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Associate Vice President jobs at HCA Healthcare

- 53 jobs
  • AVP, Growth & Community Engagement in Kentucky (Remote in KY)

    Molina Healthcare 4.4company rating

    Covington, KY jobs

    + Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. + Reports directly to state's plan president, on a dotted line to National AVP of Enrollment Growth. + Member of state's plan senior leadership team **KNOWLEDGE/SKILLS/ABILITIES** - In partnership with executive leadership, develops, implements and monitors a successful strategy to achieve Molina's enrollment growth goals for a large/complex state plan for Medicaid. - Accountable for achieving all established growth goals with primary responsibility for improving the plan's overall "choice" rate. Works collaboratively with other key departments to increase all Medicaid programs' assignment percentages for Molina. - Develops growth strategy by market/product and determines representative coverage, focusing on profitable growth. - Provides leadership and oversight to team in achieving enrollment, retention and choice percentage goals for assigned state. - In accordance with corporate guidelines, establishes organizational polices and strategies for interaction with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs). Leads team in the development of these key relationships and how to move them through the enrollment pipeline. - Oversees the development of successful and compliant lead generation, appointment scheduling, event management, enrollment, and member retention processes. Directs, plans, delegates and manages department budget and staff, including employment, pay and performance decisions; employee relations; and coaching/development of staff, etc. - Oversees and ensures timely submission of all department policies and procedures and/or Marketing Plan to the state. - Participates in and is a member of a strategic county, city and/or local initiative meeting representing Molina as a community influencer. **JOB QUALIFICATIONS** **REQU** **I** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Bachelor's Degree or equivalent, job-related experience. **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - 7-10 years health care sales/marketing and member retention experience. - 5-10 years management/supervisory experience. - New product development, positioning and start-up experience; marketing segmentation experience. - Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills. **REQU** **I** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Completion of Molina /DHS/MRMIB Marketing Certification Program/Covered CA Certified. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. **PR** **E** **FE** **R** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Master's Degree in Healthcare Management (preferred) **PR** **E** **FE** **R** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - Previous grassroots/community outreach experience a plus. - Experience managing large teams of "enrollment and marketing " people. - Preferred experience in project management or event coordination. - Fluency in a second language highly desirable. **PR** **E** **FE** **R** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** - Active Life & Health Insurance - Market Place Certified **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 57d ago
  • AVP, Vendor Management - REMOTE

    Molina Healthcare 4.4company rating

    Cleveland, OH jobs

    Provides strategy and leadership to teams responsible for enterprise-wide vendor management activities - ensuring comprehensive operational efficiency, functional leadership engagement, sustainable governance of vendor relationships, and transparency and accountability in the delivery of services and products to Molina enterprise. Responsible for building and maintaining relationships with vendors, stakeholders, functional counterparts, and core operations leadership, and demonstrating a strong understanding of operations, stakeholder needs and satisfaction, financial budgets, and current and future program initiatives. Oversee vendor performance involving onshore and offshore resources and monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to address emerging business concerns and respond to growth initiatives to appropriately scale vendor relationships to meet business demands, oversight of vendor performance against service level agreement (SLA) targets, compliance and performance metrics. **Essential Job Duties** - Supports strategy development, vision and direction for the vendor management function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Collaborates with internal business partners to develop criteria and best practices for vendor selection. - Participates in the negotiation process of service level agreements (SLAs), ensures that contractual obligations are achieved, and initiates contract changes when required. - Provides assistance to procurement teams to optimize the cost-effectiveness of negotiations, and ensure compliance of negotiated agreements relating to regulatory requirements, services and products are met. - Demonstrates expertise in reviewing and communicating requirements for clarity, and ensuring minimization of change requests. - Leverages deep understanding of business requirements, deliverables, processes and technologies. - Manages all maintenance, enhancements or updates to processes, tools or vendor management relationships, including vendor tracking, analytics and vendor performance management. - Manages vendor contracts and oversees licensing and regulatory requirements. - Analyzes budget data and monitors return on investment (ROI) for vendor performance. - Serves as a liaison between stakeholders, vendors and internal leadership, and represents vendor performance through consistent and timely reporting and analytics of key performance indicators (KPIs) to senior leadership and key stakeholders throughout the business. - Manages vendor relationships as the key point of contact between specified vendors and the business. - Serves as a point of escalation for vendor issues and disputes; drives those issues to resolution. - Develops, implements and manages reporting of metrics and service level agreements (SLAs) that effectively measure team and vendor performance in line with the needs of the business. - Optimizes vendor relationships through contract management, financial and quantitative analyses and relationship management - effectively creating mutually beneficial opportunities. - Manages the collection, consolidation and communication of reporting and data on vendor contracts, performance, risk and relationships with key stakeholders and vendors. - Collaborates with vendors to ensure successful day-to-day operations and operational goals, and holds vendors accountable to commitments and deliverables. - Hires, trains, mentors, develops, and manages vendor management team, and demonstrates accountability for team performance. **Required Qualifications** - At least 10 years of experience in health care (payer experience), vendor management, data analytics, contract terms and conditions, procurement, project management, and/or account management, or equivalent combination of relevant education and experience. - At least 5 years management/leadership experience. - Ability to lead large cross-functional initiatives. - Ability to problem-solve and think critically to resolve business issues. - Strong data processing/analysis experience. - Strong time-management and organizational skills, and ability to manage multiple priorities. - Ability to collaborate cross-functionally across a highly matrixed organization. - Ability to develop and deliver executive presentations. - Strong project management experience. - Excellent interpersonal and verbal/written/presentation skills. - Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs. **Preferred Qualifications** - Experience in an operations capacity. - Complex contract negotiation skills. 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: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 7d ago
  • AVP, Vendor Management - REMOTE

    Molina Healthcare 4.4company rating

    Cincinnati, OH jobs

    Provides strategy and leadership to teams responsible for enterprise-wide vendor management activities - ensuring comprehensive operational efficiency, functional leadership engagement, sustainable governance of vendor relationships, and transparency and accountability in the delivery of services and products to Molina enterprise. Responsible for building and maintaining relationships with vendors, stakeholders, functional counterparts, and core operations leadership, and demonstrating a strong understanding of operations, stakeholder needs and satisfaction, financial budgets, and current and future program initiatives. Oversee vendor performance involving onshore and offshore resources and monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to address emerging business concerns and respond to growth initiatives to appropriately scale vendor relationships to meet business demands, oversight of vendor performance against service level agreement (SLA) targets, compliance and performance metrics. **Essential Job Duties** - Supports strategy development, vision and direction for the vendor management function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Collaborates with internal business partners to develop criteria and best practices for vendor selection. - Participates in the negotiation process of service level agreements (SLAs), ensures that contractual obligations are achieved, and initiates contract changes when required. - Provides assistance to procurement teams to optimize the cost-effectiveness of negotiations, and ensure compliance of negotiated agreements relating to regulatory requirements, services and products are met. - Demonstrates expertise in reviewing and communicating requirements for clarity, and ensuring minimization of change requests. - Leverages deep understanding of business requirements, deliverables, processes and technologies. - Manages all maintenance, enhancements or updates to processes, tools or vendor management relationships, including vendor tracking, analytics and vendor performance management. - Manages vendor contracts and oversees licensing and regulatory requirements. - Analyzes budget data and monitors return on investment (ROI) for vendor performance. - Serves as a liaison between stakeholders, vendors and internal leadership, and represents vendor performance through consistent and timely reporting and analytics of key performance indicators (KPIs) to senior leadership and key stakeholders throughout the business. - Manages vendor relationships as the key point of contact between specified vendors and the business. - Serves as a point of escalation for vendor issues and disputes; drives those issues to resolution. - Develops, implements and manages reporting of metrics and service level agreements (SLAs) that effectively measure team and vendor performance in line with the needs of the business. - Optimizes vendor relationships through contract management, financial and quantitative analyses and relationship management - effectively creating mutually beneficial opportunities. - Manages the collection, consolidation and communication of reporting and data on vendor contracts, performance, risk and relationships with key stakeholders and vendors. - Collaborates with vendors to ensure successful day-to-day operations and operational goals, and holds vendors accountable to commitments and deliverables. - Hires, trains, mentors, develops, and manages vendor management team, and demonstrates accountability for team performance. **Required Qualifications** - At least 10 years of experience in health care (payer experience), vendor management, data analytics, contract terms and conditions, procurement, project management, and/or account management, or equivalent combination of relevant education and experience. - At least 5 years management/leadership experience. - Ability to lead large cross-functional initiatives. - Ability to problem-solve and think critically to resolve business issues. - Strong data processing/analysis experience. - Strong time-management and organizational skills, and ability to manage multiple priorities. - Ability to collaborate cross-functionally across a highly matrixed organization. - Ability to develop and deliver executive presentations. - Strong project management experience. - Excellent interpersonal and verbal/written/presentation skills. - Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs. **Preferred Qualifications** - Experience in an operations capacity. - Complex contract negotiation skills. 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: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 7d ago
  • AVP, Vendor Management - REMOTE

    Molina Healthcare 4.4company rating

    Akron, OH jobs

    Provides strategy and leadership to teams responsible for enterprise-wide vendor management activities - ensuring comprehensive operational efficiency, functional leadership engagement, sustainable governance of vendor relationships, and transparency and accountability in the delivery of services and products to Molina enterprise. Responsible for building and maintaining relationships with vendors, stakeholders, functional counterparts, and core operations leadership, and demonstrating a strong understanding of operations, stakeholder needs and satisfaction, financial budgets, and current and future program initiatives. Oversee vendor performance involving onshore and offshore resources and monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to address emerging business concerns and respond to growth initiatives to appropriately scale vendor relationships to meet business demands, oversight of vendor performance against service level agreement (SLA) targets, compliance and performance metrics. **Essential Job Duties** - Supports strategy development, vision and direction for the vendor management function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Collaborates with internal business partners to develop criteria and best practices for vendor selection. - Participates in the negotiation process of service level agreements (SLAs), ensures that contractual obligations are achieved, and initiates contract changes when required. - Provides assistance to procurement teams to optimize the cost-effectiveness of negotiations, and ensure compliance of negotiated agreements relating to regulatory requirements, services and products are met. - Demonstrates expertise in reviewing and communicating requirements for clarity, and ensuring minimization of change requests. - Leverages deep understanding of business requirements, deliverables, processes and technologies. - Manages all maintenance, enhancements or updates to processes, tools or vendor management relationships, including vendor tracking, analytics and vendor performance management. - Manages vendor contracts and oversees licensing and regulatory requirements. - Analyzes budget data and monitors return on investment (ROI) for vendor performance. - Serves as a liaison between stakeholders, vendors and internal leadership, and represents vendor performance through consistent and timely reporting and analytics of key performance indicators (KPIs) to senior leadership and key stakeholders throughout the business. - Manages vendor relationships as the key point of contact between specified vendors and the business. - Serves as a point of escalation for vendor issues and disputes; drives those issues to resolution. - Develops, implements and manages reporting of metrics and service level agreements (SLAs) that effectively measure team and vendor performance in line with the needs of the business. - Optimizes vendor relationships through contract management, financial and quantitative analyses and relationship management - effectively creating mutually beneficial opportunities. - Manages the collection, consolidation and communication of reporting and data on vendor contracts, performance, risk and relationships with key stakeholders and vendors. - Collaborates with vendors to ensure successful day-to-day operations and operational goals, and holds vendors accountable to commitments and deliverables. - Hires, trains, mentors, develops, and manages vendor management team, and demonstrates accountability for team performance. **Required Qualifications** - At least 10 years of experience in health care (payer experience), vendor management, data analytics, contract terms and conditions, procurement, project management, and/or account management, or equivalent combination of relevant education and experience. - At least 5 years management/leadership experience. - Ability to lead large cross-functional initiatives. - Ability to problem-solve and think critically to resolve business issues. - Strong data processing/analysis experience. - Strong time-management and organizational skills, and ability to manage multiple priorities. - Ability to collaborate cross-functionally across a highly matrixed organization. - Ability to develop and deliver executive presentations. - Strong project management experience. - Excellent interpersonal and verbal/written/presentation skills. - Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs. **Preferred Qualifications** - Experience in an operations capacity. - Complex contract negotiation skills. 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: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 7d ago
  • AVP, Growth & Community Engagement in Kentucky (Remote in KY)

    Molina Healthcare 4.4company rating

    Louisville, KY jobs

    + Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. + Reports directly to state's plan president, on a dotted line to National AVP of Enrollment Growth. + Member of state's plan senior leadership team **KNOWLEDGE/SKILLS/ABILITIES** - In partnership with executive leadership, develops, implements and monitors a successful strategy to achieve Molina's enrollment growth goals for a large/complex state plan for Medicaid. - Accountable for achieving all established growth goals with primary responsibility for improving the plan's overall "choice" rate. Works collaboratively with other key departments to increase all Medicaid programs' assignment percentages for Molina. - Develops growth strategy by market/product and determines representative coverage, focusing on profitable growth. - Provides leadership and oversight to team in achieving enrollment, retention and choice percentage goals for assigned state. - In accordance with corporate guidelines, establishes organizational polices and strategies for interaction with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs). Leads team in the development of these key relationships and how to move them through the enrollment pipeline. - Oversees the development of successful and compliant lead generation, appointment scheduling, event management, enrollment, and member retention processes. Directs, plans, delegates and manages department budget and staff, including employment, pay and performance decisions; employee relations; and coaching/development of staff, etc. - Oversees and ensures timely submission of all department policies and procedures and/or Marketing Plan to the state. - Participates in and is a member of a strategic county, city and/or local initiative meeting representing Molina as a community influencer. **JOB QUALIFICATIONS** **REQU** **I** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Bachelor's Degree or equivalent, job-related experience. **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - 7-10 years health care sales/marketing and member retention experience. - 5-10 years management/supervisory experience. - New product development, positioning and start-up experience; marketing segmentation experience. - Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills. **REQU** **I** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Completion of Molina /DHS/MRMIB Marketing Certification Program/Covered CA Certified. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. **PR** **E** **FE** **R** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Master's Degree in Healthcare Management (preferred) **PR** **E** **FE** **R** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - Previous grassroots/community outreach experience a plus. - Experience managing large teams of "enrollment and marketing " people. - Preferred experience in project management or event coordination. - Fluency in a second language highly desirable. **PR** **E** **FE** **R** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** - Active Life & Health Insurance - Market Place Certified **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 57d ago
  • AVP, Vendor Management - REMOTE

    Molina Healthcare 4.4company rating

    Columbus, OH jobs

    Provides strategy and leadership to teams responsible for enterprise-wide vendor management activities - ensuring comprehensive operational efficiency, functional leadership engagement, sustainable governance of vendor relationships, and transparency and accountability in the delivery of services and products to Molina enterprise. Responsible for building and maintaining relationships with vendors, stakeholders, functional counterparts, and core operations leadership, and demonstrating a strong understanding of operations, stakeholder needs and satisfaction, financial budgets, and current and future program initiatives. Oversee vendor performance involving onshore and offshore resources and monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to address emerging business concerns and respond to growth initiatives to appropriately scale vendor relationships to meet business demands, oversight of vendor performance against service level agreement (SLA) targets, compliance and performance metrics. **Essential Job Duties** - Supports strategy development, vision and direction for the vendor management function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Collaborates with internal business partners to develop criteria and best practices for vendor selection. - Participates in the negotiation process of service level agreements (SLAs), ensures that contractual obligations are achieved, and initiates contract changes when required. - Provides assistance to procurement teams to optimize the cost-effectiveness of negotiations, and ensure compliance of negotiated agreements relating to regulatory requirements, services and products are met. - Demonstrates expertise in reviewing and communicating requirements for clarity, and ensuring minimization of change requests. - Leverages deep understanding of business requirements, deliverables, processes and technologies. - Manages all maintenance, enhancements or updates to processes, tools or vendor management relationships, including vendor tracking, analytics and vendor performance management. - Manages vendor contracts and oversees licensing and regulatory requirements. - Analyzes budget data and monitors return on investment (ROI) for vendor performance. - Serves as a liaison between stakeholders, vendors and internal leadership, and represents vendor performance through consistent and timely reporting and analytics of key performance indicators (KPIs) to senior leadership and key stakeholders throughout the business. - Manages vendor relationships as the key point of contact between specified vendors and the business. - Serves as a point of escalation for vendor issues and disputes; drives those issues to resolution. - Develops, implements and manages reporting of metrics and service level agreements (SLAs) that effectively measure team and vendor performance in line with the needs of the business. - Optimizes vendor relationships through contract management, financial and quantitative analyses and relationship management - effectively creating mutually beneficial opportunities. - Manages the collection, consolidation and communication of reporting and data on vendor contracts, performance, risk and relationships with key stakeholders and vendors. - Collaborates with vendors to ensure successful day-to-day operations and operational goals, and holds vendors accountable to commitments and deliverables. - Hires, trains, mentors, develops, and manages vendor management team, and demonstrates accountability for team performance. **Required Qualifications** - At least 10 years of experience in health care (payer experience), vendor management, data analytics, contract terms and conditions, procurement, project management, and/or account management, or equivalent combination of relevant education and experience. - At least 5 years management/leadership experience. - Ability to lead large cross-functional initiatives. - Ability to problem-solve and think critically to resolve business issues. - Strong data processing/analysis experience. - Strong time-management and organizational skills, and ability to manage multiple priorities. - Ability to collaborate cross-functionally across a highly matrixed organization. - Ability to develop and deliver executive presentations. - Strong project management experience. - Excellent interpersonal and verbal/written/presentation skills. - Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs. **Preferred Qualifications** - Experience in an operations capacity. - Complex contract negotiation skills. 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: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 7d ago
  • AVP, Vendor Management - REMOTE

