Program Director jobs at HealthTrust - 57 jobs

In this role you will be responsible for ensuring Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting the needs of the communities served across Molina's Michigan footprint. You will lead strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Your contributions will be instrumental in making business decisions that aim to improve the health and wellbeing of Michigan residents. The ideal candidate will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of establishing and expanding Molina's partnerships with Community-Based Organizations. You are collaborative, working across health plan departments to improve overall knowledge of health related social needs, partnerships and relationships within the State of Michigan. This role utilizes market research and analysis to increase community engagement in key business decisions. Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. Job Duties Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan's Community Reinvestment and In Lieu of Service billing strategies Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community. Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member's needs Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and ILOS billing requirements Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities. Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc. Develops strategy to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration. Required Knowledge/Skills/Abilities 5-10 years experience in business development, community relations or health care related activities. Demonstrated ability in relationship building and cross-sector collaboration. Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and and experience with practical application of those concepts. Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. Generate leads from referrals and local-tactical research and prospecting. Schedule individual meetings and group presentations from assigned/self-generated leads. Travel across State of Michigan, up to 25% of time required REQUIRED EDUCATION: Bachelor's Degree or equivalent experience. PREFERRED EDUCATION: Master's Degree in Public Health, Public Policy or Healthcare Administration preferred. 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.

Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. KNOWLEDGE/SKILLS/ABILITIES Ability to manage multiple complexes, challenging projects simultaneously. Deep understanding of multiple projects and relationships between projects. Expert knowledge of methods and techniques involved in project management initiatives. Complete mastery of standard applications and project specific software. Able to learn new software with little to no instruction within a short timeframe and instruct others on its functionality. Proactively assesses projects for potential problem areas. Investigates, develops, and evaluates solutions to a wide range of very complex problems spanning across multiple projects. Establishes processes, procedures, and tools to increase efficiency. Effectively manages and resolves very complex project issues and proactively plans to prevent such issues. Projects may have extensive cross functional impact and team organization. JOB QUALIFICATIONS Required Education Bachelor's degree or equivalent combination of education and experience and at least 1 PM course required Required Experience 4-7 years of relevant work experience in business, engineering, or a related field in lieu of degree acceptable. Preferred Education Additional formal training in PM preferred. Preferred License, Certification, Association PMP or Six Sigma Green Belt Certification desired. 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.

In this role you will be responsible for ensuring Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting the needs of the communities served across Molina's Michigan footprint. You will lead strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Your contributions will be instrumental in making business decisions that aim to improve the health and wellbeing of Michigan residents. The ideal candidate will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of establishing and expanding Molina's partnerships with Community-Based Organizations. You are collaborative, working across health plan departments to improve overall knowledge of health related social needs, partnerships and relationships within the State of Michigan. This role utilizes market research and analysis to increase community engagement in key business decisions. Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. **Job Duties** + Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan's Community Reinvestment and In Lieu of Service billing strategies + Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community. + Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements + Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member's needs + Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and ILOS billing requirements + Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities. + Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc. + Develops strategy to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration. **Required Knowledge/Skills/Abilities** + 5-10 years experience in business development, community relations or health care related activities. + Demonstrated ability in relationship building and cross-sector collaboration. + Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and and experience with practical application of those concepts. + Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. + Generate leads from referrals and local-tactical research and prospecting. + Schedule individual meetings and group presentations from assigned/self-generated leads. + Travel across State of Michigan, up to 25% of time required **REQUIRED EDUCATION:** Bachelor's Degree or equivalent experience. **PREFERRED EDUCATION:** Master's Degree in Public Health, Public Policy or Healthcare Administration preferred. 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: $66,456 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

In this role you will be responsible for ensuring Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting the needs of the communities served across Molina's Michigan footprint. You will lead strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Your contributions will be instrumental in making business decisions that aim to improve the health and wellbeing of Michigan residents. The ideal candidate will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of establishing and expanding Molina's partnerships with Community-Based Organizations. You are collaborative, working across health plan departments to improve overall knowledge of health related social needs, partnerships and relationships within the State of Michigan. This role utilizes market research and analysis to increase community engagement in key business decisions. Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. **Job Duties** + Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan's Community Reinvestment and In Lieu of Service billing strategies + Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community. + Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements + Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member's needs + Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and ILOS billing requirements + Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities. + Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc. + Develops strategy to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration. **Required Knowledge/Skills/Abilities** + 5-10 years experience in business development, community relations or health care related activities. + Demonstrated ability in relationship building and cross-sector collaboration. + Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and and experience with practical application of those concepts. + Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. + Generate leads from referrals and local-tactical research and prospecting. + Schedule individual meetings and group presentations from assigned/self-generated leads. + Travel across State of Michigan, up to 25% of time required **REQUIRED EDUCATION:** Bachelor's Degree or equivalent experience. **PREFERRED EDUCATION:** Master's Degree in Public Health, Public Policy or Healthcare Administration preferred. 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: $66,456 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members. Senior Program Management Professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership skills; should be well experienced and comfortable presenting to C level executives; ability to drive structure and organization; extensive working knowledge of portfolio and project management tools and methodologies; ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing, written and verbal communication abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic relationship with Corporate EPMO and IT. Manage the issue escalation/resolution process. KNOWLEDGE/SKILLS/ABILITIES Manages programs using staff and matrixed resources with oversight from AVP and VP as needed Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy Collaborates and facilitates activities with other units at corporate and Molina Plans. JOB QUALIFICATIONS Required Education Bachelor's degree or equivalent combination of education and experience Required Experience 7-9 years Preferred Education Graduate Degree or equivalent combination of education and experience Preferred Experience 10+ years experience Managed Care industry experience - Medicaid, Medicare, Marketplace. Network Management and Public Policy New Program implementation experience (inpatient/outpatient) Behavioral Health - Configuration, PCM, Providers Billing Guides 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.

What you will be doing: The MedSurg Growth Account Manager plays a pivotal role in driving strategic growth across our enterprise and mid-market medical-surgical (MedSurg) Continuum of Care (CoC) portfolio, with a specific focus on the long-term care (LTC) and behavioral health (BH) verticals. Reporting to the VP LTC/BH Field Sales, this individual will be responsible for expanding member utilization of contracted MedSurg suppliers, identifying new opportunities, and deepening our relationships with existing healthcare providers around maximizing value and savings. Growth Program Managers are responsible for accessing relevant data sets, completing required analyses to identify insights, secure commitment from clients/suppliers, and mechanizing the reporting and audit process of the program's success. • Manage multiple growth programs across external stakeholders • Articulate program value and secure buy-in from both members and the LTC/BH sales team • Mechanizing accountability and follow through Key Responsibilities Responsibility #1- 50% Program Management Own the planning, execution, reporting, and oversight of identified MedSurg growth programs within the CoC LTC/BH portfolio. Build strong supplier understanding of current MedSurg contracts and foundational supplier relations with those firms, including but not limited to MedLine, McKesson, Henry Schein, Performance Health, and Cardinal Health Articulate programmatic opportunities to leaders to ensure program buy-in Access data sets relevant to each program Execute on program priorities and growth drivers Monitor and report on program progress and results Responsibility #2 - 40% Sales and Account Management Act as subject matter expert working in the field/remote home office with the Regional Mangers, cultivating new business as well as managing existing member business (travel Work cross-functionally to manage key relationships and secure commitment to key programs Respond to clients quickly and correctly to ensure opportunities are actioned or escalated Utilize knowledge of CoC contracts, suppliers, and distribution agreements in the capacity of a subject matter expert to CoC LTC/BH clients Responsibility #3 - 10% Administrative Mechanize MedSurg accountability and follow through from roster management to supplier attachment Update tracking tools and administrative reports such as CRM, etc. Understand and document goals/objectives to help align relevant programs Understand organizational structure and all product offerings Complete office work as needed (e.g. submitting monthly expenses, booking appointments and travel, etc.) Required Qualifications Work Experience: Years of Applicable Experience - 5 or more years Education: High School Diploma or GED (Required) Preferred Qualifications Skills: Business Analytics Program / Project Management Relationship Management Experience: MedSurg supplier or distributor contract connection expertise with a major GPO 5+ years of experience in sales 3+ years of experience in MedSurg Account management in a matrixed organization History of managing complex MedSurg programs to drive growth Education: Bachelor's degree Additional Job Requirements: Remain in a stationary position for prolonged periods of time Be adaptive and change priorities quickly; meet deadlines Attention to detail Operate computer programs and software Ability to communicate effectively with audiences in person and in electronic formats. Day-to-day contact with others (co-workers and/or the public) Making independent decisions Ability to work in a collaborative business environment in close quarters with peers and varying interruptions Working Conditions: Remote Travel Requirements: Travel 1-20% within the US Physical Demands: Sedentary: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves remaining stationary most of the time. Jobs are sedentary if movement is required only occasionally, and all other sedentary criteria are met. Premier's compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier's internal salary range for this role is $90,000 - $150,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills/experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges. Employees also receive access to the following benefits: · Health, dental, vision, life and disability insurance · 401k retirement program · Paid time off · Participation in Premier's employee incentive plans · Tuition reimbursement and professional development opportunities Premier at a glance: Ranked #1 on Charlotte's Healthiest Employers list for 2019, 2020, 2022, and 2023 and 21st Healthiest Employer in America (2023) Named one of the World's Most Ethical Companies by Ethisphere Institute for the 16th year in a row Modern Healthcare Best in Business Awards: Consultant - Healthcare Management (2024) The only company to be recognized by KLAS twice for Overall Healthcare Management Consulting For a listing of all of our awards, please visit the Awards and Recognition section on our company website. Employees receive: Perks and discounts Access to on-site and online exercise classes Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people. Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply. EEO / AA / Disabled / Protected Veteran Employer. Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at ************. Information collected and processed as part of any job application you choose to submit to Premier is subject to Premier's Privacy Policy.

In this role you will be responsible for ensuring Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting the needs of the communities served across Molina's Michigan footprint. You will lead strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Your contributions will be instrumental in making business decisions that aim to improve the health and wellbeing of Michigan residents. The ideal candidate will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of establishing and expanding Molina's partnerships with Community-Based Organizations. You are collaborative, working across health plan departments to improve overall knowledge of health related social needs, partnerships and relationships within the State of Michigan. This role utilizes market research and analysis to increase community engagement in key business decisions. Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. **Job Duties** + Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan's Community Reinvestment and In Lieu of Service billing strategies + Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community. + Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements + Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member's needs + Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and ILOS billing requirements + Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities. + Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc. + Develops strategy to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration. **Required Knowledge/Skills/Abilities** + 5-10 years experience in business development, community relations or health care related activities. + Demonstrated ability in relationship building and cross-sector collaboration. + Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and and experience with practical application of those concepts. + Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. + Generate leads from referrals and local-tactical research and prospecting. + Schedule individual meetings and group presentations from assigned/self-generated leads. + Travel across State of Michigan, up to 25% of time required **REQUIRED EDUCATION:** Bachelor's Degree or equivalent experience. **PREFERRED EDUCATION:** Master's Degree in Public Health, Public Policy or Healthcare Administration preferred. 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: $66,456 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

In this role you will be responsible for ensuring Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting the needs of the communities served across Molina's Michigan footprint. You will lead strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Your contributions will be instrumental in making business decisions that aim to improve the health and wellbeing of Michigan residents. The ideal candidate will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of establishing and expanding Molina's partnerships with Community-Based Organizations. You are collaborative, working across health plan departments to improve overall knowledge of health related social needs, partnerships and relationships within the State of Michigan. This role utilizes market research and analysis to increase community engagement in key business decisions. Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. **Job Duties** + Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan's Community Reinvestment and In Lieu of Service billing strategies + Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community. + Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements + Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member's needs + Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and ILOS billing requirements + Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities. + Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc. + Develops strategy to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration. **Required Knowledge/Skills/Abilities** + 5-10 years experience in business development, community relations or health care related activities. + Demonstrated ability in relationship building and cross-sector collaboration. + Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and and experience with practical application of those concepts. + Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. + Generate leads from referrals and local-tactical research and prospecting. + Schedule individual meetings and group presentations from assigned/self-generated leads. + Travel across State of Michigan, up to 25% of time required **REQUIRED EDUCATION:** Bachelor's Degree or equivalent experience. **PREFERRED EDUCATION:** Master's Degree in Public Health, Public Policy or Healthcare Administration preferred. 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: $66,456 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

