Clinical Project Manager

Molina Healthcare is a company focused on providing quality and cost-effective member care. They are seeking a Clinical Project Manager to support multi-functional clinical project management activities, ensuring the implementation of new programs and enhancements in clinical management products and services.

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

Requirements:

• 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