Molina Healthcare is hiring several Associate Program Managers in our Government Contracts division.
Associate program managers will be responsible for ensuring services, issue resolution, organization, communication, and cross-functional collaboration for a specific set of members, with a strong emphasis on detail-oriented reporting and tracking. These roles will serve members who are receiving private duty nursing (PDN) services, who are typically high-acuity and subject to strict contract requirements, significant financial risk, and federal oversight.
Strong problem-solving, independent thinking, coordination, data leverage, and communication skills are needed and are considered more critical than prior subject matter knowledge
This team will need to coordinate with service providers, UM and CM network finance teams, and case management, assimilating and communicating information from various sources to ensure effective service delivery and compliance
Technical Competencies: Candidates must be competent in creating and using tracking mechanisms, with basic to advanced Excel skills, and experience with healthcare-related systems such as claims, encounter, or case management systems is considered beneficial but not mandatory.
Soft Skills Requirements: Key soft skills include cross-functional coordination, the ability to command a room and own their space and maintaining collaboration and organization across teams.
Skill Set Versatility: Here at Molina, we value of candidates with diverse backgrounds, such as data, clinical, provider, or regulatory experience, provided they possess the c
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 • Works with team in planning and executing business programs. • Strives to become a Subject Matter Expert in the functional area required. • Helps communicate and collaborate with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. • Works with operational leaders within the business to provide recommendations for process improvements, medical cost savings or revenue enhancements. • Assists with the creation of Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations..
Job Qualifications Required Education Associate's Degree or equivalent combination of education and experience Required Experience 1-3 years Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience 3-5 years 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.
Molina Healthcare is a managed care organization that provides health insurance and care management services, primarily serving Medicaid members. The company operates health plans and delivers integrated care coordination across the continuum of care, combining medical management with behavioral health, long-term services and supports (LTSS), and community resources. Molina employs advanced claims processing systems, risk adjustment methodologies, and quality performance management to ensure cost-effective, high-quality member outcomes. The company supports various health plans and regulatory requirements while managing complex operations including provider contracting, benefits configuration, and HEDIS audit compliance.
