Senior Project Manager (SME - Enrollment)

Molina Healthcare•Long Beach, CA

1d•Remote

About The Position

This is a remote Senior Project Manager position specializing in Enrollment, requiring the candidate to reside in the United States. The role is responsible for managing multiple internal business projects and programs within the Enrollment department, involving cross-functional teams and subject matter experts. Key aspects include planning and directing schedules, reviewing enhancement ROI, and independently resolving issues. This hybrid role demands Program Management, System Analyst, and Sr. Business Analyst skills, encompassing troubleshooting, analysis, assignment management, team member assistance, vendor project oversight, and post-deployment monitoring. Building and maintaining strong relationships and proactive processes are crucial. The selected candidate will act as a liaison between the business, vendors, and IT, supporting Program Managers and Business Analysts as a subject matter expert. Responsibilities also include coordinating with business analysts, IT, and business areas, providing and reviewing requirements and test results, and potentially overseeing external vendors.

Requirements

Strong analytic, organizational skills
Ability to independently resolve issues and remove hurdles
Program Management skills
System Analyst skills
Sr. Business Analyst skills
Subject matter expert of enrollment to Program Managers and Analyst and in functional areas (Inbound and Outbound)
Strong business knowledge related to Medicaid and Medicare lines of business
Bachelor's Degree or equivalent combination of education and experience
5-7 years of experience

Nice To Haves

Graduate Degree or equivalent combination of education and experience
7-9 years of experience
PMP or Six Sigma Black Belt certification

Responsibilities

Responsible for multiple Enrollment internal business projects and programs involving department or cross-functional teams of subject matter experts
Delivering products through the design process to completion
Plans and directs schedules
Review enhancement ROI
Troubleshooting
Analyzing
Managing assignments
Assisting team members
Oversight of vendor projects
Reviewing team outputs
Reviewing deployment request and post deployment monitoring
Building and maintaining strong relationships and proactive processes
Act as the liaison between the business, vendors, IT, and support Program Managers and Business Analyst in a subject matter expert capacity
May engage and oversee the work of external vendors
Coordinates with business analyst, IT and business areas
Provides and reviews requirements and test results
Independently manage and deliver Enrollment Enterprise-wide project initiatives from inception through delivery
Communicate and collaborate with Operations, Health Plans and Leadership to analyze and transform needs and goals into functional requirements
Develops, defines, and executes plans, schedules, and deliverables
Monitors programs from initiation through delivery
Identify root cause, function and process improvement opportunities that are critical to effective outcome
Lead programs to meet critical needs, including but not limited to BRD reviews, logic changes, root cause analysis, etc.
Works with operational leaders within the business to provide recommendations on opportunities for process improvements
Collaborate with Other Teams within Molina to deliver End to End for any process within Enrollment Accounting Team
Active collaborator responsible for operation projects and programs involving enrollment and eligibility
Works with cross-functional teams and IT and business subject matter expert and to deliver products from design to completion
Provides knowledge and feedback to ensure regulatory
Addresses health plan concerns within Enrollment Operations
Research, interpret, define and summarize enhancement recommendations
Provides health plan requirement recommendations
Responsible for managing deliverables, improving performance, training needs, support to other business units
Reviews enrollment issue trends and provide long term solutions as needed
Manages, creates and communicates status reports
Ensures compliance with regulatory and company guidelines, including HIPAA compliance
Primarily focuses on project/program management related to the business projects, rather than technical application projects
Focuses on process improvement, organizational change management, program management and other processes relative to the business
Participate and lead brainstorming sessions to develop new concepts to build efficiencies