Molina Healthcare

VP, Network Performance & Effectiveness

Molina Healthcare$130K — $180K *
Macon, GA 31204In-Person
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Business Administration or related field, or equivalent experience
  • 10+ years of management experience
  • 5 years in healthcare and managed care operations
  • Strong interpersonal and communication skills
  • Proven leadership and managerial abilities

Responsibilities

  • Lead the Program Director team and manage deliverables
  • Analyze performance data to develop market-specific improvement plans
  • Collaborate with market leaders to implement best practices
  • Spearhead market performance improvement initiatives
  • Communicate performance strategies to senior leadership
  • Ensure compliance with Molina and regulatory standards
  • Enhance the Provider Network Management Department processes
  • Support new health plan implementations and expansions

Benefits

  • Comprehensive benefits package
  • Opportunities for professional development
  • Focus on positive cultural changes
  • Emphasis on coaching and employee development
  • Equal Opportunity Employer policies
Full Job Description
Job Description

Job Description

Job Summary

Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, performance, and adequacy, along with provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. The VP, Network Performance and Effectiveness role is responsible for the ongoing improvement of key performance indicators across all markets and service segments. Owns the assessment of network performance and identification of opportunities, and partners with market leadership to develop and execute on improvement plans, under the direction of the SVP of Network Strategy and Services.

Job Duties
  • Lead Program Director team, managing all aspects of team's mission and deliverables.
  • Develop market-specific improvement plans and drive priorities based on the analysis of available performance data.
  • Partner with market and segment leaders and subject matter experts in the implementation of best practices across local health plans.
  • Lead market performance improvement initiatives (SAIs, annual unit cost budgeting, etc.).
  • Present performance strategies and updates to senior leadership, providing critical transparency to program initiatives.
  • Work closely with health plans leadership to ensure compliance with all Molina, regulatory and industry standards.
  • Responsible for the continued development and enhancement of the Provider Network Management and Operations Department including the implementation of standard processes, policies and procedures.
  • Support and execute new health plan implementations, acquisitions and expansions in collaboration with the Business Development Team.
  • Drive positive cultural changes with focus on coaching and development.


Job Qualifications

REQUIRED EDUCATION:

Bachelor's Degree in Business Administration or a related field or equivalent experience

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
  • Minimum 10+ years of management and strong leadership experience.
  • Minimum 5 years of healthcare, managed care, provider services and call center operations experience in government sponsored programs.
  • Excellent interpersonal and verbal and written communication skills.
  • Excellent leadership and managerial skills.

PREFERRED EDUCATION:

Master's Degree

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

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