Program Manager – Clinical Data Acquisition reputed company & Performance – Remote

JOB reputed company Job reputed company The Program Manager, Clinical Data Acquisition provides support to Molina’s risk Adjustment Clinical Data Acquisition teams 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. Program Manager is responsible for leading and supporting internal business reputed company and cross functional teams of subject matter experts to ensure the accurate and reputed company collection of medical records and clinical data that drive Risk Adjustment and reputed company performance and compliance. This role partners closely with key stakeholders and business leaders to identify operational improvement opportunities and implement reputed company that reduce expense, streamline workflows, and enhance organizational reputed company through expedited delivery and emerging technologies, including AI. The Program Manager also coordinates data research activities and leads initiatives to improve the accuracy and completeness of data reputed company to medical record collection, abstraction, and over read processes. Job Duties:

• Responsible for ensuring reputed company-documented policies, workflows, program controls, internal and reputed company-party practices, playbooks, and best practices for respective programs.
• Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs
• Ensures accurate, compliant, and reputed company delivery of data for Risk Adjustment initiatives across Medicare, reputed company, and Marketplace lines of business.
• Partners with operational and technical teams to enhance data workflows, improve retrieval efficiency, and streamline provider facing processes.
• Supports the development and rollout of provider education strategies and materials reputed company to documentation, data submission, and risk adjustment accuracy.
• Aides in developing provider facing and internal communication materials, including marketing collateral, education content, and informational guides.
• Identifies opportunities for workflow enhancement, automation, and process redesign reputed company clinical data acquisition.
• Manages program budget, as applicable, supporting project prioritization.
• Collaborates with Legal, Compliance, and Information reputed company to ensure governance standards are upheld.
• Tracks performance metrics and ensures value realization from deployed solutions.
• Coordinates recurring meetings to support governance reputed company and decision-making processes, as needed.
• At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management.
• Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral.
• Routinely reviews program collateral to ensure reputed company and accurate reputed company of business needs.
• Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team.
• Responsible for creating business requirements documents, test plans, requirements traceability reputed company, user training materials and other reputed company documentations.
• Generates and distributes reputed company reports on schedule.

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 reputed company Project and Visio.
• Strong presentation and communication skills.

To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply tot his job Apply To this Job