Job Details

Senior Project Manager For Claims Operations

Manages 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. 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.

Expanded Scope:

• Strategy & Road mapping: Translate business strategy into a prioritized project roadmap; define scope, OKRs/KPIs, value hypothesis, and measurable success criteria.
• Process Optimization: Lead current/future-state mapping, root cause analysis, and continuous improvement.
• Technology Enablement: Oversee requirements, configuration, and testing for platforms.
• Delivery Excellence: Plan and execute across Waterfall/Agile or hybrid approaches.
• Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations, and audit readiness.
• Vendor & Stakeholder Management: Manage SOWs and partner performance.
• People Leadership & Culture: Model a high-performance, collaborative culture.

Knowledge/Skills/Abilities:

• Project & Portfolio Leadership
• Operational & Regulatory Acumen (Healthcare/Claims)
• Process Improvement & Change Management
• Technical Fluency & Data Literacy
• Communication & Influence
• Execution Excellence

Tools/Methods (examples): Salesforce, QNXT, JIRA/Azure DevOps, MS Project/Smartsheet, Visio/Miro/Lucid, SQL, Excel, PowerPoint, Power BI/Tableau, Confluence, ServiceNow; Lean/Six Sigma; Agile/Waterfall/Hybrid.

Job Qualifications:

• Required Education: Bachelor's Degree or equivalent combination of education and experience
• Required Experience: 5-7 years of project/program management with direct impact on Claims Operations
• Preferred Education: Graduate Degree or equivalent combination of education and experience
• Preferred Experience: 7-9 years of project/program management with direct impact on Claims Operations

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.