Senior Program Manager (Network Adequacy) - Remote

JOB DESCRIPTION

Job Summary

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, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members.

KNOWLEDGE/SKILLS/ABILITIES

• Leads CMS/HPMS submission activities and ongoing monitoring, including Health Service Delivery (HSD) tables and Exception Requests associated with Service Area Expansions (SAE) and triennial network adequacy reviews.
• Coordinates with Product and Markets teams to ensure accurate and timely updates on expansion counties for Notices of Intent to Apply (NOIAs), Notices of Intent to Deny (NOIDs), and service area withdrawals.
• Conducts regulatory documentation review within Inovarre and ensures alignment with CMS regulatory requirements, including updated network adequacy guidance, templates, and supporting documentation.
• Manages people who lead teams in planning and executing business programs.  Assigns and monitors work of program management staff providing support and direction.
• Serves as the subject matter expert to Program Managers and in functional areas; leads programs to meet critical needs.
• Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. 
• 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.
• Develops, defines, and executes plans, schedules, and deliverables.  Monitors programs from initiation through delivery.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

7-9 years

Required License, Certification, Association

PMP Certification (and/or comparable coursework)

Preferred Education

Graduate Degree or equivalent combination of education and experience

Preferred Experience

10+ years

Preferred License, Certification, Association

Six Sigma Black Belt Certification, ITIL Certification 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.