Senior Project Manager (SME - Enrollment)

Job Title

Responsible for multiple Enrollment 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 review enhancement ROI. Candidate must have strong analytic, organizational skills and the ability to independently resolve issues and remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr. Business Analyst skills. Responsibilities include troubleshooting, analyzing, managing assignments, assisting team members, oversight of vendor projects, reviewing team outputs, reviewing deployment request and post deployment monitoring.

Building and maintaining strong relationships and proactive processes are key to the success of this team. The selected candidate would act as the liaison between the business, vendors, IT, and support Program Managers and Business Analyst in a subject matter expert capacity. May engage and oversee the work of external vendors. Coordinates with business analyst, IT and business areas, provides and reviews requirements and test results.

Knowledge/Skills/Abilities

• Independently manage and deliver Enrollment Enterprise-wide project initiatives from inception through delivery
• Subject matter expert of enrollment to Program Managers and Analyst and in functional areas (Inbound and Outbound)
• Communicate and collaborate with Operations, Health Plans and Leadership to analyze and transform needs and goals into functional requirements
• Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation through delivery
• Identify root cause, function and process improvement opportunities that are critical to effective outcome
• Lead programs to meet critical needs. Including but not limited to BRD reviews, logic changes, root cause analysis, etc.
• Works with operational leaders within the business to provide recommendations on opportunities for process improvements
• Collaborate with Other Teams within Molina to deliver End to End for any process within Enrollment Accounting Team
• Active collaborator responsible for operation projects and programs involving enrollment and eligibility
• Works with cross-functional teams and IT and business subject matter expert and to deliver products from design to completion
• Subject matter expert of enrollment and provides knowledge and feedback to ensure regulatory and Addresses health plan concerns within Enrollment Operations
• Research, interpret, define and summarize enhancement recommendations
• Provides health plan requirement recommendations
• Responsible for managing deliverables, improving performance, training needs, support to other business units
• Strong business knowledge related to Medicaid and Medicare lines of business Reviews enrollment issue trends and provide long term solutions as needed
• Manages, creates and communicates status reports
• Ensures compliance with regulatory and company guidelines, including HIPAA compliance
• This position primarily focuses on project/program management related to the business projects, rather than technical application projects
• Focuses on process improvement, organizational change management, program management and other processes relative to the business
• Participate and lead brainstorming sessions to develop new concepts to build efficiencies
• Ability to run and analyze SQL queries to drive data driven solutions

Job Qualifications

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

5-7 years

Preferred Education

Graduate Degree or equivalent combination of education and experience

Preferred Experience

7-9 years

Preferred License, Certification, Association

PMP or Six Sigma Black Belt certification