Program Manager - Medicare Analytics (REMOTE)

Job Description

JOB DESCRIPTION Job Summary Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. Job Duties

• Responsible for driving operational excellence by creating key policies, streamlining workflows with dynamic playbooks, and ensuring robust internal controls-all while championing best practices that keep us agile, compliant, and continuously improving.
• Supports operational coordination across the team by tracking deliverables, managing task prioritization (including backlog and defect tracking), and ensuring work items remain aligned to team priorities and timelines
• At the direction of Medicare program leadership, supports portfolio management and/or initiative-specific change and project management
• Tracks performance metrics, monitors team productivity, and helps ensure value realization from deployed solutions through structured reporting and operational oversight
• Collaborates with other Functional Areas, Legal, Compliance, and Information Security to ensure governance standards are upheld.
• Coordinates recurring meetings to support governance framework, prioritization discussions, and decision-making processes, as needed.
• Identifies opportunities/gaps, provides recommendations on program enhancements to respective leadership team, implements recommended processes and trains users on them
• Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral.
• Routinely reviews program documentation and collateral to ensure current and accurate reflection of business needs.
• Responsible for creating & maintaining business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentation
• Utilizes project and task management tools (JIRA preferred) to track deliverables, maintain backlog visibility, and support operational coordination.
• Generates and distributes standard reports on schedule and performs basic data analysis to support reporting and operational insights
• Manages program budget, as applicable, supporting project prioritization.

JOB QUALIFICATIONS REQUIRED QUALIFICATIONS:

• At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience.
• Operational Process Improvement experience.
• Managed Care experience, preferably in a shared service, CoE or matrixed environment.
• Experience with Microsoft Project and Visio.
• Strong presentation and communication skills.

PREFERRED QUALIFICATIONS:

• Experience with Medicare programs
• Experience with project/workflow management tools (JIRA preferred)
• Ability to perform basic data analysis (SQL or similar tools)
• Familiarity with PowerBI, Tableau, or similar reporting tools

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. Apply tot his job Apply To this Job