Program Manager - Encounters

Molina Healthcare
Mesa, AZ
**JOB DESCRIPTION** **Job Summary** Supporting the OH Plan, the candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to our state regulator in these areas. This is not a developer role but the candidate must be technically inclined and interface with IT, Claims, and Encounter Teams. Must be a self-starter willing to learn. Must be a good communicator, comfortable speaking up in group discussions and love work collaboratively with other teams and with senior leadership. This role involves research, root cause analysis, sharing recommendations, analyzing reports and other duties as specified. 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. **Job Duties** + Active collaborator with people who are 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. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates 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 on opportunities for process improvements. + Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent combination of education and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent presentation and communication skills. + Experience partnering with different levels of leadership across the organization. **PREFERRED EDUCATION** : Graduate Degree or equivalent combination of education and experience. **PREFERRED EXPERIENCE** : - 5-7 years of Program and/or Project management experience. - Managed Care experience. - Experience working in a cross functional highly matrixed organization. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : - PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework 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. Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Posted 2025-11-16

Recommended Jobs

Process Technician

IPL Schoeller
Phoenix, AZ

Who We Are On July 1, 2025, IPL Plastics merged with Schoeller Allibert to form IPL Schoeller (the ‘company’). The Company’s operations are split across North America (11 manufacturing plants) and…

View Details
Posted 2025-10-24

Principal Software Engineer (Java Backend)

Oracle
Phoenix, AZ

**Job Description** Design, develop, troubleshoot, and debug software programs for databases, applications, tools, networks etc. As a member of the software engineering division, you will take an acti…

View Details
Posted 2025-11-18

Java Application Architect - Legacy Modernization

IBM
Phoenix, AZ

**Introduction** A career in IBM Consulting is rooted by long-term relationships and close collaboration with clients across the globe. You'll work with visionaries across multiple industries to impro…

View Details
Posted 2025-11-13

Accounts Receivable Specialist

Robert Half
Glendale, AZ

Description We are looking for an Accounts Receivable Specialist to join our team in Glendale, Arizona. This long-term contract position offers an excellent opportunity to work in a dynamic environmen…

View Details
Posted 2025-11-19

Elite Stylist

ULTA SALON
Tucson, AZ

We consider applications for this position on an ongoing basis. OVERVIEW Experience a perfect blend of deliberate purpose and clear-eyed vision. At Ulta Beauty, some of the industry’s most …

View Details
Posted 2025-09-29

Au Pair

GreatAuPair LLC
Phoenix, AZ

We require an au pair to help us with our daily routine for our children, including getting them ready in the mornings for school/daycare and dinner/night routine. The rest of the day during the week …

View Details
Posted 2025-11-09

Manager-Program Management - Digital Workplace

American Express
Phoenix, AZ

**Description** At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, …

View Details
Posted 2025-11-18

Fuel Clerk(Weekly Pay )

Fry's Food Stores D4
Scottsdale, AZ

Fuel Clerk(Weekly Pay ) Location Scottsdale, AZ (North Scottsdale area) : Manage enterprise fuel sales budgets, profits and goals. Operate fuel departments, which effectively implement merchandising …

View Details
Posted 2025-11-21

Acute Care Nurse Practitioner or Physician Assistant - Hospital Internal Medicine (Days)

Mayo Clinic
Phoenix, AZ

**Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are …

View Details
Posted 2025-11-14

Investment Operator 1st Shift

PCC Talent Acquisition Portal
Douglas, AZ

JOB TITLE: Dewax Operator DEPARTMENT: CERAMICS PAY LEVEL: H03 JOB FUNCTION: It will be your responsibility to tag molds properly de-hook grind dewax flash fire and program fire…

View Details
Posted 2025-11-22