COE UM Program Director
Molina Healthcare Arizona; Kentucky; Michigan; Nebraska; Texas; Tucson, Arizona; Chandler, Arizona; Tampa, Florida; Orlando, Florida; Atlanta, Georgia; Nampa, Idaho; Des Moines, Iowa; Louisville, Kentucky; Lincoln, Nebraska; Kearney, Nebraska; Syracuse, New York; Akron, Ohio; Madison, Wisconsin; New Mexico; Augusta, Georgia; Macon, Georgia; Santa Fe, New Mexico; Salt Lake City, Utah; Seattle, Washington; Vancouver, Washington; Iowa; Georgia; Idaho; Columbus, Georgia; Cedar Rapids, Iowa; Owensboro, Kentucky; Sterling Heights, Michigan; Ann Arbor, Michigan; Albuquerque, New Mexico; Roswell, New Mexico; West Valley City, Utah; Green Bay, Wisconsin; Idaho Falls, Idaho; Caldwell, Idaho; Davenport, Iowa; Iowa City, Iowa; Grand Rapids, Michigan; Grand Island, Nebraska; New York, New York; San Antonio, Texas; Mesa, Arizona; St. Petersburg, Florida; Boise, Idaho; Covington, Kentucky; Detroit, Michigan; Warren, Michigan; Rio Rancho, New Mexico; Columbus, Ohio; Cleveland, Ohio; Layton, Utah; Tacoma, Washington; Milwaukee, Wisconsin; New York; Washington; Miami, Florida; Bowling Green, Kentucky; Las Cruces, New Mexico; Houston, Texas; Bellevue, Washington; Ohio; Utah; Wisconsin; Phoenix, Arizona; Scottsdale, Arizona; Jacksonville, Florida; Savannah, Georgia; Meridian, Idaho; Sioux City, Iowa; Lexington-Fayette, Kentucky; Omaha, Nebraska; Bellevue, Nebraska; Dallas, Texas; Orem, Utah; Spokane, Washington; Racine, Wisconsin; Florida; Buffalo, New York; Rochester, New York; Yonkers, New York; Cincinnati, Ohio; Dayton, Ohio; Austin, Texas; Fort Worth, Texas; Provo, Utah; Kenosha, Wisconsin Job ID 2029187JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
- Manages one or more Healthcare Services clinical programs using staff and matrixed resources with oversight from AVP and VP as needed.
- May supervise one or more Program Managers.
- Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs.
- Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management.
- Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy.
- Collaborates and facilitates activities with other units at corporate and Molina Plans.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in Healthcare-related field (equivalent combination of education, experience and/or Nursing license will be considered in lieu of Bachelor's Degree).
Required Experience
- 7+ years managed healthcare experience with line management responsibility including clinical operations.
- Experience working within applicable state, federal, and third-party regulations.
Required License, Certification, Association
If licensed, license must be active, unrestricted and in good standing.
Preferred Education
Bachelor's Degree in Nursing or a master’s degree in Business, Social Work or other healthcare related field.
Preferred Experience
- 10+ years managed care experience
- Operational and process improvement experience
Preferred License, Certification, Association
- Active, unrestricted State Registered Nursing (RN) license in good standing.
- Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification
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: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 12/11/2024ABOUT OUR LOCATION
View Map- Mgr, Business Architecture (PMO) - Medicare Product Line Support - Remote Arizona, San Antonio Texas, Akron Ohio, Albuquerque New Mexico, Green Bay Wisconsin, Fort Worth Texas, Mesa Arizona, Caldwell Idaho, Macon Georgia, Las Cruces New Mexico, New York New York, Salt Lake City Utah, Lexington-Fayette Kentucky, Detroit Michigan, Austin Texas, Sioux City Iowa, Sterling Heights Michigan, Santa Fe New Mexico, Cedar Rapids Iowa, Scottsdale Arizona, Madison Wisconsin, Phoenix Arizona, Atlanta Georgia, Nampa Idaho, Lincoln Nebraska, Dallas Texas, Omaha Nebraska, Cleveland Ohio, Orlando Florida, Provo Utah, Spokane Washington, Grand Island Nebraska, Chandler Arizona, Iowa City Iowa, West Valley City Utah, Tacoma Washington, Louisville Kentucky, Davenport Iowa, Jacksonville Florida, Owensboro Kentucky, Tampa Florida, Orem Utah, Florida, Idaho, Iowa, Georgia, Kentucky, Michigan, Nebraska, New Mexico, Ohio, Texas, Utah, Wisconsin, Washington, New York, Seattle Washington, Yonkers New York, Syracuse New York, Des Moines Iowa, Kearney Nebraska, Miami Florida, Grand Rapids Michigan, Meridian Idaho, Bowling Green Kentucky, Rochester New York, Racine Wisconsin, Vancouver Washington, Rio Rancho New Mexico, Kenosha Wisconsin, Savannah Georgia, Boise Idaho, Roswell New Mexico, Augusta Georgia, Dayton Ohio, Layton Utah, Tucson Arizona, Bellevue Nebraska, Columbus Georgia, St. Petersburg Florida, Warren Michigan, Buffalo New York, Cincinnati Ohio, Bellevue Washington, Milwaukee Wisconsin, Covington Kentucky, Houston Texas, Columbus Ohio, Ann Arbor Michigan, Idaho Falls Idaho 12/31/2024
- Manager, Configuration - REMOTE Arizona, Idaho, Kentucky, New Mexico, Ohio, Caldwell Idaho, Sioux City Iowa, Louisville Kentucky, Omaha Nebraska, Lincoln Nebraska, Albuquerque New Mexico, Miami Florida, Yonkers New York, Fort Worth Texas, Madison Wisconsin, Texas, Washington, Savannah Georgia, Ann Arbor Michigan, Las Cruces New Mexico, Buffalo New York, Cincinnati Ohio, Salt Lake City Utah, Seattle Washington, Kenosha Wisconsin, Iowa, Michigan, Nebraska, Macon Georgia, Nampa Idaho, Bowling Green Kentucky, Lexington-Fayette Kentucky, Sterling Heights Michigan, Kearney Nebraska, Phoenix Arizona, Orlando Florida, Augusta Georgia, Syracuse New York, Cleveland Ohio, Austin Texas, Bellevue Washington, Green Bay Wisconsin, Florida, Utah, Wisconsin, Grand Island Nebraska, Jacksonville Florida, Rio Rancho New Mexico, Columbus Ohio, Akron Ohio, West Valley City Utah, Provo Utah, Layton Utah, Tacoma Washington, New York, Des Moines Iowa, Detroit Michigan, Grand Rapids Michigan, Bellevue Nebraska, Mesa Arizona, St. Petersburg Florida, Columbus Georgia, Milwaukee Wisconsin, Davenport Iowa, Owensboro Kentucky, Warren Michigan, Chandler Arizona, Dallas Texas, Racine Wisconsin, Boise Idaho, Covington Kentucky, Scottsdale Arizona, Santa Fe New Mexico, Tampa Florida, Rochester New York, Dayton Ohio, Houston Texas, San Antonio Texas, Vancouver Washington, Spokane Washington, Georgia, Meridian Idaho, Idaho Falls Idaho, Cedar Rapids Iowa, Iowa City Iowa, Tucson Arizona, Roswell New Mexico, New York New York, Atlanta Georgia, Orem Utah 01/10/2025
- Bilingual Community Outreach Specialist - Bilingual Mandarin - San Gabriel Valley CA San Gabriel California, Pomona California, Los Angeles California 01/10/2025
- Mgr, QNXT Configuration Arizona, St. Petersburg Florida, Cedar Rapids Iowa, Lexington-Fayette Kentucky, Florida, Rio Rancho New Mexico, Santa Fe New Mexico, New York New York, Yonkers New York, Tampa Florida, Augusta Georgia, Sterling Heights Michigan, Kentucky, New York, Ohio, Akron Ohio, Austin Texas, Racine Wisconsin, Chandler Arizona, Idaho Falls Idaho, Iowa City Iowa, Louisville Kentucky, Bowling Green Kentucky, Warren Michigan, New Mexico, Texas, Buffalo New York, Orem Utah, Bellevue Washington, Scottsdale Arizona, Miami Florida, Macon Georgia, Davenport Iowa, Covington Kentucky, Grand Rapids Michigan, Michigan, Kearney Nebraska, Albuquerque New Mexico, Bellevue Nebraska, Utah, Wisconsin, Tacoma Washington, Vancouver Washington, Green Bay Wisconsin, Caldwell Idaho, Georgia, Columbus Ohio, Cincinnati Ohio, Dallas Texas, Madison Wisconsin, Kenosha Wisconsin, Phoenix Arizona, Savannah Georgia, Nampa Idaho, Detroit Michigan, Omaha Nebraska, Lincoln Nebraska, Grand Island Nebraska, Las Cruces New Mexico, Rochester New York, Syracuse New York, Cleveland Ohio, Houston Texas, West Valley City Utah, Seattle Washington, Orlando Florida, Atlanta Georgia, Columbus Georgia, Boise Idaho, Des Moines Iowa, Sioux City Iowa, Owensboro Kentucky, Idaho, Nebraska, San Antonio Texas, Provo Utah, Layton Utah, Spokane Washington, Tucson Arizona, Mesa Arizona, Jacksonville Florida, Meridian Idaho, Iowa, Ann Arbor Michigan, Washington, Roswell New Mexico, Dayton Ohio, Fort Worth Texas, Salt Lake City Utah, Milwaukee Wisconsin 01/09/2025