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Clinical Project Manager
Molina Healthcare Job ID 2036129Essential 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
Pay Range: $59,810.6 - $129,589.63 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type Full Time Posting Date 02/26/2026Job Alerts
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