    Molina Healthcare 4.4company rating

    Houston, TX jobs

    Provides strategy and leadership to teams responsible for enterprise-wide vendor management activities - ensuring comprehensive operational efficiency, functional leadership engagement, sustainable governance of vendor relationships, and transparency and accountability in the delivery of services and products to Molina enterprise. Responsible for building and maintaining relationships with vendors, stakeholders, functional counterparts, and core operations leadership, and demonstrating a strong understanding of operations, stakeholder needs and satisfaction, financial budgets, and current and future program initiatives. Oversee vendor performance involving onshore and offshore resources and monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to address emerging business concerns and respond to growth initiatives to appropriately scale vendor relationships to meet business demands, oversight of vendor performance against service level agreement (SLA) targets, compliance and performance metrics. **Essential Job Duties** - Supports strategy development, vision and direction for the vendor management function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Collaborates with internal business partners to develop criteria and best practices for vendor selection. - Participates in the negotiation process of service level agreements (SLAs), ensures that contractual obligations are achieved, and initiates contract changes when required. - Provides assistance to procurement teams to optimize the cost-effectiveness of negotiations, and ensure compliance of negotiated agreements relating to regulatory requirements, services and products are met. - Demonstrates expertise in reviewing and communicating requirements for clarity, and ensuring minimization of change requests. - Leverages deep understanding of business requirements, deliverables, processes and technologies. - Manages all maintenance, enhancements or updates to processes, tools or vendor management relationships, including vendor tracking, analytics and vendor performance management. - Manages vendor contracts and oversees licensing and regulatory requirements. - Analyzes budget data and monitors return on investment (ROI) for vendor performance. - Serves as a liaison between stakeholders, vendors and internal leadership, and represents vendor performance through consistent and timely reporting and analytics of key performance indicators (KPIs) to senior leadership and key stakeholders throughout the business. - Manages vendor relationships as the key point of contact between specified vendors and the business. - Serves as a point of escalation for vendor issues and disputes; drives those issues to resolution. - Develops, implements and manages reporting of metrics and service level agreements (SLAs) that effectively measure team and vendor performance in line with the needs of the business. - Optimizes vendor relationships through contract management, financial and quantitative analyses and relationship management - effectively creating mutually beneficial opportunities. - Manages the collection, consolidation and communication of reporting and data on vendor contracts, performance, risk and relationships with key stakeholders and vendors. - Collaborates with vendors to ensure successful day-to-day operations and operational goals, and holds vendors accountable to commitments and deliverables. - Hires, trains, mentors, develops, and manages vendor management team, and demonstrates accountability for team performance. **Required Qualifications** - At least 10 years of experience in health care (payer experience), vendor management, data analytics, contract terms and conditions, procurement, project management, and/or account management, or equivalent combination of relevant education and experience. - At least 5 years management/leadership experience. - Ability to lead large cross-functional initiatives. - Ability to problem-solve and think critically to resolve business issues. - Strong data processing/analysis experience. - Strong time-management and organizational skills, and ability to manage multiple priorities. - Ability to collaborate cross-functionally across a highly matrixed organization. - Ability to develop and deliver executive presentations. - Strong project management experience. - Excellent interpersonal and verbal/written/presentation skills. - Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs. **Preferred Qualifications** - Experience in an operations capacity. - Complex contract negotiation skills. 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: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 7d ago
  • AVP, Vendor Management - REMOTE

