Molina Healthcare

Director, Applications - Claims Processing - Remote

Molina Healthcare • $135K — $160K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of IT applications/coding development experience in managed care industry or equivalent.
  • 3+ years of management/leadership experience.
  • Advanced expertise in Microsoft Azure services and cloud architecture.
  • Experience with Visual Studio and AI-assisted development via GitHub Copilot.
  • Proficient in low-code platforms (Pega, Salesforce, Sitecore) and enterprise architecture patterns.

Responsibilities

  • Lead a team of Forward Deployed Engineers to develop software applications on Azure.
  • Foster a culture of end-to-end ownership among team members.
  • Champion AI-first development practices and leverage Azure machine learning services.
  • Oversee implementation and enhancements of applications using Agile methodologies.
  • Establish quality assurance automation strategy and ensure adoption of best practices.

Benefits

  • Comprehensive health coverage options.
  • Retirement savings plan with company matching.
  • Flexible work arrangements to support work-life balance.
  • Ongoing professional development and training opportunities.
Full Job Description
Job Description

JOB DESCRIPTION Job Summary

Leads and directs team responsible for applications activities on Microsoft Azure cloud infrastructure. Responsible for designing, developing, and communicating technology models and foundations used to run applications, data, and infrastructure in support of health care payor business processes serving Medicare/Medicaid members. Applies and promotes key principles (stability, scalability, performance, security, compatibility, re-use) leveraging Azure services, AI-first development practices using Visual Studio with GitHub Copilot, and integrations with low-code platforms (Pega, Salesforce, Sitecore) to ensure a balance between tactical and strategic technology solutions. Drives a team culture of end-to-end ownership, cross-functional collaboration, and business partnership. Ensures team effectively partners with business stakeholders across clinical, financial, and operational functions to deliver measurable outcomes that improve member health and organizational efficiency. Champions adoption of Azure cloud-native architecture patterns, AI/ML capabilities, and quality assurance automation excellence. Promotes use of industry and enterprise technology standards, evaluates emerging technologies for application, and ensures adherence to design and application development standards, methodologies and frameworks within architectural compliance and governance.

Essential Job Duties
• Oversees team of Forward Deployed Engineers responsible for developing software applications on Microsoft Azure to meet key business objectives; establishes performance metrics aligned with health care payor outcomes.
• Drives team culture of end-to-end ownership, ensuring engineers take ownership of business problems rather than functioning as point solution experts.
• Champions AI-first development practices, ensuring team leverages Visual Studio with GitHub Copilot, Azure AI services, and machine learning capabilities.
• Project manages applications implementation, integration, and enhancements using Azure DevOps and Agile methodologies at scale.
• Leads enterprise quality assurance automation strategy and ensures team adoption of automated testing practices.
• Drives strategic integration with low-code platforms (Pega, Salesforce, Sitecore) to maximize enterprise technology investments.
• Manages key vendor relationships and strategic Azure cloud service partnerships.
• Manages support activities (break fix, operations, large requests) to meet established service levels on Azure infrastructure.
• Takes a key leadership role in evolving Molina application development and design practices toward cloud-native, AI-enabled solutions.
• Leads design and architecture reviews ensuring compliance with Azure Well-Architected Framework and security standards.
• Collaborates with enterprise project management office and business analysts to deliver strategic Medicare/Medicaid initiatives.
• Develops software (hands-on code development) on Azure to meet key business objectives as needed.
• Designs enterprise cloud-native software applications solving complex health care payor business problems.
• Gathers business requirements and develops conceptual and technical designs for multiple large-scale projects concurrently.
• Conducts reviews of developers (internal and contract staff) ensuring standards, quality, and enterprise architecture alignment.
• Leads build versus buy evaluation with strategic consideration of Azure marketplace and platform capabilities.
• Leads architecture and design discussions ensuring adherence to Azure cloud patterns and enterprise standards.
• Provides design and architectural expertise to technical teams, business partners, and leadership.
• Supports application system/service owner for system performance, budgeting and planning on Azure infrastructure.
• Monitors application stability and scalability leveraging Azure Monitor, Application Insights, and proactive alerting.
• Ensures alignment with project methodologies, change management, and enterprise governance processes.
• Organizes, manages and leads cross-team project tasks and deliverables across technical and business functions.
• Drives cross-functional collaboration ensuring technical teams partner effectively with business stakeholders.
• Ensures HIPAA compliance and health care data governance standards are maintained across all solutions.
• Hires, trains, mentors, and develops a high-performing team with Forward Deployed Engineer mindset; demonstrates accountability for team performance and department goals.

