Talent.com
Program Manager, Healthcare Services (KY residence preferred)
Program Manager, Healthcare Services (KY residence preferred)Kentucky Staffing • Covington, KY, US
serp_jobs.error_messages.no_longer_accepting
Program Manager, Healthcare Services (KY residence preferred)

Program Manager, Healthcare Services (KY residence preferred)

Kentucky Staffing • Covington, KY, US
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Summary

Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation, and support, and ensuring compliance with regulatory and internal standards, practices, policies, and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

  • Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
  • Provides ongoing communication related to program goals, evaluation, and support to ensure compliance with standardized protocols and processes.
  • May engage and oversee the work of external vendors.
  • Focuses on process improvement, organizational change management, program management, and other processes relative to business needs.
  • Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
  • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
  • Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
  • Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials, and other related business documents.

Required Qualifications

  • At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas : utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
  • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and / or certification required ONLY if required by state contract, regulation, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
  • Strong analytical and problem-solving skills.
  • Strong organizational and time-management skills.
  • Ability to work in a cross-functional, professional environment.
  • Experience working within applicable state, federal, and third-party regulations.
  • Strong verbal and written communication skills.
  • Microsoft Office suite / applicable software program proficiency, and ability to navigate online portals and databases.
  • Preferred Qualifications

  • Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
  • Leadership experience.
  • Medicaid / Medicare population 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.

    Pay Range : $69,447 - $142,548.59 / ANNUAL

    serp_jobs.job_alerts.create_a_job

    Program Manager • Covington, KY, US

    Job_description.internal_linking.related_jobs
    Project Manager (Remote | Federal Health)

    Project Manager (Remote | Federal Health)

    Rackner • Cincinnati, OH, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Project Manager (Remote | Federal Health).Full-Time | Federal Health Portfolio.Active Secret clearance (required).Rackner is hiring Project Managers to support a federal healthaligned mission portf...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Hybrid Primary Care APP- Cincinnati, OH

    Hybrid Primary Care APP- Cincinnati, OH

    Cityblock • Cincinnati, OH, United States
    serp_jobs.job_card.full_time
    The Pod Provider delivers comprehensive chronic disease management (e.The role works collaboratively with an interdisciplinary team of clinical and non-clinical members to develop member care plans...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Territory Manager Cincinnati, OH

    Territory Manager Cincinnati, OH

    Msccn • Cincinnati, Ohio, USA
    serp_jobs.job_card.full_time
    ATTENTION MILITARY AFFILIATED JOB SEEKERS.Our organization works with partner companies to source qualified talent for their open roles. The following position is available to.Veterans Transitioning...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Behavioral Health Tech - $1,215 per week in Ohio

    Travel Behavioral Health Tech - $1,215 per week in Ohio

    AlliedTravelCareers • Cincinnati, Ohio, US
    serp_jobs.job_card.full_time +1
    AlliedTravelCareers is working with Infojini Healthcare to find a qualified Behavioral Health Tech in Ohio!.Behavioral Health Tech travel Behavioral Health needed in Ohio.Self Assessment (Skills Ch...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Healthcare Revenue Cycle Manager

    Healthcare Revenue Cycle Manager

    Deloitte • Cincinnati, OH, US
    serp_jobs.job_card.full_time
    Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals r...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Program Manager- Technical Publications (Relocation Assistance Available) - Cincinnati, OH

    Program Manager- Technical Publications (Relocation Assistance Available) - Cincinnati, OH

    Dayton T. Brown, Inc. • Cincinnati, OH, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Program Manager- Technical Publications.We offer relocation support to ensure a smooth transition for the selected candidate. If you're ready for the challenge of working for a dynamic organization,...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Program Manager ILS

    Program Manager ILS

    NewPath Child & Family Solutions • Cincinnati, Ohio, USA
    serp_jobs.job_card.full_time
    Welcome! Are you ready to begin a NewPath.At NewPath we do more to make a difference -more for each child each client and our community. Our dedicated team does what it takes day and night to get to...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Sr. Program Manager

    Sr. Program Manager

    Kavaliro • Cincinnati, OH, United States
    serp_jobs.job_card.full_time
    The ideal candidate will be a strategic thinker, skilled collaborator, and proven driver of transformational programs within highly regulated, technology-driven environments.This role requires deep...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Food Services Manager

    Food Services Manager

    Brighton Center Inc • Florence, Kentucky, United States
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    We have been named a Best Place to Work three years in a row, as well as a Top 50 Nonprofit to work for in the Nation!.The role of the Food Services Manager will be to coordinate the food services ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Group Health Operations Manager

    Group Health Operations Manager

    Dane Street • Cincinnati, OH, US
    serp_jobs.job_card.full_time
    Oversee and ensure the overall profitability of the regional operations center.This includes but is not limited to reaching and exceeding financial and referral goals, properly managing staffing ef...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Community Based Care Manager - Hamilton County

    Community Based Care Manager - Hamilton County

    CareSource • Cincinnati, OH, United States
    serp_jobs.job_card.full_time
    The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Program Manager

    Program Manager

    PTR Global • Cincinnati, OH, United States
    serp_jobs.job_card.temporary
    Program Manager Senior – Technology (Not open for C2C).Cincinnati, OH (Hybrid | 1–2 days onsite).Extension Possible (No Conversion). We are seeking a highly skilled.Senior Program Manager – Technolo...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    RN Clinical Manager, Home Health

    RN Clinical Manager, Home Health

    CenterWell Primary Care • Fort Mitchell, KY, United States
    serp_jobs.job_card.full_time
    Become a part of our caring community and help us put health first.Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. Conducts / delegates the as...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    EH&S Program Manager

    EH&S Program Manager

    sunchemical • Cincinnati, Ohio, USA
    serp_jobs.job_card.full_time
    Sun Chemical a member of the DIC Group is a leading producer of packaging and graphic solutions color and display technologies functional products electronic materials and products for the automoti...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Director Program Business Operations Program in Physical Therapy

    Director Program Business Operations Program in Physical Therapy

    Washington University in St Louis • Forest Park, Ohio, USA
    serp_jobs.job_card.full_time
    Serves as a primary administrative leader and agent for the top organizational leader.Directs financial well-being of the Program and delivers effective leadership and decision making to drive the ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Program Manager (Vendor Management) -REMOTE

    Program Manager (Vendor Management) -REMOTE

    Molina Healthcare • Covington, KY, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance f...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Sr. Manager, Program Management

    Sr. Manager, Program Management

    Thermo Fisher Scientific • Cincinnati, Ohio, United States
    serp_jobs.job_card.full_time
    This job is with Thermo Fisher Scientific, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    RN Care Manager

    RN Care Manager

    Strategic HR Client • Cincinnati, Ohio, USA
    serp_jobs.job_card.full_time +1
    Career Opportunity : RN Care Manager (Part-Time) with Trinity Aging Life Advisors in Cincinnati OH.Are you a compassionate experienced RN who enjoys working closely with clients to advocate for thei...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted