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Program Manager, Healthcare Services - Clinical Systems

83756 Boise, Idaho Molina Healthcare

Posted 2 days ago

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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**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 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.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ 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 suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
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
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Supervisor, Healthcare Services; Care Management (Remote - GA)

83756 Boise, Idaho Molina Healthcare

Posted today

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Job Description

This position will offer remote work flexibility, but the individual selected for the role must reside in Georgia.
JOB DESCRIPTION
Job Summary
Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
+ Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
+ Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
+ Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
+ Trains and supports team members to ensure high-risk, complex members are adequately supported.
+ Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
+ Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
+ Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
+ Local travel may be required (based upon state/contractual requirements).
Required Qualifications
+ At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Ability to manage conflict and lead through change.
+ Operational and process improvement experience.
+ Strong written and verbal communication skills.
+ Working knowledge of Microsoft Office suite.
+ Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
+ Registered Nurse (RN). License must be active and unrestricted in state of practice.
+ Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
+ Medicaid/Medicare population experience.
+ Clinical experience.
+ Supervisory/leadership experience. 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
#PJHPO3
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Strategic Services Sales Rep-Healthcare

83756 Boise, Idaho Oracle

Posted 2 days ago

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Job Description

**Job Description**
This role requires an accomplished sales leader with a proven track record in both Account Management and new business development, combined with a deep understanding of the healthcare industry and its unique needs. The primary job duty is to sell CSS offerings to prospective and existing customers. Lead sales through forecasting, account resource allocation, account strategy, and planning. Develop solution proposals encompassing all aspects of the customer's service lifecycle. Participate in the development, presentation and sales of a value proposition. Negotiate pricing and contractual agreements to close the sale.
As a key member of our high-performing team, you will play a critical role in driving the rapid growth of Oracle's CSS business within large healthcare organizations. You will engage with senior healthcare executives and IT leaders to deliver tailored, value-driven solutions that support their digital transformation and customer success initiatives.
If you are a passionate sales leader with a deep understanding of the healthcare industry and a drive for results, we encourage you to apply and help us shape the future of customer success in healthcare.
**ABOUT CSS**
Oracle is the only provider of fully integrated technology solutions that span both infrastructure and applications. Today's businesses, however, need more than just the best technology solutions. They need a strategic partner to support sustained business growth. Oracle Customer Success Services (CSS) was created to help ensure the customer's ongoing success with our technology. CSS is completely integrated with Oracle's product development teams to help improve the value of the customer's cloud investment. CSS also trains and collaborates with implementers across Oracle's partner ecosystem to ensure the successful setup of Oracle technologies.
**RESPONSIBILITIES**
+ **Sales Leadership & Strategy:** Lead the sales efforts to sell Oracle Customer Success Services (CSS) offerings to both prospective and existing Strategic Healthcare clients across North America. Develop and implement account strategies to drive revenue growth and client retention within large healthcare organizations.
+ **Account Management & Expansion:** Manage and expand relationships with key healthcare accounts, including hospitals, healthcare networks, and payer organizations. Identify opportunities for new business and expand existing contracts by introducing Oracle's comprehensive CSS portfolio.
+ **Solution Development & Proposal:** Work closely with customers to understand their unique healthcare challenges and digital transformation goals. Develop comprehensive solution proposals that align with the customer's service lifecycle and provide clear value to their business.
+ **Sales Execution & Forecasting:** Lead the sales process from initial engagement to contract negotiation and closure. Accurately forecast sales opportunities, manage account resources, and ensure timely and effective execution of sales strategies.
+ **Value Proposition & Negotiation:** Collaborate with internal teams to present and sell the value of Oracle's CSS offerings. Navigate complex pricing and contract negotiations, ensuring alignment with customer needs while driving Oracle's business objectives.
+ **Industry Knowledge & Thought Leadership:** Stay current on trends in the healthcare sector, including regulations, digital health technologies, and challenges faced by healthcare providers and payers. Provide insights and consultative advice to customers on best practices in healthcare IT and customer success.
+ Driving the implementation of CSS sales and marketing campaigns
+ Generating, maturing and following up on leads
+ Facilitating and nurturing Senior Management relationships to generate active sponsorship of Oracle
+ Work both independently and with Oracle's XLOB sales forces (SaaS, OCI, Application and Hardware) and key Partners to build pipeline and achieve sales quota
+ Create compelling, personalized CSS propositions for targeted prospects and customers
+ Become an authority in CSS Services, ensuring the team is seen as exemplars and advisors within Oracle
+ Provide accurate and timely sales forecasts and other information
+ Initiate demand generation and Marketing programs
+ Work with designated Partners as required
**ACCOUNTABILITIES**
Overview:
+ Achieve/exceed sales quota.
+ Achieve/exceed other objectives as agreed annually/quarterly.
+ Work with Sales Management to ensure targets are met and skills are developed.
In detail:
+ Create & maintain sufficient Pipeline to achieve quota.
+ Accurate completion of sales forecasts, activities and close plans ensuring corrective action is taken as the need arises.
+ Maintain accurate records of all sales activities and key contacts in the Account.
+ Ensure Sales Forecasting systems and reporting is accurate and maintained up to date.
+ Write proposals with input from all relevant expertise in compliance standards.
+ Ensure Account Plans are in place as required.
+ Obtain appropriate management approval for proposals where required.
+ Ensure the contracts are legally compliant and commercially viable in conjunction with Oracle Business Practices.
+ Identify, maintain and deploy an internal network of people who can support achievement of plans.
+ Create and communicate reference sites.
+ Development of an industry customer reference program.
+ Operate in line with Oracle US HR policies and procedures.
+ Attend, host and speak at appropriate events.
#LI-VC7
**Responsibilities**
**What we like to see:**
+ A professional with a technical Background (IT, Computer Science) Or with an economical background, with good technical understanding.
+ Has a shown sales record in the IT Industry.
+ Has at least 7+ years Sales experience in Products or Services, preferably in another US Company or a renowned IT company.
+ Has a good ratio of result-to-target over the past 5 years.
+ Has a high-reaching winner personality.
+ Ideally knows Oracle Products and Services.
**Highly Preferred qualifications:**
+ 8 years applicable experience including minimum 5 years of sales experience.
+ Oracle knowledge and/or knowledge of Oracle's competitors.
+ Has strong presentation, organization, coordination and negotiation skills.
+ Has good eye for business.
+ Works with setting priorities and creation of sales related business plans.
+ Easy to adapt to changes and to cultural differences.
+ Familiar with the culture of a US Company and follow its Business Ethics and Conducts.
+ Great teammate.
+ Fluent in English.
+ Willing to travel (50%).
+ Bachelor degree or equivalent experience.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $113,100 to $185,100 per annum. May be eligible for equity. Eligible for commission with an estimated pay mix of 50/50.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
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Oracle Services Sales, NA, Healthcare East

83756 Boise, Idaho Oracle

Posted 2 days ago

Job Viewed

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Job Description

**Job Description**
Seeking a highly motivated and results-driven Sales Professional to join the Customer Success Services (CSS) team, specifically focusing on expanding and growing CSS offerings within Enterprise Healthcare Accounts across North America. This role requires an accomplished sales leader with a proven track record in both Account Management and new business development, combined with a deep understanding of the healthcare industry and its unique needs. The primary job duty is to sell CSS offerings to prospective and existing customers. Lead sales through forecasting, account resource allocation, account strategy, and planning. Develop solution proposals encompassing all aspects of the customer's service lifecycle. Participate in the development, presentation and sales of a value proposition. Negotiate pricing and contractual agreements to close the sale.
As a key member of our high-performing team, you will play a critical role in driving the rapid growth of Oracle's CSS business within large healthcare organizations. You will engage with senior healthcare executives and IT leaders to deliver tailored, value-driven solutions that support their digital transformation and customer success initiatives.
If you are a passionate sales leader with a deep understanding of the healthcare industry and a drive for results, we encourage you to apply and help us shape the future of customer success in healthcare. ation's services (e.g., maintenance and service contracts).
**ABOUT CSS**
Oracle is the only provider of fully integrated technology solutions that span both infrastructure and applications. Today's businesses, however, need more than just the best technology solutions. They need a strategic partner to support sustained business growth. Oracle Customer Success Services (CSS) was created to help ensure the customer's ongoing success with our technology. CSS is completely integrated with Oracle's product development teams to help improve the value of the customer's cloud investment. CSS also trains and collaborates with implementers across Oracle's partner ecosystem to ensure the successful setup of Oracle technologies.
**Sales Leadership & Strategy:** Lead the sales efforts to sell Oracle Customer Success Services (CSS) offerings to both prospective and existing Enterprise Healthcare clients across North America. Develop and implement account strategies to drive revenue growth and client retention within large healthcare organizations.
+ **Account Management & Expansion:** Manage and expand relationships with key healthcare accounts, including hospitals, healthcare networks, and payer organizations. Identify opportunities for new business and expand existing contracts by introducing Oracle's comprehensive CSS portfolio.
+ **Solution Development & Proposal:** Work closely with customers to understand their unique healthcare challenges and digital transformation goals. Develop comprehensive solution proposals that align with the customer's service lifecycle and provide clear value to their business.
+ **Sales Execution & Forecasting:** Lead the sales process from initial engagement to contract negotiation and closure. Accurately forecast sales opportunities, manage account resources, and ensure timely and effective execution of sales strategies.
+ **Value Proposition & Negotiation:** Collaborate with internal teams to present and sell the value of Oracle's CSS offerings. Navigate complex pricing and contract negotiations, ensuring alignment with customer needs while driving Oracle's business objectives.
+ **Industry Knowledge & Thought Leadership:** Stay current on trends in the healthcare sector, including regulations, digital health technologies, and challenges faced by healthcare providers and payers. Provide insights and consultative advice to customers on best practices in healthcare IT and customer success.
+ Driving the implementation of CSS sales and marketing campaigns
+ Generating, maturing and following up on leads
+ Facilitating and nurturing Senior Management relationships to generate active sponsorship of Oracle
+ Work both independently and with Oracle's XLOB sales forces (SaaS, OCI, Application and Hardware) and key Partners to build pipeline and achieve sales quota
+ Create compelling, personalized CSS propositions for targeted prospects and customers
+ Become an authority in CSS Services, ensuring the team is seen as exemplars and advisors within Oracle
+ Provide accurate and timely sales forecasts and other information
+ Initiate demand generation and Marketing programs
+ Work with designated Partners as required
**ACCOUNTABILITIES**
Overview:
+ Achieve/exceed sales quota.
+ Achieve/exceed other objectives as agreed annually/quarterly.
+ Work with Sales Management to ensure targets are met and skills are developed.
In detail:
+ Create & maintain sufficient Pipeline to achieve quota.
+ Accurate completion of sales forecasts, activities and close plans ensuring corrective action is taken as the need arises.
+ Maintain accurate records of all sales activities and key contacts in the Account.
+ Ensure Sales Forecasting systems and reporting is accurate and maintained up to date.
+ Write proposals with input from all relevant expertise in compliance standards.
+ Ensure Account Plans are in place as required.
+ Obtain appropriate management approval for proposals where required.
+ Ensure the contracts are legally compliant and commercially viable in conjunction with Oracle Business Practices.
+ Identify, maintain and deploy an internal network of people who can support achievement of plans.
+ Create and communicate reference sites.
+ Development of an industry customer reference program.
+ Operate in line with Oracle US HR policies and procedures.
+ Attend, host and speak at appropriate events.
**PREFERRED QUALIFICATIONS**
**Ideal:**
+ A professional with a technical Background (IT, Computer Science) Or with an economical background, with good technical understanding.
+ Has a shown sales record in the IT Industry.
+ Has at least 7+ years Sales experience in Products or Services, preferably in another US Company or a renowned IT company.
+ Has a good ratio of result-to-target over the past 5 years.
+ Has a high-reaching winner personality.
+ Ideally knows Oracle Products and Services.
**Must:**
+ 8 years applicable experience including minimum 5 years of sales experience.
+ Oracle knowledge and/or knowledge of Oracle's competitors.
+ Has strong presentation, organization, coordination and negotiation skills.
+ Has good eye for business.
+ Works with setting priorities and creation of sales related business plans.
+ Easy to adapt to changes and to cultural differences.
+ Familiar with the culture of a US Company and follow its Business Ethics and Conducts.
+ Great teammate.
+ Fluent in English.
+ Willing to travel (50%).
+ Bachelor degree or equivalent experience.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $113,100 to $185,100 per annum. May be eligible for equity. Eligible for commission with an estimated pay mix of 50/50.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
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Program Manager, Healthcare Services - Clinical Systems

