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Group Vice President jobs at HCA Healthcare

- 26 jobs
  • Accountant American Group

    HCA 4.5company rating

    Group vice president job at HCA Healthcare

    Introduction Do you have the career opportunities as a(an) Accountant American Group you want with your current employer? We have an exciting opportunity for you to join Work from Home which is part of the nation's leading provider of healthcare services, HCA Healthcare. Benefits Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Accountant American Group where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary This position is responsible for the American Group Center of Excellence accurate and timely completion of hospital financial operations tasks pertaining to A/R, capital & leases, period end, internal and external reporting, budgeting, etc. under the direction of the ACE Manager. Tasks are to be completed in compliance with SOX, Internal Controls, APG and other HCA Accounting guidelines. The Accountant is required to understand their role in ensuring quality/performance improvement, productivity, and service delivery to meet stakeholder needs. This position must maintain strong and effective working relationships with all department, field and other Corporate personnel. The Accountant will need to demonstrate strong analytical skills, attention to detail, and skilled written and oral communications. Major Responsibilities * Prepare assigned monthly account reconciliations for all Balance Sheet accounts, with documentation to support balances. •Conduct variance analysis including explanations on financial reports, monthly actual to budget variance reports. * Timely and accurate completion of monthly accounting close under strict deadlines including preparation and processing of assigned journal entries, statistics, allocations, and reconciliations. * Tasks performed in compliance with established processes, key performance indicators (KPIs) and service level agreements (SLAs). * Provide field support for tasks pertaining to overall function and respond to all requests for information for Divisions and internal Corporate departments, including Division-based operations and analysis. * Participates in the preparation for and the coordination of internal and external audits, operating budgets, tax, applicable state reporting and Medicare work papers. * Responds to enterprise-wide requests, researching unusual and/or significant activity, performing system queries, and producing standard and custom reports. * Serve as a liaison between GCN and field teams for inquiries related to overall function. * Identify and escalate process improvement or automation opportunities. * Performs tasks in compliance with SOX, ICC and APG and other HCA Accounting guidelines. * Maintains confidentiality, security and integrity of financial data. * Ability to organize work independently and consistently achieve reporting deadlines. * Ability to manage multiple tasks and projects in a fast-paced environment. Education & Experience: * Bachelor's degree in Accounting / Finance Required * 2+ years of experience in Accounting / Finance Preferred * Proficiency in Microsoft Excel Required * Hospital, Division or Internal Audit Experience Additional Information * The American Group oversees several specific divisions within HCA including the Goal Coast, San Antonino, North Texas, Central West Texas and Continental divisions. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Accountant American Group opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $69k-84k yearly est. 10d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    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.
    $186.2k-363.1k yearly 39d ago
  • VP, AI Enablement

    Molina Healthcare 4.4company rating

    Columbus, OH jobs

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

    Molina Healthcare Inc. 4.4company rating

    Columbus, OH jobs

    Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization. Job Duties * Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise. * Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment. * Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions. * Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance. * Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences. * Collaborates with IT and business leaders to support internal solution development and vendor partnerships. * Partners with Legal, Compliance, and Information Security to manage risk and data privacy. * Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions. * Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide. Job Qualifications REQUIRED QUALIFICATIONS: * At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience. * 7 years management/leadership experience. * Proven history of implementing enterprise AI solutions in regulated environments. * Strong cross-functional collaboration and stakeholder management skills. * Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution. * Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring * Familiarity with ethical AI principles and risk management * Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment. * Experience with ambiguity and the ability to drive initiatives from concepts to value realization. #PJCorp #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $214,132 - $417,557 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 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.
    $127k-181k yearly est. 23d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    Cleveland, OH jobs

    Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $186.2k-363.1k yearly 39d ago
  • VP, Medical Economics

    Molina Healthcare Inc. 4.4company rating

    Cleveland, OH jobs

    Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 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.
    $186.2k-363.1k yearly 23d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    Akron, OH jobs

    Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $186.2k-363.1k yearly 39d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    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.
    $186.2k-363.1k yearly 39d ago
  • VP, Medical Economics

    Molina Healthcare Inc. 4.4company rating

    Akron, OH jobs

    Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 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.
    $186.2k-363.1k yearly 23d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    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.
    $186.2k-363.1k yearly 39d ago
  • VP, Medical Economics

    Molina Healthcare 4.4company rating

    Ohio jobs

    Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. **Essential Job Duties** - Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. - Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. - Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. - Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. - Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. - Informs and supports regular forecasting activities of the enterprise. - Propagates best medical economics/analysis/SAI development practices across the enterprise. - Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. - Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** - At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. - At least 7 years management/leadership experience. - Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. - Extensive experience in a leadership position in health care economics, preferably with complex organizations. - Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization - Demonstrated ability to work with sophisticated analytic tools and datasets. - Demonstrated ability to convert observations into actions/interventions to improve financial performance. - Advanced understanding of Medicaid and Medicare programs or other health care plans. - Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) - Advanced proficiency with retrieving specified information from data sources. - Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. - Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. - Advanced understanding of value-based risk arrangements - Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. - Advanced problem-solving skills. - Strong critical-thinking and attention to detail. - Excellent verbal and written communication skills. - Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. **Preferred Qualifications** -Experience in complex managed care. - Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $186.2k-363.1k yearly 39d ago
  • VP, Medical Economics

    Molina Healthcare Inc. 4.4company rating

    Ohio jobs

    Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy. Essential Job Duties * Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. * Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. * Informs and supports regular forecasting activities of the enterprise. * Propagates best medical economics/analysis/SAI development practices across the enterprise. * Leads enterprise information management (EIM) team to build out data analytic tools and capabilities. * Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. Required Qualifications * At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience. * At least 7 years management/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive experience in a leadership position in health care economics, preferably with complex organizations. * Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization * Demonstrated ability to work with sophisticated analytic tools and datasets. * Demonstrated ability to convert observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified information from data sources. * Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care. * Advanced problem-solving skills. * Strong critical-thinking and attention to detail. * Excellent verbal and written communication skills. * Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency. Preferred Qualifications * Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 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.
    $186.2k-363.1k yearly 23d ago
  • VP, AI Enablement

    Molina Healthcare 4.4company rating

    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.
    $128k-181k yearly est. 49d ago
  • VP, AI Enablement

    Molina Healthcare Inc. 4.4company rating

    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.
    $128k-181k yearly est. 23d ago
  • VP, AI Enablement

    Molina Healthcare 4.4company rating

    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.
    $128k-180k yearly est. 49d ago
  • VP, AI Enablement

    Molina Healthcare 4.4company rating

    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.
    $126k-181k yearly est. 49d ago
  • VP, AI Enablement

    Molina Healthcare Inc. 4.4company rating

    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.
    $128k-180k yearly est. 23d ago
  • VP, AI Enablement

    Molina Healthcare 4.4company rating

    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.
    $127k-181k yearly est. 49d ago
  • VP, AI Enablement

    Molina Healthcare 4.4company rating

    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.
    $127k-179k yearly est. 49d ago
  • VP, AI Enablement

    Molina Healthcare Inc. 4.4company rating

    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. 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.
    $127k-179k yearly est. 23d ago

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