Clinical Project Manager

Responsibilities

Develop and monitor clinical project plans, coordinate specialty program implementations, and collaborate across departments, vendors, customers, and leadership to meet clinical and operational goals. Track program metrics, reporting, deliverables, quality, and care-cost impacts, escalating risks when necessary.

Requirements

Requires at least three years of relevant experience in clinical operations, managed care, healthcare services, or project management, along with strong project management, analytics, organizational, problem-solving, communication, and collaboration skills. An active, unrestricted RN or LPN license, PMP or similar certification, and strategic planning or disease management experience are preferred.

Skills

• Clinical Project Management
• Project Planning
• Program Implementation
• Clinical Operations
• Data Management
• Data Analytics
• Strategic Planning
• Disease Management
• Quality Monitoring
• Cost Impact Analysis
• Stakeholder Collaboration
• Problem-Solving
• Organizational Skills
• Communication
• Microsoft Office

About this role

JOB DESCRIPTION Job Summary

Provides support for multi-functional clinical project management activities,
including implementation of new programmatic changes, initiatives, or vended
solutions, in addition to projects supporting clinical and operational goals and
objectives. Contributes to overarching strategy to provide quality and
cost-effective member care. 

Essential Job Duties 
• 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. 

Required Qualifications 
• 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. 

Preferred Qualifications 
• 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. 

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

About Molina Healthcare

Hospitals and Health Care · 10,001+ employees · headquartered in Long Beach, California