Program Manager - Encounters

Molina Healthcare
Ann Arbor, MI
**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

Store Manager

INTERNATIONAL STAFFING CONSULTANTS
Detroit, MI

Position Summary: We looking for a passionate and driven Store Manager to join our Boutique! In this role, you’ll lead a dynamic team, drive sales, and create an unforgettable experience for…

View Details
Posted 2025-10-23

Office Manager

Alta Vista Technology
Royal Oak, MI

Office Assistant Location: Royal Oak, MI Department: Accounting/Admin Employment Type: Part-Time About Us: Alta Vista Technology is a fast-growing, award-winning consulting firm spec…

View Details
Posted 2025-09-01

Special Education Teacher

Crossroads Charter Academy
Big Rapids, MI

Crossroads Charter Academy is currently hiring a part-time  Elementary Special Education Teacher for the 2025/2026 school year. 20 hours per week. Must have Teacher Certification and Endorsement. …

View Details
Posted 2025-10-14

Program Coordinator, Science And Technology Entry Program (STEP)

University at Buffalo Portal
Wyoming, MI

Position Summary The University at Buffalo (UB) Science and Technology Entry Program ( STEP ) seeks to hire a Program Coordinator to oversee student recruitment and programming. The Program Coordi…

View Details
Posted 2025-11-18

Controls Project Engineer

Rule 5 Hire
Auburn Hills, MI

Controls Project Engineer Summary Seeking a Controls Project Engineer. This person will take on a lead position in the implementation of conveyor control systems. This position requires experie…

View Details
Posted 2025-11-01

Bartenders

Stoney River Steakhouse & Grill
Troy, MI

BARTENDERS Stoney River Steakhouse and Grill is an upscale steakhouse, specializing in hand-cut steaks, fresh seafood selections, signature salads, and house specialties. We strive to provide the…

View Details
Posted 2025-10-14

Butcher

Wyoming, MI

Salary: $50k - $55k & Overtime pay & Relocation  Are you passionate about quality craftsmanship and take pride in your work? Our client is looking for a skilled and dedicated Butcher to join ou…

View Details
Posted 2025-10-22

Actuarial Analyst 2

Humana
Lansing, MI

**Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and…

View Details
Posted 2025-11-19

Bus Mechanic, Brighton RTC

Livingston ESA
Brighton, MI

Position Summary The Vehicle Maintenance Mechanic plays a critical role in ensuring the safe and continuous operation of the districts transportation fleet. This position is responsible for …

View Details
Posted 2025-11-18

MO3-613-Senior Azure Cloud Engineer 11694-1

FHR
Lansing, MI

100% Remote. Our direct client has an opening for a Senior Azure Cloud Engineer 11694-1 This position is up to 12 months, with the option of extension, in Columbia, SC Please …

View Details
Posted 2025-07-31