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Digital Channel Manager - Availity/Authorizations - Remote - Military Veterans

at Molina Healthcare

Job Description


Job Summary

Digital Channel Managers are Subject Matter Experts (SMEs) in their channels. They are responsible for defining the long term vision for their channels, providing ongoing business production support and acting as a liaison between business stakeholders and IT to deliver business positive change.

Job Duties

  • Define business vision and strategic plan for the channel owned.
  • Develop and maintain effective and trusting relationships with stakeholders such as Health Plan and Corporate partners, external vendors and Information Technology to understand their needs, strategies, priorities and key issues.
  • Build and maintain a strong understanding of channel features, functions and processes. Maintain documentation on channel functionality, interfaces and business rules such that they remain the channel SMEs and are able to transfer knowledge to others when needed.
  • Work as a liaison between the business and IT to deliver key business value through IT solutions.
  • Responsible for approving all changes (enhancements and projects) that impact their channel, involved in project scope, requirements reviews, demos and UAT so as to maintain an understanding of project work impacting channels. If project deliveries are not up to quality levels or not within the vision of the channel they have the authority to "No Go" any project changes.
  • Assist in the trouble shooting and investigation of production issues or defects within the channel owned.
  • Document, manage and maintains Policies and Procedures, standards and guidelines in relation to best practices, service levels, compliance and regulatory needs for channel.
  • Actively participate in the new business RFP process, ensuring that channel vision and RFP commitments align.
  • As project work varies from time to time may also perform the role of Project Product Owner (PO), particularly for work which is focused on their channel.

Job Qualifications

REQUIRED EDUCATION:

Bachelors Degree or equivalent combination of education and experience

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

  • 5+ years experience in Health Insurance field, demonstrates Healthcare business process and/or functional knowledge.
  • 5+ years experience in customer facing web / portal product ownership or development.
  • Demonstrates use of effective communications and soft skills to build and maintain effective relationships.
  • Experience managing, prioritizing and handling the intake of requests from various business partners across multiple domain areas.
  • Experience in defining strategic vision and multi-year roadmaps in customer facing systems, ideally online properties.

PREFERRED EDUCATION:

Graduate Degree, MBA or equivalent combination of education and experience

PREFERRED EXPERIENCE:

2+ years of experience with Availity

Agile Product Owner experience

Systems maintenance and development experience

JIRA

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Agile Production Owner Certification (e.g. CSPO, A-CSPO)

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $59,810.6 - $129,589.63 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

United States / Remote

Molina Healthcare

Molina believes every person, family and community deserves access to high-quality health care regardless of their situation. Our mission is to deliver effective, reliable and affordable health care to those who need it most. We strive to meet the physical, social and emotional needs of each member and to strengthen the communities we serve. 

We do this by offering a holistic, community-based approach designed specifically to meet the individual needs of our members. 

What started in 1980 as one clinic in Long Beach, aimed at addressing the disparities in access to quality health care, has grown into 19 health plans across the country. For over 40-years we’ve been improving the lives of our 5.1 million members across the country by pioneering health care services exclusively for those with government-sponsored health care. 

As our membership has grown over the years, so has our commitment to the communities we serve. In 2020, we launched the MolinaCares Accord, which makes substantial investments to improve members’ access to health care. 

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