Associate Program Manager, Process & Performance Monitoring, Managed Care

Are you someone who thrives on solving complex puzzles, enjoys bringing order to intricate processes, and has a keen eye for detail? Imagine playing a crucial role in ensuring that some of our most vulnerable members receive the specialized care they desperately need. Molina Healthcare is expanding our Government Contracts division and searching for passionate, proactive individuals to join us as Associate Program Managers. This is your chance to make a tangible difference, orchestrating vital services and ensuring seamless care delivery for members with high-acuity needs, specifically those receiving private duty nursing.

Overview

As an Associate Program Manager, you will be a central figure in our Government Contracts division, focusing on the critical area of Private Duty Nursing (PDN) services. You will ensure excellent service delivery, efficient issue resolution, meticulous organization, clear communication, and robust cross-functional collaboration. This role involves serving members who are typically high-acuity, requiring adherence to strict contract requirements, navigating significant financial considerations, and operating under federal oversight. Your ability to think independently, solve problems, and leverage data will be paramount in this impactful position.

Key Responsibilities

Ensure the effective delivery of services to high-acuity members receiving private duty nursing (PDN) services.
Lead efforts in issue resolution, maintaining a sharp focus on detailed reporting and tracking mechanisms.
Drive organizational efficiency and foster clear, consistent communication across various stakeholders.
Facilitate strong cross-functional collaboration with internal teams and external providers.
Coordinate seamlessly with service providers, Utilization Management (UM) and Case Management (CM) teams, network finance, and other critical departments.
Assimilate and communicate complex information from diverse sources to guarantee effective service delivery and regulatory compliance.
Proactively identify potential risks and develop mitigation strategies to ensure program success and member satisfaction.

Requirements

Demonstrated strong problem-solving capabilities and a proactive, independent thinking approach.
Excellent coordination skills, adept at managing multiple priorities and stakeholders.
Proficiency in leveraging data to inform decisions and drive performance improvements.
Outstanding written and verbal communication skills, able to articulate complex information clearly and concisely.
Competence in creating and utilizing various tracking mechanisms and reporting tools.
Basic to advanced proficiency with Microsoft Excel, including data manipulation and analysis.
Experience with healthcare-related systems such as claims processing, encounter management, or case management platforms.
While prior subject matter knowledge in private duty nursing is helpful, strong transferable skills in problem-solving and coordination are considered more critical.
This is a fully remote position, open to candidates worldwide. While we have a preference for candidates based in Florida, we strongly encourage talented individuals from anywhere to apply.

What You'll Gain

The unique opportunity to directly impact the lives of high-acuity members by ensuring they receive essential care.
A chance to work within a vital area of healthcare, navigating complex government contracts and federal oversight.
Significant professional development in program management, data analysis, and cross-functional leadership.
A role at a leading healthcare organization, contributing to compliance and service excellence within managed care.
Exposure to a dynamic environment where your problem-solving and organizational skills will be continuously honed.