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HomeCompaniesHckd Fa Us2 Oraclecloud Com CX 1Program Manager (Ohio Claims Processes)

Program Manager (Ohio Claims Processes)

Hckd Fa Us2 Oraclecloud Com CX 1 · OH, United States; Remote Employees, Long Beach, CA, US · Remote · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyHckd Fa Us2 Oraclecloud Com CX 1
TitleProgram Manager (Ohio Claims Processes)
Normalized title-
Department / teamCross-Enterprise Roles
LocationOH, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-11 / 2026-05-31
Changed / last seen2026-06-20 / 2026-06-21

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PageWhat it containsOpen
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Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
Department jobsActive postings in Cross-Enterprise Roles.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyHckd Fa Us2 Oraclecloud Com CX 1
Source8214b818-efda-4f30-9713-cac0e888e0f9
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description JOB DESCRIPTION Job Summary 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. This role focuses specifically on claims processes and collaborates heavily with Claims Operations, Provider Relations, and Payment Integrity to ensure Ohio claims are paid timely an accurately. Job Duties Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. Manages program budget, as applicable, supporting project prioritization. Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld. Tracks performance metrics and ensures value realization from deployed solutions. Coordinates recurring meetings to support governance framework 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 current and accurate reflection 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 matrix, user training materials and other related documentations. Generates and distributes standard 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 Microsoft Project and Visio. Strong presentation and communication skills. PREFERRED QUALIFICATIONS : Diverse practical experience in Ohio Medicaid Claims Adjudication and Payment Policy. Experienced in claims adjudication of Medicare and Marketplace (ACA) claims. Ideal candidate will be proficient with Excel and use of Pivot tables to organize claims data to understand outcomes and trends. Experience working with Enterprise Information Management to develop claims based reports, analysis, and Key Process Indicators (KPIs) 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.

Full job record

Job ID2125f2e3ae3f07ac9346865382a84282de5536a5
Org ID6fcfe228-ec8c-4e31-bf8d-2e5d2cb49f0a
Source ID8214b818-efda-4f30-9713-cac0e888e0f9
Board ID8214b818-efda-4f30-9713-cac0e888e0f9
Provideroracle_hcm
Provider Job Key2037342
TitleProgram Manager (Ohio Claims Processes)
Normalized Title
Statusactive
Activeyes
Location TextOH, United States; Remote Employees, Long Beach, CA, US
DepartmentCross-Enterprise Roles
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionOH
City
Salary RawDescription JOB DESCRIPTION Job Summary 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. This role focuses specifically on claims processes and collaborates heavily with Claims Operations, Provider Relations, and Payment Integrity to ensure Ohio claims are paid timely an accurately. Job Duties Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. Manages program budget, as applicable, supporting project prioritization. Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld. Tracks performance metrics and ensures value realization from deployed solutions. Coordinates recurring meetings to support governance framework 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 current and accurate reflection 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 matrix, user training materials and other related documentations. Generates and distributes standard 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 Microsoft Project and Visio. Strong presentation and communication skills. PREFERRED QUALIFICATIONS : Diverse practical experience in Ohio Medicaid Claims Adjudication and Payment Policy. Experienced in claims adjudication of Medicare and Marketplace (ACA) claims. Ideal candidate will be proficient with Excel and use of Pivot tables to organize claims data to understand outcomes and trends. Experience working with Enterprise Information Management to develop claims based reports, analysis, and Key Process Indicators (KPIs) 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.
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037342
Apply URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037342
First Seen At2026-05-31 18:03:56Z
Last Seen At2026-06-21 12:50:20Z
Last Checked At2026-06-21 12:50:20Z
Last Changed At2026-06-20 12:21:56Z
Inactive At
Source Posted At2026-05-11 18:56:17Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=hckd.fa.us2.oraclecloud.com|CX_1/date=2026-06-21/2026-06-21T12-49-38-204Z-64d7317cb04a6f3930e0372218945a25dc68e22134f8404b3b3017f66672a9e4.json
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