In this role you will be responsible for ensuring Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting the needs of the communities served across Molina's Michigan footprint. You will lead strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Your contributions will be instrumental in making business decisions that aim to improve the health and wellbeing of Michigan residents. The ideal candidate will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of establishing and expanding Molina's partnerships with Community-Based Organizations. You are collaborative, working across health plan departments to improve overall knowledge of health related social needs, partnerships and relationships within the State of Michigan. This role utilizes market research and analysis to increase community engagement in key business decisions. Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. **Job Duties** + Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan's Community Reinvestment and In Lieu of Service billing strategies + Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community. + Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements + Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member's needs + Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and ILOS billing requirements + Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities. + Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc. + Develops strategy to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration. **Required Knowledge/Skills/Abilities** + 5-10 years experience in business development, community relations or health care related activities. + Demonstrated ability in relationship building and cross-sector collaboration. + Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and and experience with practical application of those concepts. + Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. + Generate leads from referrals and local-tactical research and prospecting. + Schedule individual meetings and group presentations from assigned/self-generated leads. + Travel across State of Michigan, up to 25% of time required **REQUIRED EDUCATION:** Bachelor's Degree or equivalent experience. **PREFERRED EDUCATION:** Master's Degree in Public Health, Public Policy or Healthcare Administration preferred. 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: $66,456 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. 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: $80,168 - $155,508 / 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.

In this role you will be responsible for ensuring Molina Healthcare of Michigan meets it's Community Reinvestment obligations under the Medicaid and HIDE SNP contracts with the State of Michigan while supporting the needs of the communities served across Molina's Michigan footprint. You will lead strategic approaches and partnerships to maximize impact and take an active role in understanding the community health related social needs policy landscape to analyze, develop, and implement new requirements. Your contributions will be instrumental in making business decisions that aim to improve the health and wellbeing of Michigan residents. The ideal candidate will be an experienced leader who has built and maintained a professional network of Michigan-based healthcare and non-profit community contacts for the purpose of establishing and expanding Molina's partnerships with Community-Based Organizations. You are collaborative, working across health plan departments to improve overall knowledge of health related social needs, partnerships and relationships within the State of Michigan. This role utilizes market research and analysis to increase community engagement in key business decisions. Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. **Job Duties** + Works closely with the Chief Medical Officer and Director of Population Health to develop and execute the Health Plan's Community Reinvestment and In Lieu of Service billing strategies + Contributes to the development, implementation, and evaluation of the relationship target list for each region; plans, coordinates and attends meetings with key stakeholders in each assigned community. + Serve as subject matter expert for using quality improvement approaches to successfully implement health-related social needs and health equity programs, in adherence with regulatory requirements + Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), healthcare facilities and organizations and School Based Organizations (SBOs) and how Molina can create effective partnerships with their organizations to maximize quality services to meet member's needs + Researches state policy and develops programs and reporting that meet the approval of State/Federal guidelines for all community reinvestment and ILOS billing requirements + Demonstrates a strong sense of urgency by responding immediately to escalated issues and rapidly changing priorities. + Demonstrates thorough understanding of Molina's product lines, Medicaid, Medicare SNP, Marketplace, MMP, etc. + Develops strategy to evaluate the value of key partnerships to inform the most impactful partnerships for continued collaboration. **Required Knowledge/Skills/Abilities** + 5-10 years experience in business development, community relations or health care related activities. + Demonstrated ability in relationship building and cross-sector collaboration. + Familiarity with Community Health Needs Assessment, Quality Improvement, and Health Equity concepts and and experience with practical application of those concepts. + Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. + Generate leads from referrals and local-tactical research and prospecting. + Schedule individual meetings and group presentations from assigned/self-generated leads. + Travel across State of Michigan, up to 25% of time required **REQUIRED EDUCATION:** Bachelor's Degree or equivalent experience. **PREFERRED EDUCATION:** Master's Degree in Public Health, Public Policy or Healthcare Administration preferred. 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: $66,456 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. 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: $80,168 - $155,508 / 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.

Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. 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: $80,168 - $155,508 / 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.

Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. 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: $80,168 - $155,508 / 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.

Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. 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: $80,168 - $155,508 / 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.

Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Provide project summaries that will be senior leadership facing with ties to market SAI goals. * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION: Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE: * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * Experience working in a cross functional highly matrixed organization. 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: $80,168 - $155,508 / 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 program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. Job Duties * Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives * Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. * Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. * Manages program budget, as applicable, supporting project prioritization. * Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld. * Tracks performance metrics and ensures value realization from deployed solutions. * Coordinates recurring meetings to support governance framework and decision-making processes, as needed. * At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management. * Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral. * Routinely reviews program collateral to ensure current and accurate reflection of business needs. * Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team. * Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generates and distributes standard reports on schedule. JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: * At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience. * Operational Process Improvement experience. * Managed Care experience, preferably in a shared service, CoE or matrixed environment. * Experience with Microsoft Project and Visio. * Strong presentation and communication skills. PREFERRED EXPERIENCE: * Understanding of healthcare provider engagement or payer-provider program management. * Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). * Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. * Familiarity with clinical, quality, or risk adjustment program workflows. * Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. * Ability to interpret healthcare data and translate insights into program improvements. * Experience tracking KPIs, closure rates, and program performance metrics. * Detail-oriented with strong follow-through and accountability. 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. #PJCorp #LI-AC1 Pay Range: $80,168 - $129,590 / 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 program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. Job Duties * Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives * Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. * Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. * Manages program budget, as applicable, supporting project prioritization. * Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld. * Tracks performance metrics and ensures value realization from deployed solutions. * Coordinates recurring meetings to support governance framework and decision-making processes, as needed. * At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management. * Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral. * Routinely reviews program collateral to ensure current and accurate reflection of business needs. * Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team. * Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generates and distributes standard reports on schedule. JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: * At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience. * Operational Process Improvement experience. * Managed Care experience, preferably in a shared service, CoE or matrixed environment. * Experience with Microsoft Project and Visio. * Strong presentation and communication skills. PREFERRED EXPERIENCE: * Understanding of healthcare provider engagement or payer-provider program management. * Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). * Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. * Familiarity with clinical, quality, or risk adjustment program workflows. * Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. * Ability to interpret healthcare data and translate insights into program improvements. * Experience tracking KPIs, closure rates, and program performance metrics. * Detail-oriented with strong follow-through and accountability. 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. #PJCorp #LI-AC1 Pay Range: $80,168 - $129,590 / 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 program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning, coordinating, and monitoring cross-functional programs that support regulatory compliance, quality performance, and accurate risk adjustment outcomes. Working closely with internal stakeholders and external partners. The role analyzes performance data, tracks initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. Job Duties * Responsible for driving provider performance and partnership across provider engagement, quality improvement, and risk adjustment initiatives * Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program. * Performs analysis of performance data and implement improvement strategies that support Value-Based Care, Quality, Risk Adjustment, Provider Engagement, and positive member health outcomes. * Manages program budget, as applicable, supporting project prioritization. * Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld. * Tracks performance metrics and ensures value realization from deployed solutions. * Coordinates recurring meetings to support governance framework and decision-making processes, as needed. * At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management. * Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral. * Routinely reviews program collateral to ensure current and accurate reflection of business needs. * Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team. * Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generates and distributes standard reports on schedule. JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: * At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience. * Operational Process Improvement experience. * Managed Care experience, preferably in a shared service, CoE or matrixed environment. * Experience with Microsoft Project and Visio. * Strong presentation and communication skills. PREFERRED EXPERIENCE: * Understanding of healthcare provider engagement or payer-provider program management. * Experience working in managed care, health plans, or healthcare networks (Medicaid, Medicare, Marketplace). * Knowledge of state and federal healthcare regulations, including CMS and Medicaid requirements. * Familiarity with clinical, quality, or risk adjustment program workflows. * Understanding of HEDIS, CAHPS, STAR Ratings, and quality benchmarking methodologies. * Ability to interpret healthcare data and translate insights into program improvements. * Experience tracking KPIs, closure rates, and program performance metrics. * Detail-oriented with strong follow-through and accountability. 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. #PJCorp #LI-AC1 Pay Range: $80,168 - $129,590 / 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.