Clinical Design Specialist ( RN- Pediatrics)

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Provides subject matter expertise and leadership in clinical design and population health initiatives, supporting execution/operationalization and implementation, providing evaluation and support for post-implementation process, and ensuring compliance with regulatory and internal standards, practices, policies, and contractual commitments. Contributes to the overarching strategy in providing quality and cost-effective member care to single and multiple member population with a focus on pediatric population health and wellbeing.

Supports Population Health Transformation and integrated clinical model concept design. Lead clinical design and population health projects: Collaboratively plan and execute initiatives that strengthen care management, transitions of care, and population health strategies across multiple markets. Develop and standardize workflows: Design and implement clinical workflows, tools, and protocols that promote whole-person, timely, and coordinated care. Drive process improvement and change management: Identify opportunities for efficiency and quality improvement, ensuring alignment with organizational goals and compliance requirements. Serve as a clinical subject matter expert: Provide guidance on best practices for care management, including cross functional teams such as utilization management, and quality. Communicate and align strategy: Partner with stakeholders to share clinical and operational needs into actionable requirements, ensuring consistent messaging and adoption. Create supporting documentation: Develop business requirements, test plans, training materials, and other resources to support program execution and sustainability. Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts, delivering products from the design process to completion. Provides ongoing communication related to program goals, evaluation, and support to ensure compliance with standardized protocols and processes. May engage and oversee the work of external vendors.