Molina Healthcare

Clinical Project Manager

Molina Healthcare$85K — $100K *
US-AnywhereRemote in Long Beach, CA
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years in clinical operations, preferably in managed care
  • Proven expertise in project management
  • Knowledge of integrating specialty programs
  • Strong skills in data management and analytics
  • Excellent problem-solving and organizational abilities
  • Ability to collaborate across matrixed organizations
  • Proficiency in Microsoft Office and related software

Responsibilities

  • Develop and monitor clinical specialty project plans and timelines
  • Engage with business process owners to define project objectives and success measures
  • Lead development of clinical management products and service enhancements
  • Assist in operational functions and provider education maintenance
  • Coordinate implementation of new specialty programs or processes
  • Manage metrics to assess quality and cost of care impact
  • Facilitate communication among departments and stakeholders

Benefits

  • Comprehensive health benefits
  • Retirement plan options
  • Professional development opportunities
  • Work-life balance initiatives
  • Employee wellness programs
Full Job Description
Job Description

JOB DESCRIPTION Job SummaryProvides support for multi-functional clinical project management activities, including implementation of new programmatic changes, initiatives, or vended solutions, in addition to projects supporting clinical and operational goals and objectives. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties
• Develops, implements, and monitors clinical specialty project plans/program requirements and timelines - ensuring all necessary support, tools and technology are available, and facilitates follow-up as needed.
• Meets with business process owners and other appropriate personnel to identify project goals, objectives, critical success factors and success measures.
• Participates in the development of clinical management products and services - leading the development of clinical program enhancements and better practices.
• Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and provider education.
• Oversees/coordinates implementation of new specialty programs or processes and serves as a clinical liaison between the company and customers as needed - ensuring appropriate implementation and monitoring, or programmatic changes.
• Assists in modifying implementation approaches within budget and operational framework.
• Works jointly with leadership to ensure revenue goals and administrative expenses are managed.
• Develops and tracks appropriate metrics to monitor quality and care cost impact of programs.
• Develops strong relationships with key contacts and teams internally and externally that support achievement of increased revenue goals.
• Communicates across all departments, and/or vendors and supports other functions as needed throughout the program development lifecycle including finance, outcomes, communications and information technology.
• Maintains project plans for ongoing projects/programs to ensure deliverables are met.
• Responsible for implementation of any required programs/process reporting.
• Escalates to leadership when project/processes are at risk as a result of missed deliverables.

Required Qualifications
• At least 3 years experience in clinical operations, preferably in a managed care setting supporting healthcare services, quality, network , pharmacy, and/or project management, or equivalent combination of relevant education and experience. Strong project management skills.
• Understanding and knowledge of specialty programs integration and clinical initiative development/implementation.
• Data management and analytics expertise.
• Excellent problem-solving and organizational skills.
• Ability to work collaboratively across a highly matrixed organization.
• Strong interpersonal skills.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications
• Registered Nurse (RN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Project Management Professional (PMP) or similar certification.
• Strategic planning and disease management 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.

About Molina Healthcare

Molina Healthcare focuses exclusively on government-sponsored health care programs for families and individuals who qualify for government-sponsored health care. It contracts with state governments and serves as a health plan, providing a wide range of quality health care services to families and individuals.

Molina Healthcare Careers

Join the dedicated team at Molina Healthcare, a leader in providing quality healthcare services to families and individuals who qualify for government-sponsored programs, including Medicaid and Medicare. As one of the most respected companies in the health services industry, Molina Healthcare offers unparalleled job opportunities aimed at empowering your career growth and professional development.

Work You’ll Do

At Molina Healthcare, you will engage in meaningful work that directly impacts lives across the country. Our team is committed to innovation in healthcare, ensuring that all members receive the best care possible. By joining us, you will collaborate with skilled professionals dedicated to our mission of providing accessible, high-quality healthcare.

Career Opportunities and Growth

Whether you are looking for your first job, seeking a leadership role, or aiming to specialize in healthcare professions, Molina Healthcare offers a range of career paths. Our job opportunities span across various functions, including clinical services, customer support, IT, project management, and more. We believe in fostering the growth of our employees through professional development, leadership training, and diversity initiatives.

Internship Programs

Kickstart your career with a Molina Healthcare internship. Our internships provide invaluable workplace experience, offering a glimpse into the healthcare industry through hands-on projects and mentorship. Interns at Molina Healthcare gain critical skills that prepare them for future employment, making them competitive candidates in the job market.

Culture and Benefits

Molina Healthcare is not just a company; it’s a community. We prioritize a culture of inclusivity and respect, where all team members are encouraged to bring their whole selves to work. Our employees enjoy comprehensive benefits, including health insurance, retirement plans, and wellness programs, all designed to support both their professional and personal lives.

Join Our Team

Explore the various positions available at Molina Healthcare and find where your skills and interests align with our needs. We are continuously hiring talented individuals who are passionate about making a difference in healthcare. Prepare your resume, sharpen your interview skills, and become part of a team that values hard work and creativity.

Stay Connected

Keep up to date with the latest at Molina Healthcare: - **Career Growth and Networking:** Advance your career through our professional development and networking opportunities. Learn from leaders and peers alike to build connections that propel your career forward. - **Innovation and Leadership:** Drive change and lead with confidence by participating in our leadership and innovation training programs.

Apply Now

Ready to take the next step in your healthcare career? Search open positions that match your skills and interests on the Molina Healthcare Jobs portal. We look for driven, curious, and compassionate team players ready to make an impact.

Stay Informed

Subscribe to Molina Healthcare job alerts and receive updates on new openings and company news directly to your inbox. Tailor your subscription to match your career preferences and stay ahead in the dynamic field of healthcare. Join Molina Healthcare, where your career is nurtured, your contributions are valued, and your growth is guaranteed.
Learn more about Molina Healthcare
Size
14,000 employees
Market Cap
$19.5 billion
Industry
Net Income
$673 million
Founded
1980
5 Year Trend
+9.3%
Revenue
$19.4 billion
NASDAQ

Similar Jobs

More Jobs at Molina Healthcare

More Healthcare Jobs

Find similar Clinical Project Manager jobs: