Bachelor's degree in a relevant field, such as healthcare administration or data management., Experience in Medicaid operations and provider data management is essential., Strong analytical skills and proficiency in data analysis tools are required., Excellent communication and leadership abilities are necessary for managing teams and stakeholders..
Key responsibilities:
Oversee the management and accuracy of provider data within Medicaid systems.
Lead cross-functional teams to ensure compliance with state and federal regulations.
Develop and implement strategies for improving data quality and operational efficiency.
Collaborate with stakeholders to address issues and enhance provider data processes.
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Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care.
Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Job Description
Job Summary
Responsible for the Management of 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 project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions’ primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members. Senior Program Management Professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership skills; should be well experienced and comfortable presenting to C level executives; ability to drive structure and organization; extensive working knowledge of portfolio and project management tools and methodologies; ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing, written and verbal communication abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic relationship with Corporate EPMO and IT. Manage the issue escalation/resolution process.
Knowledge/Skills/Abilities
Manages programs using staff and matrixed resources with oversight from AVP and VP as needed
Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs
Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management
Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy
Collaborates and facilitates activities with other units at corporate and Molina Plans.
Job Qualifications
Required Education
Bachelor's degree or equivalent combination of education and experience
Required Experience
7-9 years
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
10+ years Provider Data Operations experience.
Experience with State Master Files.
Advanced Excel - large data sets.
Preferred License, Certification, Association
PMP, Lean Six Sigma.
ITIL delivery experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,412 - $156,803 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.