Project Manager / Process Improvement Lead (Appeals & Grievances)
Molina Healthcare · United States
JOB DESCRIPTION Job Summary
Provides support for internal business projects from inception through delivery. Plans and managed project schedules, milestones, budgets, stakeholder involvement, and quality/delivery. Collaborates cross-functionally with departments and cross-functional teams of subject matter experts to ensure project completion and success.
This candidate will be supporting multiple Appeals and Grievances regions
Essential Job Duties
- Manages all aspects of assigned projects throughout the project lifecycle including project scope, schedule, resources, quality, costs and change; supports projects of moderate to high-level complexity.
- Develops and maintains detailed project plans to include milestones, tasks, and target/actual dates of completion.
- Revises project plans as appropriate to meet changing needs and requirements.
- Schedules and conducts project meetings to include logistics, agendas, and meeting minutes.
- Prepares and submits project status reports to leadership.
- Facilitates project follow-up items with applicable stakeholders.
- Coordinates project-related process improvements, workflow changes, project/program implementation and governance changes, etc.
- May engage and oversee the work of external vendors.
- Provides training and support to new and existing project management team members.
- Act as a liaison between Appeals & Grievances and PEGA teams.
- Manage SOPs, Workflows, job aide for Pega
- Create process documents across all states
- Work with executive teams.
Required Qualifications
- At least 3 years of professional experience in project management or a related role, or equivalent combination of relevant education and experience.
- Operational/process improvement experience.
- Project management experience/skills.
- Knowledge of project management methodologies (Waterfall, Agile, or hybrid).
- Data analysis skills/experience.
- Strong problem-solving skills.
- Strong organizational and time-management skills.
- Proven ability to manage multiple projects simultaneously with competing priorities.
- Ability to create clear, accurate, complete, and concise reports.
- Ability to effectively lead small meeting and capture concise notes and action items.
- Ability to work cross-collaboratively across a highly matrixed organization.
- Effective verbal/written/presentation communication skills.
- Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.
Preferred Qualifications
- Project Management Professional (PMP) and/or Six Sigma Green Belt certification.
- Health care/managed care experience.
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
- Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V