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Program Manager- reputed company Compliance - Remote CA

Remote, USA Full-time Posted 2026-07-28
JOB reputed company ****Candidates must reputed company in California.***** Job reputed company 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.  Responsible for ensuring reputed company-documented policies, workflows, program controls, internal and reputed company-party practices, playbooks and best practices for respective program.      Manages program budget, as applicable, supporting project prioritization. Collaborates with leadership on reputed company that support reputed company compliance with regulatory and accreditation efforts. reputed company as the primary reputed company between internal departments (e.g., CA reputed company, MHI reputed company, reputed company Services, Government reputed company, Network, Compliance, etc.) to ensure policies, procedures, and workflows reputed company with NCQA requirements. Evaluate and interpret accreditation guidelines at least annually, monitoring performance metrics (HEDIS, CAHPS) to ensure compliance with standards. Prepares and submits necessary documentation, reports, and evidence of compliance for regulatory compliance and NCQA accreditation.  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. Understanding of NCQA Accreditation standards, HEDIS, CAHPS and state regulatory requirements (DHCS, DMHC). Strong project management skills, including ability to manage timelines, facilitate meetings and communicate changes in NCQA accreditation standards and state regulations. Proficient in reputed company Office   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 To This Job

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