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Job Description

The Clinical Project Manager will support VA Healthplan. Ideal candidates would have project management and analytical skills.

The Clinical Project Manager will be responsible to pulling data and creating reports from scratch. Super user with Microsoft Excel,

Home office with internet connectivity of high speed required. – This is a remote opportunity.

Preferred location is VA to attend meetings at VA Health Plan in Richmond VA

Schedule: Monday thru Friday 8:00AM to 5:00 PM

Job Summary

The Clinical Project Manager (PM) position plays a key role in various multi-functional projects, such as implementation of new programmatic changes, initiatives, or vended solutions; helping to keep migrations on track as well as other projects critical to Molina Healthcare Services in achieving its clinical and operational goals and objectives. The PM's activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. The PM develops and tracks the appropriate metrics to monitor the quality and care cost impact of the program.

Knowledge/Skills/Abilities

• Develops, implements, and monitors clinical specialty project plan/program requirements and timelines, ensures all necessary support, tools and technology are available, and follows up as needed. Meets with business process owners and other appropriate personnel to identify the project's goals, objectives, critical success factors, and success measures.

• Participates in the development of clinical management products and services; leads the development of clinical program enhancements and better practices. Assist 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, as applicable, to ensure the appropriate implementation and monitoring or programmatic changes.

• Assists in modifying implementation approaches within budget and operational framework.

• Revenue Generation – Work jointly with leadership to ensure revenue goals, administrative expenses are managed

• Develop strong relationships with key contacts and teams

• Develop strong relationships and contacts within Molina that are supportive of the achievement of increased revenue goals

• Communicate across all department, and/or vendors and supports other functions as requested throughout the program development lifecycle including finance, outcomes, communications and IT.

• Maintains project plan for ongoing projects/programs to ensure deliverables are met.

• Responsible for implementation of any required program/process reporting.

• Escalates to leadership when project/processes are at risk as a result of missed deliverables

Job Qualifications

REQUIRED EDUCATION:

Bachelor’s Degree in Health Care, Population Health or Healthcare Administration

REQUIRED EXPERIENCE:

5+ years in clinical operations, preferably in Managed Care, specifically in Healthcare Services, quality, network, pharmacy, or project management.

Required Licensure or Certification:

PMP or similar certification

Preferred Education:

Bachelor’s Degree in Nursing

Preferred Licensure or Certification:

LPN or RN

Preferred Experience:

Strategic planning and disease management 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: $59,810.6 - $129,589.63 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.