Note: The job is a remote job and is open to candidates in USA. Molina Healthcare seeks a Clinical Project Manager to support clinical project management activities that advance quality and cost-effective member care. The role coordinates clinical program implementation, tracks project plans and performance metrics, and collaborates across internal teams and external partners.
Responsibilities
- Develops, implements, and monitors clinical specialty project plans/program requirements and timelines - ensuring all necessary support, tools and technology are available, and facilitates follow-up as needed
- Meets with business process owners and other appropriate personnel to identify project goals, objectives, critical success factors and success measures
- Participates in the development of clinical management products and services - leading the development of clinical program enhancements and better practices
- Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and provider education
- Oversees/coordinates implementation of new specialty programs or processes and serves as a clinical liaison between the company and customers as needed - ensuring appropriate implementation and monitoring, or programmatic changes
- Assists in modifying implementation approaches within budget and operational framework
- Works jointly with leadership to ensure revenue goals and administrative expenses are managed
- Develops and tracks appropriate metrics to monitor quality and care cost impact of programs
- Develops strong relationships with key contacts and teams internally and externally that support achievement of increased revenue goals
- Communicates across all departments, and/or vendors and supports other functions as needed throughout the program development lifecycle including finance, outcomes, communications and information technology
- Maintains project plans for ongoing projects/programs to ensure deliverables are met
- Responsible for implementation of any required programs/process reporting
- Escalates to leadership when project/processes are at risk as a result of missed deliverables
Skills
- At least 3 years experience in clinical operations, preferably in a managed care setting supporting healthcare services, quality, network , pharmacy, and/or project management, or equivalent combination of relevant education and experience
- Strong project management skills
- Understanding and knowledge of specialty programs integration and clinical initiative development/implementation
- Data management and analytics expertise
- Excellent problem-solving and organizational skills
- Ability to work collaboratively across a highly matrixed organization
- Strong interpersonal skills
- Excellent verbal and written communication skills
- Microsoft Office suite/applicable software program(s) proficiency
- Registered Nurse (RN) or Licensed Practical Nurse (LPN)
- License must be active and unrestricted in state of practice
- Project Management Professional (PMP) or similar certification
- Strategic planning and disease management experience
Company Overview
Company H1B Sponsorship