Assistant Vice President jobs at HCA Healthcare - 20 jobs

The **AVP, Network Market Engagement** is responsible for contributing to the strategic planning and performance improvement direction for assigned markets. This role serves as a thought leader and strategic partner, aligning local market needs with national best practices to develop and implement programs that reflect leading‑edge thinking and deliver measurable value. Acting as the single point of contact for Network functions, the AVP oversees performance and execution to achieve best‑in‑class outcomes. As a subject‑matter expert, this role works closely with provider and medical economics partners to model the expected effectiveness and value of innovative payment, utilization, and cost‑of‑care initiatives. The position plays a critical role in network market engagement and supports provider payment innovation efforts as part of Molina's Network Center of Excellence across Medicaid, Medicare, and Marketplace lines of business. This role also oversees the implementation of Network Center of Excellence best‑practice protocols and processes to ensure consistent, effective operations and optimal results. Experience with Medicaid programs is strongly preferred. **Job Duties** - In collaboration with Health Plan network leadership, supports network team improvement plans based on identified problem areas, potential solutions and barrier removal. - Subject matter expert for network across all lines of business. - Consults with MHI Network leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process. - Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance. - Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan. - Support coordination with other lines of business plans. - Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to Network barriers as identified. - Responsible for management and development of materials and analysis supporting ongoing communications with the health plan. - Communicates with national and health plan Senior Leadership Teams, including national and health plan Network leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. - Translates strategic direction from Network senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design - Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings. - Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience) **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - Minimum 10 years of experience in Managed Care environment. - Provider network contracting and management experience - Strong ability to build relationships, translate data into actions and influence others to adopt best practices - Excellent communication skills across all levels of leadership - Ability to engage in multiple large-scale projects simultaneously with attention to detail **PREFERRED EDUCATION:** Master's Degree in a related field 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: $140,795 - $274,550 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The **AVP, Network Market Engagement** is responsible for contributing to the strategic planning and performance improvement direction for assigned markets. This role serves as a thought leader and strategic partner, aligning local market needs with national best practices to develop and implement programs that reflect leading‑edge thinking and deliver measurable value. Acting as the single point of contact for Network functions, the AVP oversees performance and execution to achieve best‑in‑class outcomes. As a subject‑matter expert, this role works closely with provider and medical economics partners to model the expected effectiveness and value of innovative payment, utilization, and cost‑of‑care initiatives. The position plays a critical role in network market engagement and supports provider payment innovation efforts as part of Molina's Network Center of Excellence across Medicaid, Medicare, and Marketplace lines of business. This role also oversees the implementation of Network Center of Excellence best‑practice protocols and processes to ensure consistent, effective operations and optimal results. Experience with Medicaid programs is strongly preferred. **Job Duties** - In collaboration with Health Plan network leadership, supports network team improvement plans based on identified problem areas, potential solutions and barrier removal. - Subject matter expert for network across all lines of business. - Consults with MHI Network leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process. - Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance. - Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan. - Support coordination with other lines of business plans. - Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to Network barriers as identified. - Responsible for management and development of materials and analysis supporting ongoing communications with the health plan. - Communicates with national and health plan Senior Leadership Teams, including national and health plan Network leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. - Translates strategic direction from Network senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design - Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings. - Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience) **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - Minimum 10 years of experience in Managed Care environment. - Provider network contracting and management experience - Strong ability to build relationships, translate data into actions and influence others to adopt best practices - Excellent communication skills across all levels of leadership - Ability to engage in multiple large-scale projects simultaneously with attention to detail **PREFERRED EDUCATION:** Master's Degree in a related field 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: $140,795 - $274,550 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The **AVP, Network Market Engagement** is responsible for contributing to the strategic planning and performance improvement direction for assigned markets. This role serves as a thought leader and strategic partner, aligning local market needs with national best practices to develop and implement programs that reflect leading‑edge thinking and deliver measurable value. Acting as the single point of contact for Network functions, the AVP oversees performance and execution to achieve best‑in‑class outcomes. As a subject‑matter expert, this role works closely with provider and medical economics partners to model the expected effectiveness and value of innovative payment, utilization, and cost‑of‑care initiatives. The position plays a critical role in network market engagement and supports provider payment innovation efforts as part of Molina's Network Center of Excellence across Medicaid, Medicare, and Marketplace lines of business. This role also oversees the implementation of Network Center of Excellence best‑practice protocols and processes to ensure consistent, effective operations and optimal results. Experience with Medicaid programs is strongly preferred. **Job Duties** - In collaboration with Health Plan network leadership, supports network team improvement plans based on identified problem areas, potential solutions and barrier removal. - Subject matter expert for network