Program Manager, Healthcare Services

**JOB DESCRIPTION**Job SummaryProvides 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 related 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**+ 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.+ 3-5 years of Managed Care experience+ Strong analytical and problem-solving skills.+ Provider relationship and oversight+ 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 suites applicable software program proficiency, and ability to navigate online portals and databases.+ CalAIM experience**Preferred Qualifications**+ Leadership experience.+ Medicaid population experience.+ PMP+ Six SigmaTo 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/VPay Range: $84,067 - $163,931 / ANNUAL*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.