Director, Clinical Systems

JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical systems. Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. Considers business problems u201cend-to-endu201d: including people, process, and technology, both within and outside the enterprise, as part of any design solution. Monitors emerging technologies for potential application within or across the business. Provides solution ideation to drive operational excellence, efficiencies and compliance for clinical functions supported through technology. Maintains lights-on support and governance of clinical system changes. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties u2022 Responsible for collaborating with the information technology team (IT) for product delivery through oversight and management of the system development lifecycle (SDLC). u2022 Manages teams that drive business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations u2022 Serves as industry subject matter expert in the functional area and leads clinical systems to meet critical needs. u2022 Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. u2022 Works with operational leaders within the business to provide recommendations on opportunities for process improvements. u2022 Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation through delivery. u2022 Establishes and manages key performance metrics and develops goals and strategies to achieve corporate objectives. u2022 Serves as mentor, coach and leader to the application design and development and support teams. Required Qualifications u2022 At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics or health care environment, or equivalent combination of relevant education and experience. u2022 At least 3 years management/leadership experience in a clinical leadership, clinical systems and/or informatics, utilization management, or care management role. u2022 Experience leading cross-functional teams and change management. u2022 Experience aligning clinical systems with organizational goals. u2022 Project management experience to include managing timelines, resources, and stakeholder expectations. u2022 Previous data integration and analytics experience. u2022 Operational and process improvement experience. u2022 Ability to work collaboratively in a highly matrixed organization. u2022 Excellent organizational, problem-solving and critical-thinking skills. u2022 Strong written and verbal communication skills. u2022 Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications u2022 Registered Nurse (RN). License must be active and unrestricted in state of practice. Product owner / management certification (CSM, SAFe PO/PM, or other Lean Agile Product Management Certifications) u2022 Sigma Black Belt certification or Information Technology Infrastructure Library (ITIL) certification. 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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2025-10-02