    Molina Healthcare 4.4company rating

    Ohio jobs

    Provides strategy and leadership to teams responsible for enterprise-wide vendor management activities - ensuring comprehensive operational efficiency, functional leadership engagement, sustainable governance of vendor relationships, and transparency and accountability in the delivery of services and products to Molina enterprise. Responsible for building and maintaining relationships with vendors, stakeholders, functional counterparts, and core operations leadership, and demonstrating a strong understanding of operations, stakeholder needs and satisfaction, financial budgets, and current and future program initiatives. Oversee vendor performance involving onshore and offshore resources and monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to address emerging business concerns and respond to growth initiatives to appropriately scale vendor relationships to meet business demands, oversight of vendor performance against service level agreement (SLA) targets, compliance and performance metrics. **Essential Job Duties** - Supports strategy development, vision and direction for the vendor management function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Collaborates with internal business partners to develop criteria and best practices for vendor selection. - Participates in the negotiation process of service level agreements (SLAs), ensures that contractual obligations are achieved, and initiates contract changes when required. - Provides assistance to procurement teams to optimize the cost-effectiveness of negotiations, and ensure compliance of negotiated agreements relating to regulatory requirements, services and products are met. - Demonstrates expertise in reviewing and communicating requirements for clarity, and ensuring minimization of change requests. - Leverages deep understanding of business requirements, deliverables, processes and technologies. - Manages all maintenance, enhancements or updates to processes, tools or vendor management relationships, including vendor tracking, analytics and vendor performance management. - Manages vendor contracts and oversees licensing and regulatory requirements. - Analyzes budget data and monitors return on investment (ROI) for vendor performance. - Serves as a liaison between stakeholders, vendors and internal leadership, and represents vendor performance through consistent and timely reporting and analytics of key performance indicators (KPIs) to senior leadership and key stakeholders throughout the business. - Manages vendor relationships as the key point of contact between specified vendors and the business. - Serves as a point of escalation for vendor issues and disputes; drives those issues to resolution. - Develops, implements and manages reporting of metrics and service level agreements (SLAs) that effectively measure team and vendor performance in line with the needs of the business. - Optimizes vendor relationships through contract management, financial and quantitative analyses and relationship management - effectively creating mutually beneficial opportunities. - Manages the collection, consolidation and communication of reporting and data on vendor contracts, performance, risk and relationships with key stakeholders and vendors. - Collaborates with vendors to ensure successful day-to-day operations and operational goals, and holds vendors accountable to commitments and deliverables. - Hires, trains, mentors, develops, and manages vendor management team, and demonstrates accountability for team performance. **Required Qualifications** - At least 10 years of experience in health care (payer experience), vendor management, data analytics, contract terms and conditions, procurement, project management, and/or account management, or equivalent combination of relevant education and experience. - At least 5 years management/leadership experience. - Ability to lead large cross-functional initiatives. - Ability to problem-solve and think critically to resolve business issues. - Strong data processing/analysis experience. - Strong time-management and organizational skills, and ability to manage multiple priorities. - Ability to collaborate cross-functionally across a highly matrixed organization. - Ability to develop and deliver executive presentations. - Strong project management experience. - Excellent interpersonal and verbal/written/presentation skills. - Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs. **Preferred Qualifications** - Experience in an operations capacity. - Complex contract negotiation skills. 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: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 7d ago
  • AVP, Growth & Community Engagement in Kentucky (Remote in KY)

    Molina Healthcare 4.4company rating

    Lexington, KY jobs

    + Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. + Reports directly to state's plan president, on a dotted line to National AVP of Enrollment Growth. + Member of state's plan senior leadership team **KNOWLEDGE/SKILLS/ABILITIES** - In partnership with executive leadership, develops, implements and monitors a successful strategy to achieve Molina's enrollment growth goals for a large/complex state plan for Medicaid. - Accountable for achieving all established growth goals with primary responsibility for improving the plan's overall "choice" rate. Works collaboratively with other key departments to increase all Medicaid programs' assignment percentages for Molina. - Develops growth strategy by market/product and determines representative coverage, focusing on profitable growth. - Provides leadership and oversight to team in achieving enrollment, retention and choice percentage goals for assigned state. - In accordance with corporate guidelines, establishes organizational polices and strategies for interaction with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs). Leads team in the development of these key relationships and how to move them through the enrollment pipeline. - Oversees the development of successful and compliant lead generation, appointment scheduling, event management, enrollment, and member retention processes. Directs, plans, delegates and manages department budget and staff, including employment, pay and performance decisions; employee relations; and coaching/development of staff, etc. - Oversees and ensures timely submission of all department policies and procedures and/or Marketing Plan to the state. - Participates in and is a member of a strategic county, city and/or local initiative meeting representing Molina as a community influencer. **JOB QUALIFICATIONS** **REQU** **I** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Bachelor's Degree or equivalent, job-related experience. **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - 7-10 years health care sales/marketing and member retention experience. - 5-10 years management/supervisory experience. - New product development, positioning and start-up experience; marketing segmentation experience. - Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills. **REQU** **I** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Completion of Molina /DHS/MRMIB Marketing Certification Program/Covered CA Certified. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. **PR** **E** **FE** **R** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Master's Degree in Healthcare Management (preferred) **PR** **E** **FE** **R** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - Previous grassroots/community outreach experience a plus. - Experience managing large teams of "enrollment and marketing " people. - Preferred experience in project management or event coordination. - Fluency in a second language highly desirable. **PR** **E** **FE** **R** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** - Active Life & Health Insurance - Market Place Certified **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 57d ago
  • AVP, Growth & Community Engagement in Kentucky (Remote in KY)

