Specialist, Clinical Implementations (Clinical Licensure Required) - REMOTE

Molina Healthcare · United States

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Provides support for the deployment and integration of Molina enterprise clinical implementations, programs, technologies, and workflows. Ensures alignment with regulatory requirements and organizational goals.  Represents as a liaison between clinical, technical, and administrative teams; focuses on planning and executing implementations that fit existing workflows while supporting patient care and operational efficiency.

Essential Job Duties

• Supports planning and execution of clinical system implementations.
• Develops and executes implementation plans, timelines, and milestones.
• Ensures compliance with clinical standards, regulatory requirements, organizational policies, new workflows, and technology.
• Assists during implementation phases to ensure smooth adoption of new workflows and technologies.
• Serves as a resource for clinical teams, addressing questions and resolving issues promptly.
• Delivers post-implementation support to maintain system functionality and optimize performance.
• Provides ongoing support and troubleshooting during and after implementation. Partners with clinicians, administrators, and information technology (IT) teams to ensure seamless integration of solutions.
• Represents as a liaison between clinical teams and technical teams to translate requirements and feedback.
• Monitors implementation progress and identify areas for improvement.
• Collects and analyzes data to measure program effectiveness.
• Recommends enhancements to optimize workflows and system performance.

Required Qualifications

• At least 3 years of direct clinical, health care technology implementation, or clinical program management experience, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN) or Advanced Practice Social Worker (APSW), or Licensed Behavioral Health Clinician (MSW, LCSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• Proficiency with Electronic Health Record (EHR) systems (e.g., Epic, Cerner, Meditech).
• Strong understanding of clinical workflows and health care IT systems.
• Ability to troubleshoot technical issues and provide practical solutions.
• Familiarity with data analysis tools and reporting software.
• Competence in project management tools.
• Ability to collect, interpret, and analyze data to measure program effectiveness.
• Skilled in identifying process gaps and recommending workflow optimizations.
• Critical thinking skills, and ability to resolve implementation challenges quickly.
• Ability to facilitate training and generate stakeholder engagement.
• Ability to explain technical concepts to non-technical audiences.
• Experience managing timelines, deliverables, and priorities in fast-paced environments.
• Ability to adapt to changing requirements and maintain focus on goals.
• Detail-oriented, and committed to accuracy and quality.
• Self-motivated, and ability to work independently or as part of a team.
• Comfortable in high-pressure situations and capable of meeting deadlines.
• Strong collaboration skills, and ability to work effectively with clinical, technical, and administrative teams.
• Strong verbal and written communication skills.
• Microsoft Office suite and applicable software program(s) proficiency.

Preferred Qualifications

• Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
• Familiarity with change management principles and process improvement methodologies.
• Experience creating executive summaries and decks; comfortable presenting to varying stakeholders and audiences, including executive leadership.
• Change management experience.
• Medicaid/Medicare/Duals population experience.
• Six Sigma green belt or higher certification.

• 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.

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