Program Manager (Medicare Ops and Implementation)-REMOTE

Molina Healthcare•United States,

1d•$59,811 - $129,590•Remote

About The Position

Provides subject matter expertise and support for program management activities for the Medicare line of business. Supports programmatic business needs across departments and cross-functional areas, including program design, implementation, administration, governance, workflow analysis, process improvements, vendor management, policy and playbook development and maintenance, best practices, resource allocation, and special projects. The Program Manager oversees the design, implementation, delivery, and ongoing operations of programs and services; supports end-to-end program delivery; and develops governance frameworks. The role partners with executive sponsors and functional leaders, oversees performance measurement and reporting, and helps ensure program objectives, compliance, and value realization. It also coordinates governance and decision-making meetings, supports portfolio management and programmatic changes, champions change management and stakeholder adoption, maintains program documentation, identifies enhancement opportunities, and creates business and testing documentation. The role may oversee program budgets and provide specialized training and support to staff.

Requirements

At least 5 years of progressive program and/or project management experience with increasing responsibility in a complex, matrixed organization, or an equivalent combination of relevant education and experience.
Experience leading medium-scale or multifunctional programs in healthcare, managed care, or a similar regulated environment.
Operational process improvement and change management experience.
Project management experience and skills.
Data analysis skills or experience.
Strong organizational and time-management skills.
Ability to manage multiple projects simultaneously with competing priorities.
Experience managing budgets and resource plans for business or strategic initiatives.
Ability to collaborate across a highly matrixed organization.
Strong verbal, written, and presentation communication skills, with the ability to influence at all organizational levels.
Advanced proficiency with Microsoft Office, including Excel, PowerPoint, Project, and Visio, and applicable software programs.

Nice To Haves

Project Management Professional (PMP), Six Sigma Green Belt, and/or Black Belt certification.
Healthcare or managed care experience.
Jira experience.

Responsibilities

Oversee the design, implementation, delivery, and ongoing operations of business programs and services.
Establish program goals, scope, and success measures aligned with organizational priorities.
Develop and maintain governance frameworks for consistent, compliant, and effective program management.
May oversee program budgets and ensure prioritization and alignment of resources with desired outcomes.
Partner with executive sponsors and functional leaders to meet program objectives and realize value across business units.
Drive performance measurement and reporting, including dashboards, KPIs, and post-implementation reviews.
Ensure policies, workflows, program controls, internal and third-party practices, playbooks, and best practices are documented.
Collaborate with legal, compliance, IT, and other cross-functional teams to uphold governance standards.
Track performance metrics and value realization from deployed solutions.
Coordinate recurring meetings supporting governance and decision-making.
Oversee portfolio management and initiative-specific programmatic changes and project management.
Support dissemination and adoption of program guardrails, processes, and best practices among stakeholders.
Review program collateral to ensure it accurately reflects current business needs.
Promote consistency in planning, communication, and execution across initiatives.
Champion organizational change management through stakeholder engagement, communication, and adoption of new processes or technologies.
Maintain and evolve program documentation, playbooks, and best practices based on current needs and lessons learned.
Identify program gaps and opportunities and recommend enhancements to applicable leaders.
Create BRDs, test plans, requirements traceability matrices, user training materials, and related documentation.
Generate and distribute required business and program reporting.
Facilitate special functional or departmental projects.
May provide specialized training and support to new and existing staff.