Project Manager, Payment Integrity (Managed Care) Remote

Molina Healthcare•Long Beach, CA
•Remote

About The Position

Payment Integrity is seeking a Project Manager to support implementation work across Medicare, Medicaid, and Marketplace programs. The role coordinates new and renewing programs that affect providers and members and supports broader departmental projects. The Project Manager provides support for internal business projects from inception through delivery, planning and managing schedules, milestones, budgets, stakeholder involvement, and quality and delivery. The position collaborates with departments and cross-functional subject matter experts to ensure project completion and success, and supports projects of moderate to high complexity throughout their lifecycle.

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 project management methodologies, including Waterfall, Agile, or hybrid approaches.
  • Data analysis skills or experience.
  • Strong problem-solving skills.
  • Strong organizational and time-management skills.
  • Ability to manage multiple projects simultaneously while handling 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 and/or 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.
  • Develop and maintain detailed project plans with milestones, tasks, and target and actual completion dates.
  • Revise project plans as needed to meet changing requirements.
  • Schedule and conduct project meetings, including coordinating logistics, preparing agendas, and recording 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.

Benefits

  • Competitive benefits and compensation package.
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