What are the responsibilities and job description for the Program Director, Strategy & Implementations (UM/CM) - REMOTE position at Molina Healthcare Group?
Job Description
JOB DESCRIPTION
Job Summary
Become a leader within the Clinical Value Hub’s Strategy, Implementations and Integration’s team as we guide the implementation of the Clinical Operations Roadmap vision through the Molina enterprise. This position offers the opportunity to work with Molina leaders across the nation. The successful candidate will be a curious leader and passionate collaborator with the courage to chart the future of the department at an exceptional pace and achieve clinical excellence.
KNOWLEDGE/SKILLS/ABILITIES
- Manages one or more Healthcare Services clinical programs using staff and matrixed resources with oversight from AVP and VP as needed.
- Facilitates discussions with leaders and other stakeholders with the goal of managing the team in planning and executing projects, ensuring consistent messaging and open communication, and securing buy-in.
- Leverage strong critical thinking and quantiatve reasoning skills when assessing body of work; have a strong understanding of which data to leverage to make recommendations to Clinical Operations project portfolio.
- Use critical communication skills and business reporting effectively, both verbally and on paper, to develop impactful senior leaderhip presentations.
- Anticipate bottlenecks, make recommendations for trade-offs, and balance business needs with technical and operational constraints while continously improving quality.
- Escalates gaps and barriers to AVP, VP and senior management.
- Delivers the appropriate artifacts as needed.
- Validates the business process to ensure that the team is on target.
- Supervises one or more Program Managers.
- Ability to travel, as necessary, may be required.
- Fulfills those responsibilities and/or duties that may be reasonably provided by Molina for the purpose of achieving operational and financial success of the Company or Clinical Operations Department.
JOB QUALIFICATIONS
Required Education
Bachelor's degree in Healthcare or related field (equivalent combination of education, experience and/or Nursing license will be considered in lieu of Bachelor's Degree).
Required Experience
- 7 years managed healthcare experience with line management responsibility including clinical operations (UM and or CM).
- Experience working within applicable state, federal, and third-party regulations.
- 3 year of operational Process Improvement experience.
- Experience with Microsoft Project, Excel, PowerPoint, Word and Visio.
- Excellent presentation and communication skills.
- Experience partnering with various levels of leadership across the organization.
Required License, Certification, Association
If licensed, license must be active, unrestricted and in good standing.
Preferred Education
Bachelor's degree in Nursing or a Master’s degree in Business, Social Work or other healthcare related field.
Preferred Experience
- 10 years managed care experience
- Operational and process improvement experience
- Experience working in a cross functional highly matrixed organization.
Preferred License, Certification, Association
- PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.
- Utilization 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.
Job Info
Job Identification: 2031041
Job Category: Clinical
Posting Date: 2025-03-24T17:35:29 00:00
Job Schedule: Full time
