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Healthcare, Managed Care

Program Manager - Clinical Vendor Implementations/UM/Care Management - Remote

RemoteRemoteFull TimePosted 1 month agoVisa sponsorship availableHidden Gem · Himalayas

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Required skills

  • Program Management
  • Project Management
  • Managed Care
  • Operational Process Improvement
  • Microsoft Project
  • Visio
  • Business Requirements Documentation
  • Test Plans
  • Requirements Traceability Matrix
  • User Training Materials

Nice to have

  • CoE
  • Shared Service
  • matrixed environment

Role summary

This remote role is responsible for managing internal business projects and programs, involving cross-functional teams and external vendors, from design through completion. The Program Manager will oversee project schedules, budgets, and progress, ensuring governance standards are met and value is realized. Key responsibilities include creating documentation such as business requirements, test plans, and training materials, and identifying opportunities for program enhancements. A strong background in program/project management, operational process improvement, and managed care experience is required.

***Remote and must live in the United States***

JOB DESCRIPTION

Job Summary

This role is responsible for the internal business projects and programs involving departmental and cross-functional subject matter experts., delivering products from design through competition in support of new vendor implementation. Responsibilities include planning and directing project schedules and budgets, monitoring progress from inception through delivery, and engaging and overseeing external vendors as needed. The Program Manager will assign, direct, and monitor systems analysis and program staff. The primary focus of this position is project and program management rather than the application of expertise in a specialized function field, although technical team members may be involved.

Job Duties

  • Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program.
  • Project management training and experience, with the ability to apply those skills effectively.
  • Strong organizational, project management, and computer skills.
  • 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.

#PJHPO

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

Originally posted on Himalayas

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