Division Director jobs at HCA Healthcare - 40 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.

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.

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.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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

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

Responsible for management of Clinical Documentation Improvement (CDI) program to direct the activities of the CDI operations across multiple hospitals, facilitate modifications to clinical documentation to ensure accurate depiction of the level of clinical services and patient severity through extensive concurrent interaction with client leadership, physicians, nursing staff and other caregivers, case management and medical records coding staff. Responsible for performance improvement for Conifer and Client(s). ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 1. * Implement and support the strategic vision for assigned Clinical Documentation Improvement (CDI) functions to include: * Direct responses to CDI and trending completion of DRG worksheets via analytical reports. * Act as a resource to CDI leaders in matters relating to published DRG information. * Works with market and national leaders including physician groups to develop systems to facilitate complete documentation for data reporting purposes. * Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations. * Oversees compliance with government and agency regulations 2. Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action. 3. Develops and manages direct reports; and oversees the development and management of indirect reports. 4. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, Compliant documentation protocols 5. Other duties as assigned FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): N/A No. Direct Reports (incl. titles) - 2+ CDI Manager No. Indirect Reports (incl. titles) - 30+ CDI Specialist, CDI Supervisor, CDI Lead To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * CDI Director must display, leadership, teamwork and commitment while performing daily duties * Must demonstrate initiative and discipline in time management and medical record review * Travel may be required to meet the needs of the division * Other duties as assigned based on leadership request(s). * Advanced knowledge of IMedicare Part A and familiar with Medicare Part B * Intermediate knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MS-DRG classification and reimbursement structures * Critical thinking, problem solving and deductive reasoning skills * Effective written and verbal communication skills * Knowledge of regulatory environment * Excellent organizational skills for initiation and maintenance of efficient work flow * Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements * Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment. * Understand and communicate documentation strategies * Recognize opportunities for documentation improvement * Formulate clinically, compliant credible queries * Ability to maintain an auditing and monitoring program as a means to measure query process * Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation * Develop and implement work policy and procedures * Responsible for the CDI program to ensure quality documentation Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Graduate from a Nursing program ADN, BSN prefered, or graduate of Health Information Management RHIT, RHIA preferred. * Current state Registered Nurse license or Certified Coding Speiclaist credential * Preferred: Two (2) years experience with either HIM/Coding or Case Management experience. CERTIFICATES, LICENSES, REGISTRATIONS * Preferred: RN, RHIT, RHIA, and CCS, CDIP, CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit for extended periods of time * Must be able to efficiently use computer keyboard and mouse to perform CDI functions assignments * Good Visual acuity WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OTHER * The ideal candidate will have clinical documentation experience in an acute care facility * Must be able to travel nationally as needed Compensation and Benefit Information Compensation * Pay: $118,227 - $177,362 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer 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, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

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.

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.

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.

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.

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.

Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned regional states. Key activities include serving as the subject matter expert in all functional areas in risk, data capture and quality improvement, coordinating national and local operations and management of RQES provider engagement staff. This person will be the liaison between the national RQES organization (MHI) and health plan leadership to ensure that the team meets defined key performance indicators and timelines and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues. KNOWLEDGE/SKILLS/ABILITIES * Serves as the subject matter expert for all risk, quality, and data acquisition functions to ensure participants understands and meets compliance requirements. * Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of requirements and staff training to ensure ongoing activities meet compliance requirements. * Supports development of a strategic roadmap and related tools with the assigned plans and MHI RQES that enables staff and communicates the strategy and roadmap ongoing to health plan leadership. * Liaison between MHI RQES leaders, Centers of Excellence and Health Plan leadership including sharing of performance status, risks, needs and suggested modifications to current plan to achieve performance goals. * Direct management of RQES provider engagement staff with coordination of health plan provider engagement staff. Ensure organization with other provider engagement teams within Molina. * Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance. * Participate in Molina national and health plan meetings, including comprehensive preparation beforehand (e.g., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions. * Coordinate reporting and packaging needs for critical leadership meetings. * Responsible for management and development of materials, analysis supporting ongoing communications with the health plan. Initiates team meetings to promote close collaboration and meet defined key performance indicators and timelines. * Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. * Communicates a clear strategy with key performance indicators and updates in assigned areas. * Presents concise summaries, key takeaways, and action steps about functional area to national and health plan meetings. * Demonstrates ability to lead or influence a cross-functional team with staff in remote or in-office locations throughout the country. JOB QUALIFICATIONS Required Education Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience. Required Experience At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. Preferred Education Master's Degree in a related field Preferred License, Certification, Association RN with Quality Background is preferred 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: $107,028 - $227,679 / 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.

Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned regional states. Key activities include serving as the subject matter expert in all functional areas in risk, data capture and quality improvement, coordinating national and local operations and management of RQES provider engagement staff. This person will be the liaison between the national RQES organization (MHI) and health plan leadership to ensure that the team meets defined key performance indicators and timelines and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues. **KNOWLEDGE/SKILLS/ABILITIES** + Serves as the subject matter expert for all risk, quality, and data acquisition functions to ensure participants understands and meets compliance requirements. + Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of requirements and staff training to ensure ongoing activities meet compliance requirements. + Supports development of a strategic roadmap and related tools with the assigned plans and MHI RQES that enables staff and communicates the strategy and roadmap ongoing to health plan leadership. + Liaison between MHI RQES leaders, Centers of Excellence and Health Plan leadership including sharing of performance status, risks, needs and suggested modifications to current plan to achieve performance goals. + Direct management of RQES provider engagement staff with coordination of health plan provider engagement staff. Ensure organization with other provider engagement teams within Molina. + Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance. + Participate in Molina national and health plan meetings, including comprehensive preparation beforehand (e.g., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions. + Coordinate reporting and packaging needs for critical leadership meetings. + Responsible for management and development of materials, analysis supporting ongoing communications with the health plan. Initiates team meetings to promote close collaboration and meet defined key performance indicators and timelines. + Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. + Communicates a clear strategy with key performance indicators and updates in assigned areas. + Presents concise summaries, key takeaways, and action steps about functional area to national and health plan meetings. + Demonstrates ability to lead or influence a cross-functional team with staff in remote or in-office locations throughout the country. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience. **Required Experience** At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. **Preferred Education** Master's Degree in a related field **Preferred License, Certification, Association** RN with Quality Background is preferred 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: $107,028 - $227,679 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned regional states. Key activities include serving as the subject matter expert in all functional areas in risk, data capture and quality improvement, coordinating national and local operations and management of RQES provider engagement staff. This person will be the liaison between the national RQES organization (MHI) and health plan leadership to ensure that the team meets defined key performance indicators and timelines and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues. KNOWLEDGE/SKILLS/ABILITIES * Serves as the subject matter expert for all risk, quality, and data acquisition functions to ensure participants understands and meets compliance requirements. * Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of requirements and staff training to ensure ongoing activities meet compliance requirements. * Supports development of a strategic roadmap and related tools with the assigned plans and MHI RQES that enables staff and communicates the strategy and roadmap ongoing to health plan leadership. * Liaison between MHI RQES leaders, Centers of Excellence and Health Plan leadership including sharing of performance status, risks, needs and suggested modifications to current plan to achieve performance goals. * Direct management of RQES provider engagement staff with coordination of health plan provider engagement staff. Ensure organization with other provider engagement teams within Molina. * Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance. * Participate in Molina national and health plan meetings, including comprehensive preparation beforehand (e.g., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions. * Coordinate reporting and packaging needs for critical leadership meetings. * Responsible for management and development of materials, analysis supporting ongoing communications with the health plan. Initiates team meetings to promote close collaboration and meet defined key performance indicators and timelines. * Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. * Communicates a clear strategy with key performance indicators and updates in assigned areas. * Presents concise summaries, key takeaways, and action steps about functional area to national and health plan meetings. * Demonstrates ability to lead or influence a cross-functional team with staff in remote or in-office locations throughout the country. JOB QUALIFICATIONS Required Education Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience. Required Experience At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. Preferred Education Master's Degree in a related field Preferred License, Certification, Association RN with Quality Background is preferred 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: $107,028 - $227,679 / 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.

Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned regional states. Key activities include serving as the subject matter expert in all functional areas in risk, data capture and quality improvement, coordinating national and local operations and management of RQES provider engagement staff. This person will be the liaison between the national RQES organization (MHI) and health plan leadership to ensure that the team meets defined key performance indicators and timelines and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues. KNOWLEDGE/SKILLS/ABILITIES * Serves as the subject matter expert for all risk, quality, and data acquisition functions to ensure participants understands and meets compliance requirements. * Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of requirements and staff training to ensure ongoing activities meet compliance requirements. * Supports development of a strategic roadmap and related tools with the assigned plans and MHI RQES that enables staff and communicates the strategy and roadmap ongoing to health plan leadership. * Liaison between MHI RQES leaders, Centers of Excellence and Health Plan leadership including sharing of performance status, risks, needs and suggested modifications to current plan to achieve performance goals. * Direct management of RQES provider engagement staff with coordination of health plan provider engagement staff. Ensure organization with other provider engagement teams within Molina. * Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance. * Participate in Molina national and health plan meetings, including comprehensive preparation beforehand (e.g., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions. * Coordinate reporting and packaging needs for critical leadership meetings. * Responsible for management and development of materials, analysis supporting ongoing communications with the health plan. Initiates team meetings to promote close collaboration and meet defined key performance indicators and timelines. * Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention. * Communicates a clear strategy with key performance indicators and updates in assigned areas. * Presents concise summaries, key takeaways, and action steps about functional area to national and health plan meetings. * Demonstrates ability to lead or influence a cross-functional team with staff in remote or in-office locations throughout the country. JOB QUALIFICATIONS Required Education Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience. Required Experience At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. Preferred Education Master's Degree in a related field Preferred License, Certification, Association RN with Quality Background is preferred 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: $107,028 - $227,679 / 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.