Project Manager (Appeals & Grievances)

JOB DESCRIPTION Job Summary

Provides support for internal business projects from inception through delivery.  Plans and managed project schedules, milestones, budgets, stakeholder involvement, and quality/delivery.  Collaborates cross-functionally with departments and cross-functional teams of subject matter experts to ensure project completion and success.

This candidate will be supporting multiple Appeals and Grievances regions

Essential Job Duties

• Manages all aspects of assigned projects throughout the project lifecycle including project scope, schedule, resources, quality, costs and change; supports projects of moderate to high-level complexity.  


• Develops and maintains detailed project plans to include milestones, tasks, and target/actual dates of completion.


• Revises project plans as appropriate to meet changing needs and requirements.


• Schedules and conducts project meetings to include logistics, agendas, and meeting minutes.


•  Prepares and submits project status reports to leadership.


•  Facilitates project follow-up items with applicable stakeholders.


• Coordinates project-related process improvements, workflow changes, project/program implementation and governance changes, etc.


• May engage and oversee the work of external vendors.


• Provides training and support to new and existing project management team members.


• Act as a liaison between Appeals & Grievances and PEGA teams.


• Manage SOPs, Workflows, job aide for Pega


• Create process documents across all states


• Work with executive teams. 

Required Qualifications

• At least 3 years of professional experience in project management or a related role, or equivalent combination of relevant education and experience.


• Operational/process improvement experience.


• Project management experience/skills.


•  Knowledge of project management methodologies (Waterfall, Agile, or hybrid).


•  Data analysis skills/experience.


• Strong problem-solving skills.


• Strong organizational and time-management skills.


• Proven ability to manage multiple projects simultaneously with competing priorities.


•  Ability to create clear, accurate, complete, and concise reports.


• Ability to effectively lead small meeting and capture concise notes and action items.


•  Ability to work cross-collaboratively across a highly matrixed organization.


• Effective verbal/written/presentation communication skills.


• Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.
  
   

Preferred Qualifications

• Project Management Professional (PMP) and/or Six Sigma Green Belt certification.


• Health care/managed care experience.
  
   

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