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Molina Healthcare Program Manager, Medicare Concierge in Nicholasville, Kentucky

JOB DESCRIPTION

Job Summary

This role requires a strategic thinker with excellent project management skills, who can coordinate cross-functional teams and drive results in a fast-paced environment.

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.

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

  • Process Optimization: Continuously evaluate and improve processes to enhance efficiency, reduce response times, and increase member satisfaction.

  • Issue Resolution: Serve as the escalation point for complex member issues, ensuring timely and effective resolution.

  • Compliance: Ensure that all member services activities are compliant with relevant regulations, standards, and best practices.

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 (Medicaid and Medicare)

  • Experience working in a cross functional highly matrixed organization.

  • Experience creating PowerBI reports and dashboards

  • Experience with Microsoft Power Automate

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.

Pay Range: $59,810.6 - $129,589.63 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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