Molina Healthcare

Program Director, Value-Based Care - REMOTE

Molina Healthcare$120K — $160K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years in Healthcare Administration, Managed Care, or Provider Network Management, focusing on value-based care or population health.
  • Exceptional written and verbal communication skills.
  • Strong leadership and cross-functional collaboration abilities.
  • Analytical mindset with strategic thinking; adept at data-driven decision-making.
  • Proficiency in Microsoft Office Suite.

Responsibilities

  • Lead the design of value-based care programs for Medicaid, Medicare, and Marketplace populations.
  • Develop inclusive and attractive contracting frameworks for diverse provider types.
  • Integrate health equity and social determinants of health into contract models.
  • Analyze industry trends and performance data to inform contract designs.
  • Serve as the primary architect for value-based contracting strategy during RFP submissions.
  • Collaborate with stakeholders to align programs with clinical care models and organizational goals.
  • Establish metrics to monitor program performance and refine designs based on feedback.

Benefits

  • Competitive benefits package offered by Molina Healthcare.
Full Job Description
Job Description

Job Description

Job Summary

Provides subject matter expertise for the design and implementation of value-based care programs across Medicaid, Medicare, and Marketplace populations, ensuring alignment with clinical, quality and financial goals.

Job Duties
  • Leads the end-to-end design of value-based care programs that are responsive to market needs and tailored for Medicaid, Medicare, and Marketplace populations.
  • Develops contracting frameworks that are inclusive and attractive to a broad array of provider types, including Federally Qualified Health Centers, behavioral health providers, Long-Term Services and Support agencies, and hospital systems.
  • Integrates social determinants of health and health equity principles into Value-Based Contracting models to optimize health outcomes for underserved populations.
  • Analyzes industry trends, health plan and provider performance data, and regulatory developments to inform innovative and compliant value-based contracting designs.
  • Serves as the primary architect for the organization's value-based contracting strategy in all RFP submissions, aligning with business objectives and differentiating the organization in competitive procurements.
  • Collaborates with cross-functional stakeholders to ensure program alignment with clinical models of care, quality strategies, and organizational goals.
  • Establishes metrics and monitoring plans to track program performance, and iterate designs based on provider feedback, market dynamics, and population health needs.
  • Acts as a subject matter expert and thought leader, representing the organization in external forums, conferences, and stakeholder meetings.


Job Qualifications

REQUIRED QUALIFICATIONS:
  • At least 8 years of experience in Healthcare Administration, Managed Care, and/or Provider Network Management and Operations with an emphasis on value-based care and/or population health.
  • Excellent and clear written and verbal communication skills.
  • Strong leadership and cross-functional collaboration capabilities.
  • Analytical and strategic thinking skills; ability to use data to drive decision-making.
  • Proficiency in Microsoft Office Suite.


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.

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

Similar Jobs

More Jobs at Molina Healthcare

More Healthcare Jobs

Find similar Program Director, Value-Based Care - REMOTE jobs: