Manage and implement clinical specialty programs and projects across departments. Develop project plans, track metrics, coordinate stakeholders, support program implementation, monitor quality and costs, and escalate risks. Collaborate with finance, IT, vendors, and leadership to meet operational and revenue goals.
JOB DESCRIPTION Job SummaryProvides support for multi-functional clinical project management activities, including implementation of new programmatic changes, initiatives, or vended solutions, in addition to projects supporting clinical and operational goals and objectives. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Develops, implements, and monitors clinical specialty project plans/program requirements and timelines - ensuring all necessary support, tools and technology are available, and facilitates follow-up as needed.
• Meets with business process owners and other appropriate personnel to identify project goals, objectives, critical success factors and success measures.
• Participates in the development of clinical management products and services - leading the development of clinical program enhancements and better practices.
• Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and provider education.
• Oversees/coordinates implementation of new specialty programs or processes and serves as a clinical liaison between the company and customers as needed - ensuring appropriate implementation and monitoring, or programmatic changes.
• Assists in modifying implementation approaches within budget and operational framework.
• Works jointly with leadership to ensure revenue goals and administrative expenses are managed.
• Develops and tracks appropriate metrics to monitor quality and care cost impact of programs.
• Develops strong relationships with key contacts and teams internally and externally that support achievement of increased revenue goals.
• Communicates across all departments, and/or vendors and supports other functions as needed throughout the program development lifecycle including finance, outcomes, communications and information technology.
• Maintains project plans for ongoing projects/programs to ensure deliverables are met.
• Responsible for implementation of any required programs/process reporting.
• Escalates to leadership when project/processes are at risk as a result of missed deliverables.
Required Qualifications
• At least 3 years experience in clinical operations, preferably in a managed care setting supporting healthcare services, quality, network , pharmacy, and/or project management, or equivalent combination of relevant education and experience. Strong project management skills.
• Understanding and knowledge of specialty programs integration and clinical initiative development/implementation.
• Data management and analytics expertise.
• Excellent problem-solving and organizational skills.
• Ability to work collaboratively across a highly matrixed organization.
• Strong interpersonal skills.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Registered Nurse (RN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Project Management Professional (PMP) or similar certification.
• Strategic planning and disease management 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
Essential Job Duties
• Develops, implements, and monitors clinical specialty project plans/program requirements and timelines - ensuring all necessary support, tools and technology are available, and facilitates follow-up as needed.
• Meets with business process owners and other appropriate personnel to identify project goals, objectives, critical success factors and success measures.
• Participates in the development of clinical management products and services - leading the development of clinical program enhancements and better practices.
• Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and provider education.
• Oversees/coordinates implementation of new specialty programs or processes and serves as a clinical liaison between the company and customers as needed - ensuring appropriate implementation and monitoring, or programmatic changes.
• Assists in modifying implementation approaches within budget and operational framework.
• Works jointly with leadership to ensure revenue goals and administrative expenses are managed.
• Develops and tracks appropriate metrics to monitor quality and care cost impact of programs.
• Develops strong relationships with key contacts and teams internally and externally that support achievement of increased revenue goals.
• Communicates across all departments, and/or vendors and supports other functions as needed throughout the program development lifecycle including finance, outcomes, communications and information technology.
• Maintains project plans for ongoing projects/programs to ensure deliverables are met.
• Responsible for implementation of any required programs/process reporting.
• Escalates to leadership when project/processes are at risk as a result of missed deliverables.
Required Qualifications
• At least 3 years experience in clinical operations, preferably in a managed care setting supporting healthcare services, quality, network , pharmacy, and/or project management, or equivalent combination of relevant education and experience. Strong project management skills.
• Understanding and knowledge of specialty programs integration and clinical initiative development/implementation.
• Data management and analytics expertise.
• Excellent problem-solving and organizational skills.
• Ability to work collaboratively across a highly matrixed organization.
• Strong interpersonal skills.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Registered Nurse (RN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Project Management Professional (PMP) or similar certification.
• Strategic planning and disease management 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
Similar Jobs
Biotech
Lead Phase I clinical trial projects, managing scope, schedule, budget, risk, quality and stakeholder communications. Oversee cross-functional teams, mentor junior PMs, support business development, and ensure regulatory and SOP compliance across global programs.
Top Skills:
AccessExcelMicrosoft WordPowerPointProject
Healthtech • Biotech • Pharmaceutical
Manage early-phase clinical study execution: maintain TMF, coordinate internal teams and vendors, support interim analyses and study closeout, oversee financials and reporting, develop risk mitigation and contingency plans, assist vendor contracting and change orders, support business development and team training, and represent the company to clients.
Healthtech
Lead global medical device clinical trials from start-up through closeout, ensuring GCP/ISO/FDA compliance; author protocols and regulatory documents; manage CROs, vendors, safety/DSMB oversight, data lock and reporting; partner with R&D/Regulatory/Quality; implement SOPs, mentor clinical PMs, and support regulatory submissions and publications. Travel up to 35%.
Top Skills:
Clinical Trial Management Systems (Ctms)Electronic Data Capture (Edc)Image Management Systems
What you need to know about the Colorado Tech Scene
With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.
Key Facts About Colorado Tech
- Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
- Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
- Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
- Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute
