Program Manager (Payment Integrity)

Molina Healthcare•Long Beach, CA

About The Position

JOB DESCRIPTION Job Summary Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. Job Duties Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. Manages program budget, as applicable, supporting project prioritization. Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld. Tracks performance metrics and ensures value realization from deployed solutions. Coordinates recurring meetings to support governance framework and decision-making processes, as needed. At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management. Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral. Routinely reviews program collateral to ensure current and accurate reflection of business needs. Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team. Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. Generates and distributes standard reports on schedule. JOB QUALIFICATIONS REQUIRED QUALIFICATIONS : At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience. Operational Process Improvement experience. Managed Care experience, preferably in a shared service, CoE or matrixed environment. Experience with Microsoft Project and Visio. Strong presentation and communication skills. PREFERRED SKILLS/EXPERIENCE: Proven experience managing technical or technology based projects and programs, ideally in a multi-faceted environment that includes both technical team and business stakeholders. Background in implementing and rolling out new technologies or enterprise systems, with demonstrated ability to help train, and address change management, risk management. Hands on experience in collaborating with end users - providing guidance, gathering feedback, and ensuring successful adoption of new tools, or workflows Skilled in developing training materials, user documentation, and standard operating procedures (SOPs) that promote consistency and simply system use. Exceptional communication and organizational skills with the ability to bridge technical and non-technical audiences to drive program success. Pro-active Solution-oriented mindset with proven success in cross-functional leadership, stakeholder engagement and risk mitigation. To 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/V.

Requirements

At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience.
Operational Process Improvement experience.
Managed Care experience, preferably in a shared service, CoE or matrixed environment.
Experience with Microsoft Project and Visio.
Strong presentation and communication skills.

Nice To Haves

Proven experience managing technical or technology based projects and programs, ideally in a multi-faceted environment that includes both technical team and business stakeholders.
Background in implementing and rolling out new technologies or enterprise systems, with demonstrated ability to help train, and address change management, risk management.
Hands on experience in collaborating with end users - providing guidance, gathering feedback, and ensuring successful adoption of new tools, or workflows
Skilled in developing training materials, user documentation, and standard operating procedures (SOPs) that promote consistency and simply system use.
Exceptional communication and organizational skills with the ability to bridge technical and non-technical audiences to drive program success.
Pro-active Solution-oriented mindset with proven success in cross-functional leadership, stakeholder engagement and risk mitigation.

Responsibilities

Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program.
Manages program budget, as applicable, supporting project prioritization.
Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld.
Tracks performance metrics and ensures value realization from deployed solutions.
Coordinates recurring meetings to support governance framework and decision-making processes, as needed.
At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management.
Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral.
Routinely reviews program collateral to ensure current and accurate reflection of business needs.
Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team.
Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
Generates and distributes standard reports on schedule.