JOB DESCRIPTION
Job Summary
Responsible for 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.
KNOWLEDGE/SKILLS/ABILITIES
- Leads CMS/HPMS submission activities and ongoing monitoring, including Health Service Delivery (HSD) tables and Exception Requests associated with Service Area Expansions (SAE) and triennial network adequacy reviews.
- Coordinates with Product and Markets teams to ensure accurate and timely updates on expansion counties for Notices of Intent to Apply (NOIAs), Notices of Intent to Deny (NOIDs), and service area withdrawals.
- Conducts regulatory documentation review within Inovarre and ensures alignment with CMS regulatory requirements, including updated network adequacy guidance, templates, and supporting documentation.
- Manages people who lead teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction.
- Serves as the subject matter expert to Program Managers and in functional areas; leads programs to meet critical needs.
- Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
- Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
- Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
- Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation through delivery.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
7-9 years
Required License, Certification, Association
PMP Certification (and/or comparable coursework)
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
10+ years
Preferred License, Certification, Association
Six Sigma Black Belt Certification, ITIL Certification desired
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.
Skills Required
- Bachelor's Degree or equivalent combination of education and experience
- 7-9 years of relevant experience
- PMP Certification (or comparable coursework)
- Graduate Degree or equivalent combination of education and experience
- 10+ years of experience
- Six Sigma Black Belt Certification
- ITIL Certification
What We Do
Molina Healthcare Inc. is dedicated to delivering effective, reliable, and affordable health care to those who need it most. The company focuses on improving the health and well-being of its members and positively impacting the communities it serves. Recognized as a leader in the health insurance category, it provides essential healthcare services to ensure accessible and quality care for its members.
