Clinical Specialist

JOB DESCRIPTION Job Summary

Provides support for the deployment and integration of Molina enterprise clinical implementations, programs, technologies, and workflows. Ensures alignment with regulatory requirements and organizational goals. Represents as a liaison between clinical, technical, and administrative teams; focuses on planning and executing implementations that fit existing workflows while supporting patient care and operational efficiency.

Essential Job Duties

• Supports planning and execution of clinical system implementations.
• Develops and executes implementation plans, timelines, and milestones.
• Ensures compliance with clinical standards, regulatory requirements, organizational policies, new workflows, and technology.
• Assists during implementation phases to ensure smooth adoption of new workflows and technologies.
• Serves as a resource for clinical teams, addressing questions and resolving issues promptly.
• Delivers post-implementation support to maintain system functionality and optimize performance.
• Provides ongoing support and troubleshooting during and after implementation. Partners with clinicians, administrators, and information technology (IT) teams to ensure seamless integration of solutions.
• Represents as a liaison between clinical teams and technical teams to translate requirements and feedback.
• Monitors implementation progress and identify areas for improvement.
• Collects and analyzes data to measure program effectiveness.
• Recommends enhancements to optimize workflows and system performance.

Required Qualifications

• At least 3 years of direct clinical, health care technology implementation, or clinical program management experience, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN) or Advanced Practice Social Worker (APSW), or Licensed Behavioral Health Clinician (MSW, LCSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• Proficiency with Electronic Health Record (EHR) systems (e.g., Epic, Cerner, Meditech).
• Strong understanding of clinical workflows and health care IT systems.
• Ability to troubleshoot technical issues and provide practical solutions.
• Familiarity with data analysis tools and reporting software.
• Competence in project management tools.
• Ability to collect, interpret, and analyze data to measure program effectiveness.
• Skilled in identifying process gaps and recommending workflow optimizations.
• Critical thinking skills, and ability to resolve implementation challenges quickly.
• Ability to facilitate training and generate stakeholder engagement.
• Ability to explain technical concepts to non-technical audiences.
• Experience managing timelines, deliverables, and priorities in fast-paced environments.
• Ability to adapt to changing requirements and maintain focus on goals.
• Detail-oriented, and committed to accuracy and quality.
• Self-motivated, and ability to work independently or as part of a team.
• Comfortable in high-pressure situations and capable of meeting deadlines.
• Strong collaboration skills, and ability to work effectively with clinical, technical, and administrative teams.
• Strong verbal and written communication skills.
• Microsoft Office suite and applicable software program(s) proficiency.

Preferred Qualifications

• Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
• Familiarity with change management principles and process improvement methodologies.
• Experience creating executive summaries and decks; comfortable presenting to varying stakeholders and audiences, including executive leadership.
• Change management experience.
• Medicaid/Medicare/Duals population experience.
• Six Sigma green belt or higher certification.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Pay Range: $83,252 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.