisticated software programs. PREFERRED QUALIFICATIONS Five to ten years of experience in the healthcare field preferred, preferably in a managerial or supervisory capacity. Two years of medical office and/or provider representative experience is preferable. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $32.1-53.5 hourly Auto-Apply 9d ago
  • Program Manager (Provider Network)

    Molina Healthcare Inc. 4.4company rating

    Cleveland, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare 4.4company rating

    Cleveland, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing with ties to market SAI goals. + Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. + Plans and directs schedules as well as project budgets. + Monitors the project from inception through delivery. + May engage and oversee the work of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent combination of education and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent presentation and communication skills. + Experience partnering with different levels of leadership across the organization. **PREFERRED EDUCATION** : Graduate Degree or equivalent combination of education and experience. **PREFERRED EXPERIENCE** : - 5-7 years of Program and/or Project management experience. - Provider Network and SAI - Excel and PowerPoint - Managed Care experience. - Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare Inc. 4.4company rating

    Akron, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare Inc. 4.4company rating

    Cincinnati, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare 4.4company rating

    Cincinnati, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing with ties to market SAI goals. + Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. + Plans and directs schedules as well as project budgets. + Monitors the project from inception through delivery. + May engage and oversee the work of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent combination of education and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent presentation and communication skills. + Experience partnering with different levels of leadership across the organization. **PREFERRED EDUCATION** : Graduate Degree or equivalent combination of education and experience. **PREFERRED EXPERIENCE** : - 5-7 years of Program and/or Project management experience. - Provider Network and SAI - Excel and PowerPoint - Managed Care experience. - Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare 4.4company rating

    Akron, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing with ties to market SAI goals. + Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. + Plans and directs schedules as well as project budgets. + Monitors the project from inception through delivery. + May engage and oversee the work of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent combination of education and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent presentation and communication skills. + Experience partnering with different levels of leadership across the organization. **PREFERRED EDUCATION** : Graduate Degree or equivalent combination of education and experience. **PREFERRED EXPERIENCE** : - 5-7 years of Program and/or Project management experience. - Provider Network and SAI - Excel and PowerPoint - Managed Care experience. - Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare Inc. 4.4company rating

    Dayton, OH jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare Inc. 4.4company rating

    Ohio jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 60d+ ago
  • Program Manager (Provider Network)

    Molina Healthcare 4.4company rating

    Ohio jobs

    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing with ties to market SAI goals. + Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. + Plans and directs schedules as well as project budgets. + Monitors the project from inception through delivery. + May engage and oversee the work of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent combination of education and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent presentation and communication skills. + Experience partnering with different levels of leadership across the organization. **PREFERRED EDUCATION** : Graduate Degree or equivalent combination of education and experience. **PREFERRED EXPERIENCE** : - 5-7 years of Program and/or Project management experience. - Provider Network and SAI - Excel and PowerPoint - Managed Care experience. - Experience working in a cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 60d+ ago

Learn more about HCA Healthcare jobs

View all jobs