Molina Healthcare

Program Manager - Payment Integrity

Molina Healthcare$80K — $100K *
Orem, UT 84057In-Person
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree or equivalent experience
  • 3-5 years in Program/Project management
  • Operational Process Improvement expertise
  • Experience in the healthcare sector
  • Proficient with Microsoft Project and Visio
  • Strong presentation and communication skills
  • Ability to partner with leadership across various levels

Responsibilities

  • Collaborate with teams on internal projects and programs
  • Plan and direct project schedules and budgets
  • Monitor project progress from start to finish
  • Oversee work conducted by external vendors
  • Lead initiatives in process improvement and organizational change
  • Serve as a subject matter expert to fulfill program needs
  • Communicate with customers to define functional requirements

Benefits

  • Comprehensive benefits package
  • Focus on work-life balance
  • Opportunity for professional development
  • Dynamic work environment
  • Commitment to diversity and inclusion
Full Job Description
Job Description

JOB DESCRIPTION

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 including project rollout and communication plans. May engage and oversee the work of external vendors. This positions primary focus is project/program management.

Job Duties
  • Active collaborator with people who are 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.
  • Focuses on process improvement, organizational change management, program management and other processes relative to the business.
  • Leads and manages team in planning and executing business programs.
  • Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
  • Communicates and collaborates 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 on opportunities for process improvements.
  • Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
  • Generate and distribute standard reports on schedule
  • Position reports to AVP, Payment Integrity Analytics


JOB QUALIFICATIONS

REQUIRED EDUCATION:
  • Bachelor's Degree or equivalent combination of education and experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
  • 3-5 years of Program and/or Project management experience.
  • Operational Process Improvement experience.
  • Healthcare experience.
  • Experience with Microsoft Project and Visio.
  • Excellent presentation and communication skills.
  • Experience partnering with different levels of leadership across the organization.

PREFERRED EDUCATION:
  • Graduate Degree or equivalent combination of education and experience.

PREFERRED EXPERIENCE:
  • 5-7 years of Program and/or Project management experience.
  • Managed Care experience - specifically within Payment Integrity, Claims Payment, Provider Relations 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.


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.

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 Program Manager - Payment Integrity jobs: