Molina Healthcare

National Network Performance Director

Molina Healthcare$120K — $150K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years in a Managed Care setting or equivalent experience
  • Experience in provider network contracting and management
  • Strong analytical and critical-thinking skills
  • Ability to translate corporate strategy into actionable plans
  • Excellent communication skills for all leadership levels
  • Collaboration skills in a matrixed environment
  • Proven ability to influence change and drive initiatives

Responsibilities

  • Generate and prioritize innovative cost and network improvement ideas
  • Lead discovery efforts to refine ideas into solid business concepts
  • Collaborate with cross-functional teams to validate business cases
  • Monitor healthcare industry trends impacting cost and reimbursement strategies
  • Bridge corporate strategy with health plan execution through standardized playbooks
  • Present initiatives to senior leadership for prioritization and investment decisions
  • Create and execute operational plans for initiative deployment

Benefits

  • Competitive benefits and compensation package
Full Job Description
Job Description

Job Description

Job Summary

Provides subject matter expertise for identifying, developing, and operationalizing scalable cost of care and network performance initiatives across the enterprise. Leads the end-to-end lifecycle from unvetted ideas through discovery and development, including defining payer-provider opportunities and quantifying plausible cost savings.

Job Duties
  • Generate, curate, and prioritize early-stage ideas for cost and network improvement initiatives, balancing innovation with regulatory, compliance and operational constraints.
  • Lead structured discovery efforts - including data analysis, stakeholder input, and external benchmarking - to mature unvetted ideas into defined concepts, provider behavior change hypotheses, and credible cost-savings business cases with scorable action items (SAIs).
  • Partner with analytics, finance, clinical, and other cross-functional teams to ensure business cases and initiatives are credible, defensible, and aligned with enterprise standards.
  • Identify and monitor industry trends in health care cost, provider reimbursement, and utilization management, with a focus on implications for Medicare, Medicaid, Duals and Marketplace lines of business.
  • Serve as a bridge between corporate strategy and health plan execution, converting approved initiatives into clear, standardized playbooks that are adaptable to local market variation while preserving enterprise targets.
  • Present concepts, business cases, and playbooks to senior leadership and executive stakeholders, influencing prioritization, investment decisions, and rollout strategy.
  • Create and execute enterprise operational plans to deploy initiatives, leading market teams and health plans through execution, monitoring performance against forecasts, and iterating to amplify impact.
  • Provide end-to-end oversight of internal business projects and programs from initiation through delivery, ensuring adherence to scope, schedule, budget and structured design, analysis, and delivery practices; engage and oversee external vendors as needed.
  • Proactively identify implementation barriers, compliance considerations, and change management risks; establish and manage a disciplined issue escalation and resolution process to remove roadblocks and maintain momentum.
  • Support change management, communication planning, and stakeholder readiness to ensure successful adoption and sustained outcomes of delivered solutions.


Job Qualifications

REQUIRED QUALIFICATIONS:
  • At least 7 years of experience in a Managed Care environment, or equivalent combination of relevant education and experience.
  • Provider network contracting and management experience.
  • Critical-thinking, problem-solving and analytical skills.
  • Ability to process corporate strategy and strategic priorities into a roadmap within assigned network performance areas.
  • Excellent communication skills across all levels of leadership.
  • Ability to collaborate across teams in a highly matrixed organization.
  • Ability to build relationships, translate data into action and drive/influence change and initiatives across the enterprise..


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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