Program Manager (Ohio Claims Processes)

**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 deploy...

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