Associate Program Manager, Process & Performance Monitoring, Managed Care (Remote in FL Preferred)

Molina Healthcare•Long Beach, FL

16d•Remote

About The Position

Molina Healthcare is hiring several Associate Program Managers in our Government Contracts division. Associate program managers will be responsible for ensuring services, issue resolution, organization, communication, and cross-functional collaboration for a specific set of members, with a strong emphasis on detail-oriented reporting and tracking. These roles will serve members who are receiving private duty nursing (PDN) services, who are typically high-acuity and subject to strict contract requirements, significant financial risk, and federal oversight. Strong problem-solving, independent thinking, coordination, data leverage, and communication skills are needed and are considered more critical than prior subject matter knowledge. This team will need to coordinate with service providers, UM and CM network finance teams, and case management, assimilating and communicating information from various sources to ensure effective service delivery and compliance.

Requirements

Basic to advanced Excel skills.
Competent in creating and using tracking mechanisms.
Cross-functional coordination.
Ability to command a room and own their space.
Ability to maintain collaboration and organization across teams.
Associate's Degree or equivalent combination of education and experience.
1-3 years of experience.

Nice To Haves

Experience with healthcare-related systems such as claims, encounter, or case management systems.
Bachelor's Degree or equivalent combination of education and experience.
3-5 years of experience.
Diverse backgrounds such as data, clinical, provider, or regulatory experience.

Responsibilities

Ensuring services, issue resolution, organization, communication, and cross-functional collaboration for a specific set of members.
Detail-oriented reporting and tracking.
Coordinating with service providers, UM and CM network finance teams, and case management.
Assimilating and communicating information from various sources to ensure effective service delivery and compliance.
Planning and directing schedules and project budgets.
Monitoring the project from inception through delivery.
Engaging and overseeing the work of external vendors.
Assigning, directing and monitoring system analysis and program staff.
Planning and executing business programs.
Communicating and collaborating with customers to analyze and transform needs and goals into functional requirements.
Delivering the appropriate artifacts as needed.
Providing recommendations for process improvements, medical cost savings or revenue enhancements.
Assisting with the creation of Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations.