Program Manager (Medicare Ops and Implementation)-REMOTE

Molina Healthcare•Long Beach, CA

19h•Remote

About The Position

Provides subject matter expertise and support for program management activities across the Medicare line of business. Supports department-wide and cross-functional business needs, including program design, implementation, administration, governance, workflow analysis, process improvement, vendor management, policy and playbook development and maintenance, best practices, resource allocation, and special projects. Oversees the design, implementation, delivery, and ongoing operations of assigned programs and services. Supports end-to-end program delivery by establishing goals, scope, and success measures aligned with organizational priorities; develops and maintains governance frameworks; and may oversee program budgets and resource prioritization. Partners with executive sponsors and functional leaders to meet objectives and realize value across business units. Drives performance measurement and reporting, including dashboards, KPIs, and post-implementation reviews. Ensures program policies, workflows, controls, practices, playbooks, and documentation are accurate and maintained. Collaborates with legal, compliance, IT, and other teams to uphold governance standards; coordinates governance meetings and decision-making; and oversees portfolio management or initiative-specific programmatic changes and project management. Promotes consistent planning, communication, and execution across initiatives. Champions organizational change management and stakeholder adoption of processes or technologies. Identifies program gaps and recommends enhancements, creates business requirements and testing documentation and training materials, distributes business and program reports, facilitates special projects, and may provide 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, including the ability to influence at all levels of the organization.
Advanced proficiency in 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 assigned business programs and services.
Establish program goals, scope, and success measures aligned with organizational priorities.
Develop and maintain governance frameworks and program controls.
May oversee program budgets and prioritize resources to achieve 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.
Maintain documented policies, workflows, program controls, internal and third-party practices, playbooks, and best practices.
Collaborate with legal, compliance, IT, and other cross-functional teams to uphold governance standards.
Track performance metrics and ensure value realization from deployed solutions.
Coordinate recurring meetings supporting governance and decision-making.
Oversee portfolio management and/or initiative-specific programmatic changes and project management.
Support stakeholder dissemination and adoption of program guardrails, processes, and best practices.
Review program collateral to ensure it accurately reflects current business needs.
Promote consistent planning, communication, and execution across initiatives.
Champion 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 opportunities and gaps and recommend program enhancements to applicable leaders.
Create business requirements documents, test plans, requirements traceability matrices, user training materials, and related documentation.
Generate and distribute required business and program reports.
Facilitate special functional or departmental projects.
May provide specialized training and support to new and existing staff.