JOB DESCRIPTION Job Summary

Provides support for member engagement and member retention activities.  Represents members in areas involving member impact and engagement including: appeals and grievances and member issue research and resolution.  Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints.  Resolves member inquiries and complaints fairly and effectively.  Provides product and service information to members, and identifies opportunities to maintain and increase member relationships.  Recommends and implements programs to support member needs, and develops/maintains member materials.

 

Essential Job Duties

• Provides direct telephonic assistance to members and/or member family members seeking to resolve issues or complaints; seeks to engage and retain new and existing members.
• Ensures enrollee's rights are upheld and helps enrollees understand their rights and benefits in working through the system.  
• Assists members in the complaint and appeal process; determines the nature of the member's needs or problem; informs members of their rights in the complaints and appeals process; and advises/refers as appropriate for investigation and resolution. 
• Serves as an advocate in collaboration with providers, regulatory agencies, outside agencies, colleagues and other functional departments as appropriate.  
• Educates members on covered services available to them, including preventive services.
• Provides support to enrollees and providers in provision of plan benefits.
• Educates members on covered services available, including preventive services.
• Provides information, guidance and assistance over the phone or in person to members with disabilities who call for help related to plan participation; analyzes internal system functions that affect enrollee access to medical care and quality of care. 
• Collaborates with the care management team to support resolution of member issues/concerns; ensures that trends are identified and solutions outlined.
• Conducts focus groups in service delivery area as needed to ensure member needs are being addressed.
• Supports ongoing member advocacy training and disseminates member advocacy educational materials to internal staff, providers, and subcontractors.  
• Conducts in person meetings with members and/or family members as appropriate.
• Accurately and timely documents member contacts/cases in appropriate database.
 

Required Qualifications

• At least 2 years of experience in member services, member outreach, community engagement, consumer advocacy, and/or customer service —preferably in a managed care or health care setting,  or equivalent combination of relevant education and experience. 
• Effective interpersonal skills, with a customer-first mindset.
• Experience conducting intake, interviews, and/or research of consumer or provider issues.  
• Basic understanding of managed health care systems and behavioral health issues.
• Ability to work both independently and as part of a team in a fast-paced environment.
• Ability to assess needs and make thoughtful decisions to support members.
• Time-management and organizational skills.
• Ability to work cross-functionally within a highly matrixed organization.
• Effective verbal and written communication skills, and professional telephone etiquette skills.
• Microsoft Office suite/applicable software program(s) proficiency.
 

Preferred Qualifications

• Call center experience.
• 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

Pay Range: $14.9 - $22.5 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities.  Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings.  Responsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement.

 

Essential Job Duties

• Collaborates with cross-functional corporate and health plan teams on the development and implementation of enterprise Medicare Stars quality improvement (QI) programs and initiatives across the enterprise. 
• Manages, plans and executes Medicare Star ratings programs.
• Supports Stars program execution and governance needs; communicates, measures outcomes and develops initiatives to improve Star ratings.  
• Serves as the Medicare Stars subject matter expert to corporate functional areas/health plans, and leads programs to meet critical needs.
• Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities.
• Leads health plan leadership discussions to provide recommendations, performance results and opportunity assessments for Medicare Stars improvement.
• Collaborates with operational leaders within the business to provide recommendations on opportunities for
process improvements, organizational change management, program management and other processes related to Medicare Star ratings.
• Facilitates process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program.
• Plans and directs schedules for program initiatives, as well as program budgets.
• Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation
through delivery through outcomes measurement.
• Monitors and tracks key performance indicators (KPIs), programs and initiatives to reflect the value and effectiveness of Stars and QI programs.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documents.
• Monitors projects from inception through delivery and outcomes measurement.
• May engage and oversee the work of external vendors.
• Generates and distributes quality improvement/Medicare Stars standard reports timely.
 

Required Qualifications

• At least 6 years of Medicare Stars program and project management experience, or equivalent combination of relevant education and experience.  
• Demonstrated knowledge of and experience with Medicare Star ratings and QI programs.
• Advanced knowledge of the quality discipline, including metrics and performance standards. 
• Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
• Experience developing performance measures that support business objectives.
• Solid business writing experience.
• Strong strategic-thinking skills.
• Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.
• Critical-thinking, problem-solving and analytical skills.
• Attention to detail and organizational skills.
• Ability to implement process improvement initiatives and drive change. 
• Ability to work independently in a fast-paced, deadline-driven environment.
• Ability to work in a cross-functional highly matrixed organization.
• Strong project management experience.
• Excellent verbal, written, and presentation communication skills.
• Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
 

Preferred Qualifications

• Strong Medicare Stars/quality improvement (QI) program experience.
• Six Sigma Black Belt Certification.
• ITIL (Information Technology Infrastructure Library) certification.
• Experience in leading significant cross-functional work.
• Strong project 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $73,102 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities.  Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings.  Responsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement.

 

Essential Job Duties

• Collaborates with cross-functional corporate and health plan teams on the development and implementation of enterprise Medicare Stars quality improvement (QI) programs and initiatives across the enterprise. 
• Manages, plans and executes Medicare Star ratings programs.
• Supports Stars program execution and governance needs; communicates, measures outcomes and develops initiatives to improve Star ratings.  
• Serves as the Medicare Stars subject matter expert to corporate functional areas/health plans, and leads programs to meet critical needs.
• Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities.
• Leads health plan leadership discussions to provide recommendations, performance results and opportunity assessments for Medicare Stars improvement.
• Collaborates with operational leaders within the business to provide recommendations on opportunities for
process improvements, organizational change management, program management and other processes related to Medicare Star ratings.
• Facilitates process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program.
• Plans and directs schedules for program initiatives, as well as program budgets.
• Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation
through delivery through outcomes measurement.
• Monitors and tracks key performance indicators (KPIs), programs and initiatives to reflect the value and effectiveness of Stars and QI programs.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documents.
• Monitors projects from inception through delivery and outcomes measurement.
• May engage and oversee the work of external vendors.
• Generates and distributes quality improvement/Medicare Stars standard reports timely.
 

Required Qualifications

• At least 6 years of Medicare Stars program and project management experience, or equivalent combination of relevant education and experience.  
• Demonstrated knowledge of and experience with Medicare Star ratings and QI programs.
• Advanced knowledge of the quality discipline, including metrics and performance standards. 
• Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
• Experience developing performance measures that support business objectives.
• Solid business writing experience.
• Strong strategic-thinking skills.
• Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.
• Critical-thinking, problem-solving and analytical skills.
• Attention to detail and organizational skills.
• Ability to implement process improvement initiatives and drive change. 
• Ability to work independently in a fast-paced, deadline-driven environment.
• Ability to work in a cross-functional highly matrixed organization.
• Strong project management experience.
• Excellent verbal, written, and presentation communication skills.
• Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
 

Preferred Qualifications

• Strong Medicare Stars/quality improvement (QI) program experience.
• Six Sigma Black Belt Certification.
• ITIL (Information Technology Infrastructure Library) certification.
• Experience in leading significant cross-functional work.
• Strong project 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $65,791.66 - $142,548.59 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities.  Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings.  Responsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement.

 

Essential Job Duties

• Collaborates with cross-functional corporate and health plan teams on the development and implementation of enterprise Medicare Stars quality improvement (QI) programs and initiatives across the enterprise. 
• Manages, plans and executes Medicare Star ratings programs.
• Supports Stars program execution and governance needs; communicates, measures outcomes and develops initiatives to improve Star ratings.  
• Serves as the Medicare Stars subject matter expert to corporate functional areas/health plans, and leads programs to meet critical needs.
• Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities.
• Leads health plan leadership discussions to provide recommendations, performance results and opportunity assessments for Medicare Stars improvement.
• Collaborates with operational leaders within the business to provide recommendations on opportunities for
process improvements, organizational change management, program management and other processes related to Medicare Star ratings.
• Facilitates process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program.
• Plans and directs schedules for program initiatives, as well as program budgets.
• Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation
through delivery through outcomes measurement.
• Monitors and tracks key performance indicators (KPIs), programs and initiatives to reflect the value and effectiveness of Stars and QI programs.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documents.
• Monitors projects from inception through delivery and outcomes measurement.
• May engage and oversee the work of external vendors.
• Generates and distributes quality improvement/Medicare Stars standard reports timely.
 

Required Qualifications

• At least 6 years of Medicare Stars program and project management experience, or equivalent combination of relevant education and experience.  
• Demonstrated knowledge of and experience with Medicare Star ratings and QI programs.
• Advanced knowledge of the quality discipline, including metrics and performance standards. 
• Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
• Experience developing performance measures that support business objectives.
• Solid business writing experience.
• Strong strategic-thinking skills.
• Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.
• Critical-thinking, problem-solving and analytical skills.
• Attention to detail and organizational skills.
• Ability to implement process improvement initiatives and drive change. 
• Ability to work independently in a fast-paced, deadline-driven environment.
• Ability to work in a cross-functional highly matrixed organization.
• Strong project management experience.
• Excellent verbal, written, and presentation communication skills.
• Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
 

Preferred Qualifications

• Strong Medicare Stars/quality improvement (QI) program experience.
• Six Sigma Black Belt Certification.
• ITIL (Information Technology Infrastructure Library) certification.
• Experience in leading significant cross-functional work.
• Strong project 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $65,791.66 - $142,548.59 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION

Job Summary

Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. 

JOB DUTIES

• Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements.
• Monitors regulatory sources to ensure all updates are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings.
• Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.  Interpret customer business needs and translate them into application and operational requirements.
• Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
• Where applicable, codifies the requirements for system configuration alignment and interpretation.
• Provides support for requirement interpretation inconsistencies and complaints.
• Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible.
• Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
• Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product.
• Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.

KNOWLEDGE/SKILLS/ABILITIES

• Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation are agreed on and clear for solutioning.
• Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
• Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
• Ability to concisely synthesize large and complex requirements.
• Ability to organize and maintain regulatory data including real-time policy changes.
• Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
• Ability to work independently in a remote environment.
• Ability to work with those in other time zones than your own.

JOB QUALIFICATIONS

Required Qualifications

• At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.  
• Policy/government legislative review knowledge
• Strong analytical and problem-solving skills
• Familiarity with administration systems
• Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams
• Previous success in a dynamic and autonomous work environment 

Preferred Qualifications

• Project implementation experience 
• Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA).
• Medical Coding certification. 

 

 

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: $49,430.25 - $107,098.87 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION

Job Summary

Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. 

JOB DUTIES

• Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements.
• Monitors sources to ensure all updates are aligned. 
• Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
• Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
• Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
• Provides support for requirement interpretation inconsistencies and complaints.
• Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
• Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.

KNOWLEDGE/SKILLS/ABILITIES

• Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
• Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
• Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
• Ability to concisely synthesize large and complex requirements.
• Ability to organize and maintain regulatory data including real-time policy changes.
• Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
• Ability to work independently in a remote environment.
• Ability to work with those in other time zones than your own.

JOB QUALIFICATIONS

Required Qualifications

• At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.  
• Policy/government legislative review knowledge.
• Strong analytical and problem-solving skills.
• Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
• Previous success in a dynamic and autonomous work environment.

Preferred Qualifications

• Project implementation experience 
• Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). 
• Medical Coding certification. 

 

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: $44,936.59 - $97,362.61 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing health care needs. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties
• Engages with members as an advocate and resource to support management of health care needs.
• Collaborates with and supports the health care services team by providing non-clinical paraprofessional duties in the field to include meeting with members in their homes, nursing homes, shelters, provider offices, etc.
• Empowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers, arranging transportation for health care visits, getting prescriptions filled and following-up with members on missed appointments.
• Assists members in accessing social services such as community-based resources for housing, food, employment, etc.
• Provides outreach to locate and/or provide support for disconnected members with special needs.
• Conducts research with available data to locate members that Molina has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers or travel to last known address or community resource locations such as homeless shelters, etc.)
• Participates in ongoing or project-based activities that may require extensive member outreach (telephonic and/or face-to-face).
• Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
• 50-80% local travel may be required (based upon state/contractual requirements).

