Program Manager MLTSS (Remote)
Molina Healthcare
 Long Beach, CA

Job Description

Job Summary

Join one of the industry leaders in

Managed Long Term Services and Supports (MLTSS). This position collaborates

with Molina MLTSS programs across the nation in an exciting role that

influences how LTSS services are delivered to individuals, ensure quality of

and person centered practices both at the enterprise and state level.

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

activities across MLTSS markets. Plans and directs projects schedules as well

as project budgets. Monitors the project from inception through delivery

including measurement of impact. May engage and oversee the work of external

vendors. Assigns, directs and monitors system analysis and program staff.

  • Ensure thorough understanding of MLTSS program and
    contract requirements, collaborating with Regulatory Affairs and health
    plan Government Contracts teams to develop MLTSS program training content
    and interpret MLTSS requirements.
  • Support MLTSS growth by responding to competitive bids,
    conducting due diligence, and servicing as MLTSS subject matter expert for
    business implementation projects
  • Collaborate with plan, centralized departments, and PMO
    resources to operationalize MLTSS requirements and best practices
    including but not limited to MLTSS:

o Program

knowledge

o Covered

Benefits and Services

o Community

resources and supportive programs

o Provider

network adequacy, orientation, and training

o Cost

share administration

o Revenue

drivers

  • Connect health plans to departments that support MLTSS
    plan functions by serving as a product expert and resource.
  • Analyze MLTSS program results, recommend opportunities
    for improvement, implement agreed upon initiatives, and obtain
    measurements of implemented solutions.
  • Creates business requirements
    documents, test plans, requirements traceability matrix, user training
    materials and other related documentations.

Knowledge/Skills/Abilities

  • High
    levels of expertise regarding long term services and supports and
    operations related to: customer service, provider service, claim
    processing, and benefits administration.
  • Strong
    analytical skills, including the ability to interpret regulatory guidance
    and comply with regulatory agencies.
  • Focuses on process improvement, organizational change
    management, program management and other processes relative to the
    business.
  • 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.
  • Ability
    to identify and develop talent and lead a team.
  • Ability
    to work effectively in a highly matrixed environment with resources in a
    variety of remote locations spanning multiple time zones.
  • Excellent
    verbal and written communication skills.
  • Ability
    to abide by Molinaâs policies.
  • Ability
    to maintain attendance to support required quality and quantity of work
  • Maintain
    confidentiality and comply with Health Insurance Portability and
    Accountability Act (HIPAA).
  • Ability
    to establish and maintain positive and effective work relationships with
    coworkers, clients, members, providers and customers.

Job Qualifications

Required Education

Bachelorâs Degree in Business Administration, Public Health, Health

Services Administration, Health Sciences, Nursing, Social Work or related

health care field or equivalent experience

Required Experience

5-7 years

Preferred Education

Master's Degree in Public Health, Nursing, Social Work or related field

Preferred Experience

7-9 years

MLTSS program management experience

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.