Project Manager (Appeals & Grievances)

Provides support for internal business projects from inception through delivery.

Plans and managed project schedules, milestones, budgets, stakeholder involvement, and quality/delivery.

Collaborates cross-functionally with departments and cross-functional teams of subject matter experts to ensure project completion and success.

This candidate will be supporting multiple Appeals and Grievances regions

• Manages all aspects of assigned projects throughout the project lifecycle including project scope, schedule, resources, quality, costs and change; supports projects of moderate to high-level complexity.
• Develops and maintains detailed project plans to include milestones, tasks, and target/actual dates of completion.
• Revises project plans as appropriate to meet changing needs and requirements.
• Schedules and conducts project meetings to include logistics, agendas, and meeting minutes.
• Prepares and submits project status reports to leadership.
• Facilitates project follow-up items with applicable stakeholders.
• Coordinates project-related process improvements, workflow changes, project/program implementation and governance changes, etc.
• May engage and oversee the work of external vendors.
• Provides training and support to new and existing project management team members.
• Act as a liaison between Appeals & Grievances and PEGA teams.
• Manage SOPs, Workflows, job aide for Pega
• Create process documents across all states
• Work with executive teams.

• At least 3 years of professional experience in project management or a related role, or equivalent combination of relevant education and experience.
• Operational/process improvement experience.
• Project management experience/skills.
• Knowledge of project management methodologies (Waterfall, Agile, or hybrid).
• Data analysis skills/experience.
• Strong problem-solving skills.
• Strong organizational and time-management skills.
• Proven ability to manage multiple projects simultaneously with competing priorities.
• Ability to create clear, accurate, complete, and concise reports.
• Ability to effectively lead small meeting and capture concise notes and action items.
• Ability to work cross-collaboratively across a highly matrixed organization.
• Effective verbal/written/presentation communication skills.
• Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.

• Project Management Professional (PMP) and/or Six Sigma Green Belt certification.
• Health care/managed care experience.

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