Project Manager, Payment Integrity (Managed Care) Remote

Molina Healthcare•Long Beach, CA

1d•Remote

About The Position

Payment Integrity is seeking a Project Manager to coordinate implementation work across Medicare, Medicaid, and Marketplace programs. The role coordinates new and renewing programs affecting providers and members, while also supporting broader departmental projects. It supports internal business projects from inception through delivery and collaborates with departments and cross-functional subject matter experts to help ensure successful completion.

Requirements

At least 3 years of professional experience in project management or a related role, or an equivalent combination of relevant education and experience.
Operational or process improvement experience.
Project management experience and skills.
Knowledge of Waterfall, Agile, or hybrid project management methodologies.
Data analysis skills or experience.
Strong problem-solving skills.
Strong organizational and time-management skills.
Ability to manage multiple projects simultaneously with competing priorities.
Ability to create clear, accurate, complete, and concise reports.
Ability to lead small meetings effectively and capture concise notes and action items.
Ability to collaborate across a highly matrixed organization.
Effective verbal, written, and presentation communication skills.
Proficiency with Microsoft Office, including Excel, PowerPoint, Project, and Visio, and applicable software programs.

Nice To Haves

Project Management Professional (PMP) certification.
Six Sigma Green Belt certification.
Health care or managed care experience.
Experience with Molina or another managed care organization in a similar role.

Responsibilities

Manage assigned projects throughout the project lifecycle, including scope, schedule, resources, quality, costs, and change; support projects of moderate to high complexity.
Develop and maintain detailed project plans, including milestones, tasks, and target and actual completion dates.
Revise project plans to meet changing needs and requirements.
Schedule and conduct project meetings, including coordinating logistics, agendas, and meeting minutes.
Prepare and submit project status reports to leadership.
Facilitate follow-up items with applicable stakeholders.
Coordinate process improvements, workflow changes, project and program implementation, and governance changes related to projects.
Engage and oversee external vendors as needed.
Provide training and support to new and existing project management team members.
Coordinate project schedules, milestones, budgets, stakeholder involvement, and quality and delivery.