What are the responsibilities and job description for the Program Manager, Healthcare Services position at Molina Healthcare Group?
Job Description
JOB DESCRIPTION
Job Summary
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Required Qualifications
- 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
- 3-5 years of Managed Care experience
- Strong analytical and problem-solving skills.
- Provider relationship and oversight
- Strong organizational and time-management skills.
- Ability to work in a cross-functional, professional environment.
- Experience working within applicable state, federal, and third-party regulations.
- Strong verbal and written communication skills.
- Microsoft Office suites applicable software program proficiency, and ability to navigate online portals and databases.
- CalAIM experience
- Must be able to work Pacific Time Zone
Preferred Qualifications
- Leadership experience.
- Medicaid population experience.
- PMP
- Six Sigma
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Job Info
Job Identification: 2036918
Job Category: Clinical
Posting Date: 2026-04-23T16:09:53 00:00
Job Schedule: Full time