JOB DESCRIPTION

Job Summary

Working closely with Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics and Finance teams, drive, plan and manage a comprehensive program focused on identifying, defining, designing, implementing and tracking performance for clinical programs that bring organizational value.  Although primarily working with clinical teams, initiatives can overlap, and require collaboration, with Provider Network, Quality, Payment Integrity and other cross-functional areas.  This individual contributor role is expected to proactively lead this program and be accountable for its success, reporting directly to the Vice President of Clinical Value.

 

 

Job Duties

Lead teams in identifying, defining, sizing/validating, prioritizing, socializing, operationalizing and tracking clinical programs that result in financial value, as well as improve outcomes Develop, maintain and enhance processes, tools and reports to support this function Own and execute enterprise-wide communication plan to ensure consistent and regular messaging on plans and status Prepare agendas and materials for, and help facilitate recurring and ad hoc meetings Collaborate with and leverage supporting areas and processes - Enterprise Clinical Vendor, Clinical Centers of Excellence, Clinical Analytics, Clinical Systems, Medical Economics, Market Engagement, etc. to ensure efficient and effective program delivery Package material for senior leaders, up to and including for C Suite executives and the Molina CEO Extend scope to more fully include related areas besides 'Medical/Clinical', for example Behavioral Health, Long Term Care Assist in proposing and implementing an approach to ensure closer alignment between Clinical Operations and Provider Network processes for value programs that overlap end-to-end

 

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.

• Experience working in a cross functional highly matrixed organization.

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.