7 Program Manager, HCS CALIFORNIA Jobs in Long Beach, CA
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Program Manager, HCS CALIFORNIA
$143k-191k (estimate)
Full Time | Insurance
3 Days Ago
Molina Healthcare is Hiring a Program Manager, HCS CALIFORNIA Near Long Beach, CA
This Program Manager supports Medicaid and Medicare Healthcare Services Programs for our CALIFORNIA Health Plan. Candidate who are interested in this position need to be mindful to attend meetings that are based within PACIFIC TIME ZONE hours. Knowledge of California state Medicaid and Medicare Programs will be important to be successful in this role. This is a remote based position and you can work from home. Candidates must meet home office requirements including high speed internet. Must have good verbal presentation skills, must be MS Teams proficient and able to attend video meetings. Some business travel may be required within the state of CALIFORNIA. Further Details to be discussed during our interview process. Job DescriptionJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Knowledge/Skills/Abilities
Preferred Experience
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
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: $65,791.66 - $142,548.59 / ANNUAL
Knowledge/Skills/Abilities
- In collaboration with others, 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.
- Manages programs providing ongoing communication of 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 the business.
- Serves as a subject matter expert and leads programs to meet critical needs.
- Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
- Works with operational leaders within the business to provide recommendations for process improvement opportunities.
- Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
- Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
- Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
- OR Bachelor's or master’s degree in Nursing, Gerontology, Public Health, Social Work or related field.
- 5 years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
- Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
- Experience working within applicable state, federal, and third party regulations.
- If licensed, license must be active, unrestricted and in good standing.
- Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred Experience
- 3 years supervisory/management experience in a managed healthcare environment.
- Medicaid/Medicare Population experience with increasing responsibility.
- 3 years of clinical nursing experience.
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
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: $65,791.66 - $142,548.59 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Summary
JOB TYPE
Full Time
INDUSTRY
Insurance
SALARY
$143k-191k (estimate)
POST DATE
07/04/2024
EXPIRATION DATE
08/01/2024
WEBSITE
molinahealthcare.com
HEADQUARTERS
ALBUQUERQUE, NM
SIZE
7,500 - 15,000
FOUNDED
1980
TYPE
Public
CEO
MARIO MOLINA
REVENUE
$10B - $50B
INDUSTRY
Insurance
Related Companies
About Molina Healthcare
Molina is a managed care organization providing health care to individuals and families in 13 states & Puerto Rico via Medicaid & Medicare programs.
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