Associate Program Manager, Process & Performance Monitoring, Managed Care (Remote in FL Preferred)

Molina Healthcare is hiring several Associate Program Managers in our Government Contracts division.

Associate program managers will be responsible for ensuring services, issue resolution, organization, communication, and cross-functional collaboration for a specific set of members, with a strong emphasis on detail-oriented reporting and tracking.  These roles will serve members who are receiving private duty nursing (PDN) services, who are typically high-acuity and subject to strict contract requirements, significant financial risk, and federal oversight.

Strong problem-solving, independent thinking, coordination, data leverage, and communication skills are needed and are considered more critical than prior subject matter knowledge

This team will need to coordinate with service providers, UM and CM network finance teams, and case management, assimilating and communicating information from various sources to ensure effective service delivery and compliance

Technical Competencies: Candidates must be competent in creating and using tracking mechanisms, with basic to advanced Excel skills, and experience with healthcare-related systems such as claims, encounter, or case management systems is considered beneficial but not mandatory.

• Soft Skills Requirements: Key soft skills include cross-functional coordination, the ability to command a room and own their space and maintaining collaboration and organization across teams.


• Skill Set Versatility: Here at Molina, we value of candidates with diverse backgrounds, such as data, clinical, provider, or regulatory experience, provided they possess the c

Job Summary

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. 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.

 

Knowledge/Skills/Abilities

• Works with team in planning and executing business programs.

• Strives to become a Subject Matter Expert in the functional area required.

• Helps communicate and collaborate 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 for process improvements, medical cost savings or revenue enhancements.

• Assists with the creation of Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations..

 

Job Qualifications
Required Education  Associate's Degree or equivalent combination of education and experience
Required Experience 1-3 years
Preferred Education

Bachelor's Degree or equivalent combination of education and experience
Preferred Experience 3-5 years


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.