    Molina Healthcare 4.4company rating

    Long Beach, CA jobs

    Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Reports directly to state's plan president, on a dotted line to National AVP of Enrollment Growth. Member of state's plan senior leadership team KNOWLEDGE/SKILLS/ABILITIES • In partnership with executive leadership, develops, implements and monitors a successful strategy to achieve Molina's enrollment growth goals for a large/complex state plan for Medicaid. • Accountable for achieving all established growth goals with primary responsibility for improving the plan's overall “choice” rate. Works collaboratively with other key departments to increase all Medicaid programs' assignment percentages for Molina. • Develops growth strategy by market/product and determines representative coverage, focusing on profitable growth. • Provides leadership and oversight to team in achieving enrollment, retention and choice percentage goals for assigned state. • In accordance with corporate guidelines, establishes organizational polices and strategies for interaction with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs). Leads team in the development of these key relationships and how to move them through the enrollment pipeline. • Oversees the development of successful and compliant lead generation, appointment scheduling, event management, enrollment, and member retention processes. Directs, plans, delegates and manages department budget and staff, including employment, pay and performance decisions; employee relations; and coaching/development of staff, etc. • Oversees and ensures timely submission of all department policies and procedures and/or Marketing Plan to the state. • Participates in and is a member of a strategic county, city and/or local initiative meeting representing Molina as a community influencer. JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent, job-related experience. REQUIRED EXPERIENCE: • 7-10 years health care sales/marketing and member retention experience. • 5-10 years management/supervisory experience. • New product development, positioning and start-up experience; marketing segmentation experience. • Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: Completion of Molina /DHS/MRMIB Marketing Certification Program/Covered CA Certified. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. PREFERRED EDUCATION: Master's Degree in Healthcare Management (preferred) PREFERRED EXPERIENCE: • Previous grassroots/community outreach experience a plus. • Experience managing large teams of “enrollment and marketing ” people. • Preferred experience in project management or event coordination. • Fluency in a second language highly desirable. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: • Active Life & Health Insurance • Market Place Certified PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $113k-156k yearly est. Auto-Apply 59d ago
  • AVP, Growth & Community Engagement in Kentucky (Remote in KY)

    Molina Healthcare 4.4company rating

    Kentucky jobs

    + Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. + Reports directly to state's plan president, on a dotted line to National AVP of Enrollment Growth. + Member of state's plan senior leadership team **KNOWLEDGE/SKILLS/ABILITIES** - In partnership with executive leadership, develops, implements and monitors a successful strategy to achieve Molina's enrollment growth goals for a large/complex state plan for Medicaid. - Accountable for achieving all established growth goals with primary responsibility for improving the plan's overall "choice" rate. Works collaboratively with other key departments to increase all Medicaid programs' assignment percentages for Molina. - Develops growth strategy by market/product and determines representative coverage, focusing on profitable growth. - Provides leadership and oversight to team in achieving enrollment, retention and choice percentage goals for assigned state. - In accordance with corporate guidelines, establishes organizational polices and strategies for interaction with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs). Leads team in the development of these key relationships and how to move them through the enrollment pipeline. - Oversees the development of successful and compliant lead generation, appointment scheduling, event management, enrollment, and member retention processes. Directs, plans, delegates and manages department budget and staff, including employment, pay and performance decisions; employee relations; and coaching/development of staff, etc. - Oversees and ensures timely submission of all department policies and procedures and/or Marketing Plan to the state. - Participates in and is a member of a strategic county, city and/or local initiative meeting representing Molina as a community influencer. **JOB QUALIFICATIONS** **REQU** **I** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Bachelor's Degree or equivalent, job-related experience. **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - 7-10 years health care sales/marketing and member retention experience. - 5-10 years management/supervisory experience. - New product development, positioning and start-up experience; marketing segmentation experience. - Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills. **REQU** **I** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Completion of Molina /DHS/MRMIB Marketing Certification Program/Covered CA Certified. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. **PR** **E** **FE** **R** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Master's Degree in Healthcare Management (preferred) **PR** **E** **FE** **R** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - Previous grassroots/community outreach experience a plus. - Experience managing large teams of "enrollment and marketing " people. - Preferred experience in project management or event coordination. - Fluency in a second language highly desirable. **PR** **E** **FE** **R** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** - Active Life & Health Insurance - Market Place Certified **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 57d ago
  • AVP, Information Services (Platform & Solution Engineering)

