Sr. Program Manager - Healthcare Enrollment (Remote)

Molina Healthcare-posted 8 months ago

$73,102 - $142,549/Yr

Mid Level

Remote

Insurance Carriers and Related Activities

Resume

Match Score

Upload and Match ResumeTrack Jobs with Teal

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 as well as review enhancement ROI. Candidate must have strong analytic, organizational skills and the ability to independently resolve issues and remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr. Business Analyst skills.

Troubleshooting, analyzing, managing assignments, assisting team members, oversight of vendor projects, reviewing team outputs, review of 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.
Engage and oversee the work of external vendors.
Coordinate 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.
Develop, define, and execute plans, schedules, and deliverables.
Monitor 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.
Work 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.
Research, interpret, define and summarize enhancement recommendations.
Provide health plan requirement recommendations.
Manage deliverables, improve performance, training needs, support to other business units.
Review enrollment issue trends and provide long term solutions as needed.
Manage, create and communicate status reports.
Ensure compliance with regulatory and company guidelines, including HIPAA compliance.
Focus 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.

Minimum of 5 years' experience with eligibility processing, including eligibility Applications and Files.
Extensive knowledge in health insurance.
Knowledge of enrollment files, including extracts.
Program Manager experience.
Sr. Business or System Analyst experience.
Process Improvement Experience.

Graduate Degree or equivalent combination of education and experience.
10+ years of experience.
Six Sigma Black Belt Certification.
ITIL Certification desired.

Competitive benefits and compensation package.

Track Jobs with Teal

Job Search Resources

•

Resume Builder

•

Resume Examples

•

Cover Letter Examples

Sr. Program Manager - Healthcare Enrollment (Remote)

Job Search Resources

Tools

Career Hubs

Guides

Company