across all lines of business. - Consults with MHI Network leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process. - Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance. - Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan. - Support coordination with other lines of business plans. - Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to Network barriers as identified. - Responsible for management and development of materials and analysis supporting ongoing communications with the health plan. - Communicates with national and health plan Senior Leadership Teams, including national and health plan Network leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. - Translates strategic direction from Network senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design - Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings. - Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience) **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - Minimum 10 years of experience in Managed Care environment. - Provider network contracting and management experience - Strong ability to build relationships, translate data into actions and influence others to adopt best practices - Excellent communication skills across all levels of leadership - Ability to engage in multiple large-scale projects simultaneously with attention to detail **PREFERRED EDUCATION:** Master's Degree in a related field 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: $140,795 - $274,550 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The **AVP, Network Market Engagement** is responsible for contributing to the strategic planning and performance improvement direction for assigned markets. This role serves as a thought leader and strategic partner, aligning local market needs with national best practices to develop and implement programs that reflect leading‑edge thinking and deliver measurable value. Acting as the single point of contact for Network functions, the AVP oversees performance and execution to achieve best‑in‑class outcomes. As a subject‑matter expert, this role works closely with provider and medical economics partners to model the expected effectiveness and value of innovative payment, utilization, and cost‑of‑care initiatives. The position plays a critical role in network market engagement and supports provider payment innovation efforts as part of Molina's Network Center of Excellence across Medicaid, Medicare, and Marketplace lines of business. This role also oversees the implementation of Network Center of Excellence best‑practice protocols and processes to ensure consistent, effective operations and optimal results. Experience with Medicaid programs is strongly preferred. **Job Duties** - In collaboration with Health Plan network leadership, supports network team improvement plans based on identified problem areas, potential solutions and barrier removal. - Subject matter expert for network across all lines of business. - Consults with MHI Network leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process. - Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance. - Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan. - Support coordination with other lines of business plans. - Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to Network barriers as identified. - Responsible for management and development of materials and analysis supporting ongoing communications with the health plan. - Communicates with national and health plan Senior Leadership Teams, including national and health plan Network leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. - Translates strategic direction from Network senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design - Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings. - Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience) **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - Minimum 10 years of experience in Managed Care environment. - Provider network contracting and management experience - Strong ability to build relationships, translate data into actions and influence others to adopt best practices - Excellent communication skills across all levels of leadership - Ability to engage in multiple large-scale projects simultaneously with attention to detail **PREFERRED EDUCATION:** Master's Degree in a related field 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: $140,795 - $274,550 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The AVP, Network Market Engagement is responsible for contributing to the strategic planning and performance improvement direction for assigned markets. This role serves as a thought leader and strategic partner, aligning local market needs with national best practices to develop and implement programs that reflect leading‑edge thinking and deliver measurable value. Acting as the single point of contact for Network functions, the AVP oversees performance and execution to achieve best‑in‑class outcomes. As a subject‑matter expert, this role works closely with provider and medical economics partners to model the expected effectiveness and value of innovative payment, utilization, and cost‑of‑care initiatives. The position plays a critical role in network market engagement and supports provider payment innovation efforts as part of Molina's Network Center of Excellence across Medicaid, Medicare, and Marketplace lines of business. This role also oversees the implementation of Network Center of Excellence best‑practice protocols and processes to ensure consistent, effective operations and optimal results. Experience with Medicaid programs is strongly preferred. Job Duties • In collaboration with Health Plan network leadership, supports network team improvement plans based on identified problem areas, potential solutions and barrier removal. • Subject matter expert for network across all lines of business. • Consults with MHI Network leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process. • Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance. • Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan. • Support coordination with other lines of business plans. • Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to Network barriers as identified. • Responsible for management and development of materials and analysis supporting ongoing communications with the health plan. • Communicates with national and health plan Senior Leadership Teams, including national and health plan Network leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. • Translates strategic direction from Network senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design • Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings. • Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience) REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • Minimum 10 years of experience in Managed Care environment. • Provider network contracting and management experience • Strong ability to build relationships, translate data into actions and influence others to adopt best practices • Excellent communication skills across all levels of leadership • Ability to engage in multiple large-scale projects simultaneously with attention to detail PREFERRED EDUCATION: Master's Degree in a related field 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.