    Molina Healthcare 4.4company rating

    Cleveland, OH jobs

    Responsible for managing, planning and guiding Molina Healthcare's technology platforms, infrastructure operations, and engineering teams across all of the company's business entities. Works closely with the CIO, CTO, IT Senior Management Team and key business management to provide technical leadership, managing the technology portfolio toward a more efficient, flexible and capable future state. As the **AVP Information Services** , you will lead the strategy, architecture, and execution of our **next-generation cloud platform** , transforming the developer and solution engineering experience. This role brings together four domains under one charter - **Platform Engineering, Solution Engineering, AI/Data Platform Enablement, and Cloud Financial Governance** - to deliver a cohesive, scalable, and AI-ready environment for innovation. **Key Responsibilities** + Define the **vision and architecture** for a resilient, secure, and automated **Azure Cloud Platform** supporting both application and AI workloads. + Lead the evolution of **Developer Portals** and **Internal Developer Platforms (IDP)** that provide one self-service interface to manage the cloud estate - from provisioning to Day-2 operations. + Implement **App Patterns (Infrastructure Templates)** to standardize application deployments with embedded functional and non-functional requirements. + Design and operationalize **Isolation Zones (IZs)** that enforce workload segregation and tailored security controls based on risk, sensitivity, and compliance posture. + Evolve the **shared services and control plane** (networking, IAM, CI/CD, observability, compliance, image factory) that underpin all workloads. + Ensure **regional resiliency and zonal fault tolerance** , enabling portability and recovery across Azure regions and clouds. + Build and lead a **Solution Engineering function** that partners with enterprise architecture and application teams to design cloud-native, secure, and cost-effective solutions. + Develop standardized **Solution Patterns** - pre-approved architectural blueprints that align with platform standards, compliance, and cost optimization. + Accelerate solution delivery by enabling teams to deploy rapidly using platform-certified modules, templates, and DevSecOps automation that integrates Terraform, Ansible, and Azure DevOps pipelines. + Serve as a **technical bridge** between application teams, architecture, and platform operations - ensuring all deployed solutions inherit the right guardrails and telemetry. + Champion a **"Platform as Product" mindset** , where developers and solution teams are treated as customers of the platform. + Architect and operationalize the **AI infrastructure plumbing** (GPU-enabled compute, model training clusters, orchestration pipelines, observability). + Partner with Data Engineering and Analytics teams to define **data ingestion, transformation, and governance frameworks** for scalable analytics and AI readiness. + Oversee database and storage strategy including **Azure SQL, Cosmos DB, and Lakehouse (Databricks)** architectures, ensuring backup, recovery, and tiering policies are enforced. + Transform traditional ticket-driven operations into a **frictionless self-service developer experience** via the Developer Portal. + Create **golden paths** and **IaC-driven app environments** that enable developers to deploy faster while maintaining platform consistency. + Integrate **Terraform and Ansible** for full lifecycle automation, including provisioning, configuration, rollback, and patching. + Implement Day-2 automation for scaling, drift correction, compliance enforcement, and healing. + Measure and continuously improve developer productivity, deployment velocity, MTTR, and satisfaction. + Own the **financial stewardship of Azure and SaaS subscriptions** , including budgeting, forecasting, cost optimization, and chargeback/showback models. + Oversee **Microsoft and Azure licensing** (EA renewals, product licensing, consumption commitments) and vendor relationships. + Collaborate with Finance and Procurement to align innovation with fiscal responsibility, optimize cost per workload, and ensure audit compliance. + Embed **SLO/SLI-driven reliability** principles across all platform components. + Implement **policy-as-code, compliance automation, and immutable pipelines** to ensure deployment consistency. + Integrate **AI Ops** and event-driven automation for proactive issue detection and remediation. + Drive platform observability and resilience via Azure Monitor, Log Analytics, and Application Insights. + Ensure recovery architectures, multi-region failover testing, and continuous DR validation are part of standard operating rhythm. + Lead and mentor multi-disciplinary teams across **Platform, Solution, Data, and Automation Engineering** disciplines. + Instill a **product mindset** across engineering teams - delivering internal platforms and solutions as products with measurable value and feedback loops. + Partner with Security, Architecture, and Data leadership to align cloud strategies with enterprise objectives. + Communicate platform impact, innovation roadmap, and financial performance to executive leadership. + Foster a **culture of automation, reliability, and continuous improvement** across all layers of the cloud ecosystem. + 10+ years in software/platform/solution engineering, with 5+ years in senior leadership. + Deep expertise in **Azure Cloud architecture** , governance, and landing zones. + Proven experience building and scaling **Internal Developer Platforms / Developer Portals** . + Strong hands-on proficiency in **Terraform** , **Ansible** , **Azure DevOps** , and **CI/CD automation** . + Experience implementing **Immutable Infrastructure** patterns at enterprise scale. + Understanding of **AI/ML infrastructure** , data pipelines, and analytics platforms (Databricks, Synapse, CosmosDB). + Strong working knowledge of **Azure NetApp Files** , **Pure Storage integration** , and **backup/data recovery architectures** . + Demonstrated **financial and licensing management expertise** for Azure and Microsoft ecosystems. + Excellent leadership, communication, and cross-functional collaboration skills. **Required Education** Bachelor's Degree in technology, engineering, or a related field or equivalent experience **Required Experience** - 10+ years progressive IT experience with a focus on infrastructure services. - 10+ years minimum experience working system engineering and/or design. - 10+ years supervisory or management experience. - Understanding of Web Service standards and practices. **Preferred Education** Advance Degree with equivalent work experience. 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 - $274,550.26 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $140.8k-274.6k yearly 38d ago
  • VP, AI Enablement

    Molina Healthcare 4.4company rating

    Columbus, OH jobs

    Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization. **Job Duties** + Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise. + Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment. + Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions. + Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance. + Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences. + Collaborates with IT and business leaders to support internal solution development and vendor partnerships. + Partners with Legal, Compliance, and Information Security to manage risk and data privacy. + Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions. + Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide. **Job Qualifications** **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience. + 7 years management/leadership experience. + Proven history of implementing enterprise AI solutions in regulated environments. + Strong cross-functional collaboration and stakeholder management skills. + Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution. + Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring + Familiarity with ethical AI principles and risk management + Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment. + Experience with ambiguity and the ability to drive initiatives from concepts to value realization. \#PJCorp \#LI-AC1 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: $214,132 - $417,557 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $127k-181k yearly est. 49d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    Cleveland, OH jobs

    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.
    $186.2k-363.1k yearly 39d ago
  • Chief Operating Officer (COO) - SSC Sarasota

    Community Health Systems 4.5company rating

    Sarasota, FL jobs

    The Chief Operating Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives. As the Chief Operating Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options **Essential Functions** + Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit. + Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow. + Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards. + Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance. + Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC. + Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness. + Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning. + Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. + **This is a fully remote opportunity. Some travel will be required.** **Qualifications** + Bachelor's Degree in Health Administration, Business Administration, or a related field required + Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred + More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required + 8-10 years Prior experience in a shared services environment preferred + Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred **Knowledge, Skills and Abilities** + Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies. + Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview. + Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth. + Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders. + Proficiency in operational management software, data analysis tools, and Google Suite. + Strong financial acumen, with experience managing budgets and optimizing resource utilization. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $85k-109k yearly est. 18d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    Akron, OH jobs

    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.
    $186.2k-363.1k yearly 39d ago
  • Chief Operating Officer (COO) - SSC Sarasota

    Community Health Systems 4.5company rating

    Remote

    The Chief Operations Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives. As the Chief Operations Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options Essential Functions Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit. Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow. Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards. Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance. Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC. Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness. Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning. Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. This is a fully remote opportunity. Some travel will be required. Qualifications Bachelor's Degree in Health Administration, Business Administration, or a related field required Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required 8-10 years Prior experience in a shared services environment preferred Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred Knowledge, Skills and Abilities Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies. Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview. Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth. Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders. Proficiency in operational management software, data analysis tools, and Google Suite. Strong financial acumen, with experience managing budgets and optimizing resource utilization. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
    $114k-171k yearly est. Auto-Apply 19d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    Ohio jobs

    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.
    $186.2k-363.1k yearly 39d ago
  • AVP, Growth & Community Engagement in Kentucky (Remote in KY)

    Molina Healthcare 4.4company rating

    Owensboro, KY jobs

    + Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. + Reports directly to state's plan president, on a dotted line to National AVP of Enrollment Growth. + Member of state's plan senior leadership team **KNOWLEDGE/SKILLS/ABILITIES** - In partnership with executive leadership, develops, implements and monitors a successful strategy to achieve Molina's enrollment growth goals for a large/complex state plan for Medicaid. - Accountable for achieving all established growth goals with primary responsibility for improving the plan's overall "choice" rate. Works collaboratively with other key departments to increase all Medicaid programs' assignment percentages for Molina. - Develops growth strategy by market/product and determines representative coverage, focusing on profitable growth. - Provides leadership and oversight to team in achieving enrollment, retention and choice percentage goals for assigned state. - In accordance with corporate guidelines, establishes organizational polices and strategies for interaction with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs). Leads team in the development of these key relationships and how to move them through the enrollment pipeline. - Oversees the development of successful and compliant lead generation, appointment scheduling, event management, enrollment, and member retention processes. Directs, plans, delegates and manages department budget and staff, including employment, pay and performance decisions; employee relations; and coaching/development of staff, etc. - Oversees and ensures timely submission of all department policies and procedures and/or Marketing Plan to the state. - Participates in and is a member of a strategic county, city and/or local initiative meeting representing Molina as a community influencer. **JOB QUALIFICATIONS** **REQU** **I** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Bachelor's Degree or equivalent, job-related experience. **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - 7-10 years health care sales/marketing and member retention experience. - 5-10 years management/supervisory experience. - New product development, positioning and start-up experience; marketing segmentation experience. - Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills. **REQU** **I** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Completion of Molina /DHS/MRMIB Marketing Certification Program/Covered CA Certified. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. **PR** **E** **FE** **R** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Master's Degree in Healthcare Management (preferred) **PR** **E** **FE** **R** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** - Previous grassroots/community outreach experience a plus. - Experience managing large teams of "enrollment and marketing " people. - Preferred experience in project management or event coordination. - Fluency in a second language highly desirable. **PR** **E** **FE** **R** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** - Active Life & Health Insurance - Market Place Certified **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $122,430.44 - $238,739.35 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $122.4k-238.7k yearly 57d ago
  • Associate Director, GME Accreditation & Operations

    Community Health Systems 4.5company rating

    Remote

    The Associate Director, GME Accreditation & Operations supports the oversight, development, and continuous improvement of Graduate Medical Education (GME) programs. This role collaborates with corporate and facility GME leadership to ensure program compliance, quality, and operational excellence in alignment with Accreditation Council for Graduate Medical Education (ACGME) standards. The Manager may provide guidance for new and existing program accreditations, assists in implementing quality improvement initiatives, and offers training and support to GME staff. Essential Functions Collaborates with GME leadership to develop, implement, and refine processes and procedures across clinical and educational GME settings. Provides guidance to facility GME leadership and program staff to ensure excellence in GME program operations and adherence to ACGME standards. Assists in the development and accreditation of new GME programs, providing expertise and support in accreditation processes. Leads or participates in quality improvement initiatives to enhance onboarding, training, and administrative skills for GME program staff. Acts as a resource for GME program leadership, supporting a consistent and compliant approach across all programs. Communicates effectively with corporate and facility GME teams, promoting collaboration and alignment on program goals and standards. Monitors program compliance, assesses areas for improvement, and implements strategies to enhance operational efficiency and program quality. Provides training and resources to program leaders and staff, as needed. Performs other duties as assigned. Complies with all policies and standards. Qualifications Bachelor's Degree in Healthcare Administration, Education, or a related field required Master's Degree in Education, Healthcare Administration, Organizational Leadership, or Behavioral Science/Social Work preferred 4-6 years of experience in GME administration or healthcare program management required and 3-5 years of experience as a Program/Fellowship Coordinator at an ACGME-accredited program preferred Knowledge, Skills and Abilities Strong knowledge of GME accreditation standards, including ACGME requirements. Excellent leadership and mentoring skills to guide GME administrative staff and program leadership. Effective communication and interpersonal skills to foster collaboration and alignment across GME programs. Analytical skills for program assessment, quality improvement, and compliance monitoring. Ability to manage multiple priorities and adapt to changing regulatory and operational requirements. Experience with GMETrack, ACGME ADS, Thalamus, New Innovations, and ERAS required. Licenses and Certifications Certification in GME administration or related area preferred
    $77k-131k yearly est. Auto-Apply 60d+ ago

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