Required Qualifications
• At least 8 years of information technology (IT) applications/coding development experience in large organizations in the managed care industry, or equivalent combination of relevant education and experience.
• At least 3 years of management/leadership experience.
• Advanced experience with Microsoft Azure cloud services (App Services, Functions, AKS, Azure SQL, Data Factory, Synapse, Azure DevOps).
• Expert proficiency with Visual Studio and AI-assisted development using GitHub Copilot and Azure AI services.
• Experience leading enterprise quality assurance automation strategy and implementing testing frameworks at organizational scale.
• Advanced experience with low-code platforms (Pega, Salesforce, Sitecore) and enterprise architecture patterns.
• Advanced technical experience with IT enterprise infrastructure and Azure cloud architecture.
• Health care payor industry experience, including Medicare/Medicaid operations and compliance knowledge.
• Specific domain expertise with government programs (Medicaid, Medicare, Marketplace).
• Microsoft technologies, Mobility and Information Technology Infrastructure Library (ITIL) experience.
• Experience working with Trizetto QNXT application and enterprise health care systems.
• Advanced understanding of IT concepts including test automation, software development lifecycle (SDLC), and IT general controls.
• Hands-on experience with .NET framework and Azure serverless technologies.
• Experience with global delivery models and working with third-party consultancies.
• Fluent in modern DevOps frameworks based on Azure DevOps or Atlassian framework.
• Forward Deployed Engineer leadership philosophy - proven track record building teams focused on end-to-end business ownership.
• Demonstrated ability to build strategic relationships across executive leadership and influence organizational outcomes.
• Strong critical-thinking and problem-solving skills with focus on business transformation.
• Advanced knowledge/experience with agile principles, CI/CD practices, DevOps culture, and Infrastructure as Code.
• Strong time-management and organizational skills with ability to lead strategic, multi-team initiatives.
• Ability to collaborate cross-functionally in a highly matrixed organization and influence at executive levels.
• Excellent verbal and written communication skills, and ability to present to executive audiences.
• Experience with Microsoft Project/Jira, Microsoft O365 Cloud, Power BI, Azure DevOps, and applicable software programs proficiency.

Preferred Qualifications
• Microsoft technologies, Mobility and Information Technology Infrastructure Library (ITIL) experience.
• Azure certifications (Azure Solutions Architect Expert, Azure DevOps Engineer Expert).
• Azure certifications (AZ-204, AZ-400).

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.

About Molina Healthcare

Molina Healthcare focuses exclusively on government-sponsored health care programs for families and individuals who qualify for government-sponsored health care. It contracts with state governments and serves as a health plan, providing a wide range of quality health care services to families and individuals.

Molina Healthcare Careers

Join the dedicated team at Molina Healthcare, a leader in providing quality healthcare services to families and individuals who qualify for government-sponsored programs, including Medicaid and Medicare. As one of the most respected companies in the health services industry, Molina Healthcare offers unparalleled job opportunities aimed at empowering your career growth and professional development.

Work You’ll Do

At Molina Healthcare, you will engage in meaningful work that directly impacts lives across the country. Our team is committed to innovation in healthcare, ensuring that all members receive the best care possible. By joining us, you will collaborate with skilled professionals dedicated to our mission of providing accessible, high-quality healthcare.

Career Opportunities and Growth

Whether you are looking for your first job, seeking a leadership role, or aiming to specialize in healthcare professions, Molina Healthcare offers a range of career paths. Our job opportunities span across various functions, including clinical services, customer support, IT, project management, and more. We believe in fostering the growth of our employees through professional development, leadership training, and diversity initiatives.

Internship Programs

Kickstart your career with a Molina Healthcare internship. Our internships provide invaluable workplace experience, offering a glimpse into the healthcare industry through hands-on projects and mentorship. Interns at Molina Healthcare gain critical skills that prepare them for future employment, making them competitive candidates in the job market.

Culture and Benefits

Molina Healthcare is not just a company; it’s a community. We prioritize a culture of inclusivity and respect, where all team members are encouraged to bring their whole selves to work. Our employees enjoy comprehensive benefits, including health insurance, retirement plans, and wellness programs, all designed to support both their professional and personal lives.

Join Our Team

Explore the various positions available at Molina Healthcare and find where your skills and interests align with our needs. We are continuously hiring talented individuals who are passionate about making a difference in healthcare. Prepare your resume, sharpen your interview skills, and become part of a team that values hard work and creativity.

Stay Connected

Keep up to date with the latest at Molina Healthcare: - **Career Growth and Networking:** Advance your career through our professional development and networking opportunities. Learn from leaders and peers alike to build connections that propel your career forward. - **Innovation and Leadership:** Drive change and lead with confidence by participating in our leadership and innovation training programs.

Apply Now

Ready to take the next step in your healthcare career? Search open positions that match your skills and interests on the Molina Healthcare Jobs portal. We look for driven, curious, and compassionate team players ready to make an impact.

Stay Informed

Subscribe to Molina Healthcare job alerts and receive updates on new openings and company news directly to your inbox. Tailor your subscription to match your career preferences and stay ahead in the dynamic field of healthcare. Join Molina Healthcare, where your career is nurtured, your contributions are valued, and your growth is guaranteed.
Learn more about Molina Healthcare
Size
14,000 employees
Market Cap
$19.5 billion
Industry
Net Income
$673 million
Founded
1980
5 Year Trend
+9.3%
Revenue
$19.4 billion
NASDAQ

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