The **AVP, Network Market Engagement** is responsible for contributing to the strategic planning and performance improvement direction for assigned markets. This role serves as a thought leader and strategic partner, aligning local market needs with national best practices to develop and implement programs that reflect leading‑edge thinking and deliver measurable value. Acting as the single point of contact for Network functions, the AVP oversees performance and execution to achieve best‑in‑class outcomes. As a subject‑matter expert, this role works closely with provider and medical economics partners to model the expected effectiveness and value of innovative payment, utilization, and cost‑of‑care initiatives. The position plays a critical role in network market engagement and supports provider payment innovation efforts as part of Molina's Network Center of Excellence across Medicaid, Medicare, and Marketplace lines of business. This role also oversees the implementation of Network Center of Excellence best‑practice protocols and processes to ensure consistent, effective operations and optimal results. Experience with Medicaid programs is strongly preferred. **Job Duties** - In collaboration with Health Plan network leadership, supports network team improvement plans based on identified problem areas, potential solutions and barrier removal. - Subject matter expert for network across all lines of business. - Consults with MHI Network leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process. - Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance. - Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan. - Support coordination with other lines of business plans. - Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to Network barriers as identified. - Responsible for management and development of materials and analysis supporting ongoing communications with the health plan. - Communicates with national and health plan Senior Leadership Teams, including national and health plan Network leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. - Translates strategic direction from Network senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design - Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings. - Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience) **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - Minimum 10 years of experience in Managed Care environment. - Provider network contracting and management experience - Strong ability to build relationships, translate data into actions and influence others to adopt best practices - Excellent communication skills across all levels of leadership - Ability to engage in multiple large-scale projects simultaneously with attention to detail **PREFERRED EDUCATION:** Master's Degree in a related field 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: $140,795 - $274,550 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The **AVP, Network Market Engagement** is responsible for contributing to the strategic planning and performance improvement direction for assigned markets. This role serves as a thought leader and strategic partner, aligning local market needs with national best practices to develop and implement programs that reflect leading‑edge thinking and deliver measurable value. Acting as the single point of contact for Network functions, the AVP oversees performance and execution to achieve best‑in‑class outcomes. As a subject‑matter expert, this role works closely with provider and medical economics partners to model the expected effectiveness and value of innovative payment, utilization, and cost‑of‑care initiatives. The position plays a critical role in network market engagement and supports provider payment innovation efforts as part of Molina's Network Center of Excellence across Medicaid, Medicare, and Marketplace lines of business. This role also oversees the implementation of Network Center of Excellence best‑practice protocols and processes to ensure consistent, effective operations and optimal results. Experience with Medicaid programs is strongly preferred. **Job Duties** - In collaboration with Health Plan network leadership, supports network team improvement plans based on identified problem areas, potential solutions and barrier removal. - Subject matter expert for network across all lines of business. - Consults with MHI Network leaders, national and health plan leadership to facilitate understanding of all program requirements that are critical to performance in the assigned markets and provide those insights during the strategic planning process. - Acting as a thought leader/partner to support development of a strategic roadmap to achieve best in class performance. - Knowledgeable of all available best practices and how and when to consider inclusion into the business plan in addition to supporting the business case development with the health plan. - Support coordination with other lines of business plans. - Bridge to execution team to support issue resolution, barrier removal to local execution and bring visibility to Network barriers as identified. - Responsible for management and development of materials and analysis supporting ongoing communications with the health plan. - Communicates with national and health plan Senior Leadership Teams, including national and health plan Network leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. - Translates strategic direction from Network senior leaders into market level business plans inclusive of local initiatives and solicits alignment and signoff of final plan design - Presents concise summaries, key takeaways and action steps about functional area to national and health plan meetings. - Demonstrates ability to lead or influence a cross-functional teams with staff in remote or in-office locations throughout the country. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience) **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - Minimum 10 years of experience in Managed Care environment. - Provider network contracting and management experience - Strong ability to build relationships, translate data into actions and influence others to adopt best practices - Excellent communication skills across all levels of leadership - Ability to engage in multiple large-scale projects simultaneously with attention to detail **PREFERRED EDUCATION:** Master's Degree in a related field 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: $140,795 - $274,550 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us 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 executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us 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 executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us 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 executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us 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 executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us 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 executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). 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 Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

COMPANY BACKGROUND: Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas. Our care delivery network includes United Surgical Partners International, the largest ambulatory platform in the country, which operates ambulatory surgery centers and surgical hospitals. We also operate a national portfolio of acute care and specialty hospitals, other outpatient facilities, a network of leading employed physicians and a global business center in Manila, Philippines. Our Conifer Health Solutions subsidiary provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers, and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve. For more information, please visit ********************** ************* JOB DESCRIPTION: A De Novo Vice President (“DNVP”) will lead efforts to grow USPI's pipeline of newly constructed outpatient surgical facilities (de novos). This position is responsible for leading sourcing efforts and USPI enterprise approach to building new ASC partnerships with physicians in the Carolinas & Tennessee. The role will include extensive engagement and relationship development with physicians as well as identifying and driving viable opportunities to successful syndication. The DNVP will be responsible for company-wide capital development projects, with frequent travel required in order to effectively lead and execute on team initiatives. Creativity, innovation, self-reliance, organization and relationship-driven thinking are keys to success in this position. This role is responsible for educating providers on the benefits of a surgical center investment and appropriately explaining the USPI value proposition and differentiators that make a partnership with USPI successful. All provider engagement is to be done in accordance with the Company's Standards of Conduct and policies and procedures, particularly those involving referral source arrangements REQUIRED SKILLS: Bachelor's Degree Required. At least 7 years of experience in a field related to health system physician relations, pharmaceuticals, or medical devices Extensive experience working with physicians and within healthcare organizations whose recognition and reputation for excellence and quality place them at or near the top of the healthcare delivery system. Represent the organization at all times. Be supportive of other managers and set an example of high personal and professional conduct and integrity for employees and others. Ability to identify strategic priorities and drive them to completion. Embrace collaborative leadership style; ability to seek input and counsel from a wide constituency, without losing decisiveness or the ability to take action and inspire others to action, as appropriate. OTHER REQUIREMENTS: Exhibited success in a business development / sales role Demonstrate excellent organizational, interpersonal, facilitation, and communication skills Capacity to work independently with minimal supervision Ability to travel up to 50% of time. Selected candidate will be required to pass a Motor Vehicle Record check. #LI-CD1 RESPONSIBILITIES AND EXPECTATIONS Lead the sourcing efforts for de novo projects by enhancing company sourcing strategy around people, process, and pipeline approach. Assess market dynamics, physician practice trends, and competition to inform and prioritize strategies around new facility demand and growth. Research physicians to understand the decision making behind facility selection and other ASC and / or hospital relationships the providers may have. This information should inform provider engagement. Maintain a robust pipeline of active external physician recruits, effectively communicate USPI centers' value proposition, and facilitate new physician starts at USPI centers Foster, nurture, and maintain relationships with USPI's potential and existing physician partners to drive new opportunities for the company. Maintain latest knowledge of the market hospital, ambulatory surgery, and provider landscape in the defined market service area. Assist in the formation of JV partnerships and the syndication of ownership interests to physicians, including financial projections, preparation of syndication documents, etc. Identify and help guide process improvement opportunities across de novo sourcing and execution. Partner with USPI business leaders before, during and after projects are complete to ensure they make strategic sense, fit with forward-looking business plans, and are integrated smoothly and fully optimized.