Required Qualifications• At least 1 year of health care experience, preferably working with underserved or special needs populations with varied health, economic and educational circumstances, or equivalent combination of relevant education and experience.
• Community Health Worker (CHW) certification may be required for certain states (dependent upon contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Ability to multi-task applications while speaking with members.
• Excellent customer service skills.
• Organizational and time-management skills.
• Ability and willingness to learn other lines of business, programs and relevant software systems/applications.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications
• Community Health Worker (CHW) certification (for states other than Ohio, Florida and California, where it is required).
• Certified Medical Assistant (CMA).
• Bilingual based on community need.
• Familiarity with health care systems.
• Knowledge of community-specific culture.
• Experience with/or knowledge of health care systems, community resources, social services, and/or health education.

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: $14.76 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 

Essential Job Duties 

• Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. 
• Analyzes clinical service requests from members or providers against evidence based clinical guidelines. 
• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. 
• Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. 
• Processes requests within required timelines. 
• Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. 
• Requests additional information from members or providers as needed. 
• Makes appropriate referrals to other clinical programs. 
• Collaborates with multidisciplinary teams to promote the Molina care model. 
• Adheres to utilization management (UM) policies and procedures. 

Required Qualifications 

• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN). License must be active and unrestricted in state of practice. 
• Ability to prioritize and manage multiple deadlines. 
• Excellent organizational, problem-solving and critical-thinking skills. 
• Strong written and verbal communication skills. 
• Microsoft Office suite/applicable software program(s) proficiency. 

Preferred Qualifications 

• Certified Professional in Healthcare Management (CPHM). 
• Recent hospital experience in an intensive care unit (ICU) or emergency room. 

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: $26.41 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION

Job Summary

Focuses on process improvement, organizational change management, project management and other processes related to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management.

KNOWLEDGE/SKILLS/ABILITIES

• Ability to manage multiple complexes, challenging projects simultaneously. Deep understanding of multiple projects and relationships between projects.
• Expert knowledge of methods and techniques involved in project management initiatives.
• Complete mastery of standard applications and project specific software. Able to learn new software with little to no instruction within a short timeframe and instruct others on its functionality.
• Proactively assesses projects for potential problem areas. Investigates, develops, and evaluates solutions to a wide range of very complex problems spanning across multiple projects.
• Formulates and directs the implementation of resolutions. Establishe processes, procedures, and tools to increase efficiency. Projects are generally Enterprise-wide and have moderate cross functional impact and team organization.

JOB QUALIFICATIONS

Required Education

Bachelor's degree.

Required Experience

5-8 years of relevant work experience in Healthcare, AI, Engineering or a related field in lieu of degree acceptable.

Preferred Education

Additional formal training in PM preferred.

Preferred License, Certification, Association

PMP, CSM Certification 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.

Pay Range: $87,568.7 - $189,732.18 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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. 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

• Manages people who lead teams in planning and executing business programs.  Assigns and monitors work of program management staff providing support and direction.
• Serves as the subject matter expert to Program Managers and in functional areas; leads programs to meet critical needs.
• Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. 
• 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.
• Develops, defines, and executes plans, schedules, and deliverables.  Monitors programs from initiation through delivery.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

7-9 years

Required License, Certification, Association

PMP Certification (and/or comparable coursework)

Preferred Education

Graduate Degree or equivalent combination of education and experience

Preferred Experience

10+ years

Preferred License, Certification, Association

Six Sigma Black Belt Certification, ITIL Certification 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.

 

Pay Range: $65,791.66 - $142,548.59 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.