Market CFO, Physician Practice- Remote, based in US
Remote
Reporting to the VP, Finance in a matrix management role, this is a key strategic and tactical financial management position responsible for serving the market administrative and physician leadership through the provision of advice, guidance, intellectual financial and business ”know how.” The position is part of the Executive team in TPR and will provide support for the Regional Director of Operations of the Practice Plans. The Market CFO, Physician Practice will provide leadership and guidance to a professional team which will include a Financial Analyst. The position is responsible for interacting with market, region and home office finance and operations leadership in developing and maintaining sound financial systems and structures to ensure profitable practice.
Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet.
Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
Provides technical support for matters associated with budgets, targets, revenue recognition, compliance with GAAP, policies, procedures, and guidelines.
Provides advice/guidance for decision-making that is in line with the overall strategic goals of the organization.
Supports the region on financial and operational management projections, reporting, budgetary controls, planning, and analysis as well as improvement initiatives.
Provides analysis and solutions of business problems.
Continually educating the department directors and coordinators on financial issues and budget control techniques.
Facilitate and coordinate ideas for development of strategies for revenue and expense improvements required to fulfill the goals and objectives of each practice entity.
Provide technical expertise to proactively drive and implement best practices across the finance and accounting functions.
Provide leadership and guidance to finance, accounting and revenue cycle management staff related to hiring and training of the staff, annual performance evaluations, and organizing and leading the region.
Participate in Monthly Operations Reviews with TRP and Region senior leadership.
Provide finance and operations support for practice acquisition and De Novo practices.
Assist with development and communication of annual manpower plan and budgets.
Lead various meetings with physicians, practice operations, revenue cycle management, and TPR leadership. Responsible for working with practice leadership to identify opportunities for improving EBITDA and cash flows.
Participate in physician on-boarding activities related to Finance. Educate practice management on utilization of MSO chart of accounts, reviewing / understanding practice financials, and various operational Finance activities (e.g.: daily cash and charge reconciliations and proper controls related to change funds).
Provide oversight of market finance/accounting professionals to ensure timely and accurate completion of:
monthly, quarterly, and annual physician financial accounting (accrual-based) reports
month end financial statements.
journal entry review.
financial statement variance analysis
contractual and bad debt reserve analysis
balance sheet reconciliations in accordance with Company policy with no reconciling items greater than 30 days.
cost allocations within the practice financials
quarterly forecasts and annual budgets
monthly physician contractual reporting including salary adjustment and productivity calculations
REQUIRED SKILLS:
Successful candidates will have knowledge of Generally Accepted Accounting Principles. Ability to communicate effectively and professionally, both in writing and verbally, with physicians, management, vendors, consultants, and other clients. Strong ability to work under pressure and meet tight deadlines. Strong analytical problem-solving aptitude with creative solutions. Ability to organize work with large amounts of information efficiently, manage multiple projects and deadlines simultaneously with attention to detail in a fast-paced and results-oriented environment.
Education Required:
Bachelor's degree in finance or accounting required. Master's degree preferred.
Required Experience:
10+ years of progressive management level experience in Finance, Accounting or Audit field required.
Preferred progressive practical finance experience in an academic or large group practice and/or Fortune 500 experience a plus.
Sound experience and background in GAAP, internal accounting controls, research/grant accounting, and patient care regulatory environment.
The successful candidate will also have demonstrated leadership and supervisory abilities, including a commitment to diversity and inclusion and the ability to build effective teams.
Must be computer literate with proficiency in Microsoft Outlook, Excel, Word, and other accounting software packages.
Experience with Microsoft Access is preferred.
Certification/Licensure: CPA preferred.
Travel:
Approximately one trip per quarter.
Selected candidates will be required to pass a Motor Vehicle Record check.
Compensation
Base pay: $160,000-$240,000 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-50% depending on role level.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, AD&D and life insurance
Manager Time Off - 20 days per year
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-JA2
Auto-ApplyChief Operating Officer (COO) - SSC Sarasota
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.
