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Senior Program Manager - Healthcare Enrollment - Remote

Posted 15 weeks ago
Project Management
Full Time
CA, USA

Overview

The Senior Program Manager is responsible for managing multiple enrollment projects within the healthcare sector, working with cross-functional teams to ensure successful delivery and compliance.

In Short

  • Manage and deliver enrollment projects from inception to completion.
  • Act as a liaison between business, vendors, and IT.
  • Analyze and transform business needs into functional requirements.
  • Lead process improvement initiatives and root cause analysis.
  • Coordinate with cross-functional teams to deliver projects.
  • Ensure compliance with regulatory guidelines including HIPAA.
  • Provide recommendations for process improvements.
  • Manage deliverables and communicate status reports.
  • Possess extensive knowledge of health insurance and enrollment processes.
  • Participate in brainstorming sessions for efficiency improvements.

Requirements

  • Bachelor's Degree or equivalent experience required.
  • 7-9 years of relevant experience in program management.
  • PMP Certification or comparable coursework is required.
  • Preferred: Graduate Degree and 10+ years of experience.
  • Knowledge of Medicaid and Medicare lines of business.
  • Experience with eligibility processing and enrollment files.
  • Strong analytical and organizational skills.
  • Experience in process improvement methodologies.
  • Knowledge of Six Sigma and ITIL certifications is a plus.
  • Ability to work independently and resolve issues proactively.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE) policies.
  • Career growth and advancement opportunities.
  • Supportive work environment.
  • Access to training and certification programs.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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