Project Manager (Appeals & Grievances)

Summary

Molina Healthcare is a healthcare organization. The Project Manager supports multiple Appeals and Grievances regions by managing projects from inception through delivery, coordinating stakeholders, maintaining project plans, and supporting process improvements, PEGA-related workflows, and governance changes.

Responsibilities

• 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

Skills

• 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
• Project Management Professional (PMP) and/or Six Sigma Green Belt certification
• Health care/managed care experience

Qualifications

Must Haves

• 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

Nice to Haves

• Project Management Professional (PMP) and/or Six Sigma Green Belt certification
• Health care/managed care experience