Chief Operating Officer (COO) - SSC Sarasota
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.
Auto-ApplyVP, Medical Economics
Columbus, 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.
The Regional CIO (RCIO) provides leadership for strategic planning, budgeting, developing, coordinating, and evaluating all aspects of information systems operations including clinical, networking, financial and administrative information systems strategies to support user needs for information and technology solutions across the organization. Additionally, the RCIO is accountable for creating, supporting, and directing the development of market information systems short- and long-range plans in concert with hospital goals and objectives for select CHS hospitals based on and in collaboration with CHS corporate strategy and direction ensuring alignment with hospital and market strategies as well as maximizing physician engagement.
RCIO also acts in connecting information security and business, overseeing the details of strategy implementation; serving as a tactical and operations-level ambassador .
Job Requirements:
Develop and maintain strong business relationships with market executives serving as a consultative partner on all technology topics to include articulation of short- and long-term strategic goals and operational implications.
Demonstrates ability to effectively lead initiative in planning, development, and execution of business process re-engineering, architecture, analytics, contract management, financial management, and resource management.
Actively partner with market executives/business on technology needs from ideation to disciplined demand/project management and fulfillment including market-level portfolio prioritization.
Recruits, hires, evaluates, develops, and retains staff with appropriate skills to design, implement, and support complex hospital and physician practice information technology and systems.
Directs the evolution of the information systems staff organization in concert with hospital, division, and corporate goals and objectives.
Ensures on-time and on-budget performance of information systems operations and projects, and compliance with regulations and hospital and corporate policies.
Uses metrics to demonstrate value and quality of information systems and projects. Defines appropriate service levels and regularly reports on system availability and performance.
Provides exceptional communication with all stakeholders regarding facility/market-level technology portfolio.
Staying updated on IT trends and emerging technologies for regional needs; developing and enforcing IT best practices across the regional organization; ensuring IT strategies and processes support company-wide goals; and align to regional strategies.
Overseeing relationships with vendors, contractors and service providers at regional level and aligned to corporate dictates.
Oversee Information Security alignment with business
Job Qualifications
Ten (10) years progressive experience in hospital information systems with a minimum of five (5) years in a leadership role with experience in information services management, implementation, program/project management and user support.
Degree in computer science, information systems, business administration or hospital management. (Masters preferred)
Demonstrates a high level of administrative and analytical skills necessary to provide overall direction and strategic planning in an information service environment.
Demonstrates an extremely high level of interpersonal and communication skills, both verbal and written, to interact effectively with all customers.
Demonstrates extensive knowledge of information processing and distribution systems including application/programming tools, voice, data, video, imaging and text communication systems and related networks, as well as applicable regulations.
Preferred
Healthcare industry professional certification(s) preferred (e.g., College of Healthcare Information Management Executives (CHIME); Healthcare Information Management Systems Society (HIMSS); Society for Information Management (SIM); American College of Healthcare Executives (ACHE)
Acquisitions, divestitures, and mergers
IT Contract Negotiation experience
Return on investment ("ROI") analysis
Contract review and management
Team building
Budget development and management
Staff development and management
Information system selection, implementation, support, and turn-down
Strategic planning
Management with metrics
Data center operations
LAN and WAN operations
Physician and Clinician relationship management
Centralized hospital business office operations
Auto-ApplyVP, AI Enablement
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.
VP, AI Enablement
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.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
VP, Medical Economics
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.
VP, Medical Economics
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.
VP, Medical Economics
Dayton, 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.
VP, Medical Economics
Cincinnati, 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.
VP, Medical Economics
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.
VP, Medical Economics
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.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
VP, AI Enablement
Cleveland, 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.
VP, AI Enablement
Cleveland, 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.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
VP, AI Enablement
Dayton, 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.
VP, AI Enablement
Cincinnati, 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.
VP, AI Enablement
Akron, 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.
VP, AI Enablement
Akron, 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.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
VP, AI Enablement
Ohio 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.