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Job Details

Clinical Information Systems Specialist (PEGA/CCA/LTSS) - REMOTE

  2025-10-27     Molina Healthcare     all cities,AK  
Description:

JOB DESCRIPTION

Job Summary

Provides support for development of educational/training content and resources for clinical systems applications/platforms. Responsible for implementation and training delivery for utilization management, care management, long-term services (LTSS), behavioral health, and other applicable clinical systems functions. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

  • Responsible for research, workflow analysis, content development, training, implementation, and on-going support of the electronic medical record (EMR)/practice management (PM) application (clinical systems applications/platforms).

  • Identifies, troubleshoots, and documents clinical system platform EMR/PM system functionality issues.

  • Creates and provides training related to the clinical system platform EMR/PM application for impacted individuals.

  • Escalates and responds to application malfunctions to related groups such as information technology and help desk support.

  • Performs research and analysis of customer-initiated inquiries and requests, utilizing technical tools as necessary and solutioning to enhance the end user experience.

  • Fields direct questions from Molina operations staff regarding business, technical and operations rules to the appropriate product owners/teams.

  • Creates, presents, and executes test cases in accordance with the requirements of the solution/project.

  • Understands changes in process that may impact the customer, and notifies the customer of such changes well ahead of their implementation through educational resources.

  • Collaborates with team members, leaders, and stakeholders to develop and design training content, including identification of goals, objectives, critical success factors and success measures.

  • Reeducates staff via group facilitation and/or individual coaching when deficiencies in performance are identified to mitigate skill gaps.

  • Educates users on system functionality and navigation.

  • Creates and uses clinical case scenarios to simulate how training participants will navigate systems and apply their skills and knowledge on the job.

  • Maintains working knowledge of state-specific regulations to ensure references and resources are included in training materials.

  • Serves as a subject matter expert on assigned clinical system platforms/applications. Consults with clinical organizations across

  • Molina to understand clinical business training needs.

  • Applies critical-thinking skills and breaks down complex information into simplified categories so it is easier for learners to understand and apply.

  • Evaluates training effectiveness to ensure staff understanding and readiness - analyzing and determining training needs/problems and providing clear and timely verbal and written feedback on issues to team members and leadership.

  • Participates in committees and/or workgroups as a liaison between training teams and workgroups to ensure alignment with training and influence best practices.

  • Evaluates analytical data on end user application of clinical systems to identify training opportunities and trends.

Required Qualifications

  • At least 2 years experience in clinical systems analysis, and 1 year experience in a care management, utilization management, behavioral health, medical, or managed care setting, or equivalent combination of relevant education and experience.

  • Proficient in clinical systems implementation, integration, and administration content development.

  • Ability to work in a project team setting while also able to complete tasks individually within the provided timeline/accelerated timeline to meet desired deployment deadlines.

  • Strong detail orientation.

  • Organization and time-management skills.

  • Analytical and problem-solving skills.

  • Strong interpersonal skills.

  • Excellent verbal and written communication skills.

  • Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

  • Training delivery and/or development experience, to include adult learning concepts.

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

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Pay Range: $77,969 - $117,809 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.


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