83642 Meridian, Idaho Molina Healthcare

Posted 2 days ago

Job Viewed

Tap Again To Close

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**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 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.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ 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 suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
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
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Program Manager, Healthcare Services - Clinical Systems

83605 Caldwell, Idaho Molina Healthcare

Posted 2 days ago

Job Viewed

Tap Again To Close

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**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 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.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ 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 suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
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
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Supervisor, Healthcare Services; Care Management (Remote - GA)

83605 Caldwell, Idaho Molina Healthcare

Posted today

Job Viewed

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Job Description

This position will offer remote work flexibility, but the individual selected for the role must reside in Georgia.
JOB DESCRIPTION
Job Summary
Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
+ Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
+ Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
+ Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
+ Trains and supports team members to ensure high-risk, complex members are adequately supported.
+ Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
+ Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
+ Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
+ Local travel may be required (based upon state/contractual requirements).
Required Qualifications
+ At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Ability to manage conflict and lead through change.
+ Operational and process improvement experience.
+ Strong written and verbal communication skills.
+ Working knowledge of Microsoft Office suite.
+ Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
+ Registered Nurse (RN). License must be active and unrestricted in state of practice.
+ Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
+ Medicaid/Medicare population experience.
+ Clinical experience.
+ Supervisory/leadership experience. 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
#PJHPO3
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Supervisor, Healthcare Services; Care Management (Remote - GA)

83642 Meridian, Idaho Molina Healthcare

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Job Description

This position will offer remote work flexibility, but the individual selected for the role must reside in Georgia.
JOB DESCRIPTION
Job Summary
Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
+ Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
+ Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
+ Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
+ Trains and supports team members to ensure high-risk, complex members are adequately supported.
+ Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
+ Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
+ Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
+ Local travel may be required (based upon state/contractual requirements).
Required Qualifications
+ At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Ability to manage conflict and lead through change.
+ Operational and process improvement experience.
+ Strong written and verbal communication skills.
+ Working knowledge of Microsoft Office suite.
+ Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
+ Registered Nurse (RN). License must be active and unrestricted in state of practice.
+ Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
+ Medicaid/Medicare population experience.
+ Clinical experience.
+ Supervisory/leadership experience. 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
#PJHPO3
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Environmental Services Supervisor - Healthcare Facilities

83702 Hidden Springs, Idaho $55000 Annually WhatJobs Direct

Posted today

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Job Description

full-time
Our client is seeking an experienced and dedicated Environmental Services Supervisor to oversee operations at their facility in **Boise, Idaho, US**. This role is crucial for maintaining the highest standards of cleanliness, sanitation, and infection control. The Supervisor will lead a team of environmental services technicians, ensuring all tasks are performed efficiently and in compliance with health and safety regulations. Responsibilities include developing and implementing cleaning schedules, managing inventory of supplies and equipment, training new staff members, conducting quality assurance checks, and troubleshooting any issues that arise. You will also be responsible for adherence to strict protocols for handling hazardous materials and waste disposal. The ideal candidate will have a strong understanding of healthcare sanitation best practices and regulatory requirements. Proven leadership and team management skills are essential, along with excellent organizational abilities and attention to detail. A background in environmental services, facilities management, or a related field is required, with at least 3-5 years of supervisory experience. You must be physically capable of performing manual tasks as needed and possess strong communication skills to effectively interact with staff, patients, and other departments. This position requires a hands-on approach and a commitment to creating a safe and healthy environment for everyone. The ability to work flexible hours, including occasional weekends, may be necessary.
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