[Hiring] Program Director @Molina Healthcare

Role Description

The Program Director for the Home Health Coordinator Planning Office is responsible for leading:

• Operational planning and coordination
• Financial management
• Regulatory communications and compliance
• Overall performance and execution of home health and private duty nursing (PDN) services for the Florida CMS population

This role serves as the central coordination point ("control tower") for:

• Complex operational issues
• Regulatory, provider engagement
• Member service fulfillment
• Cross-functional handoffs
• Performance monitoring

The Program Director will lead a multidisciplinary team of professionals and oversee the day-to-day operations of the Home Health Coordinator Planning Office. The role is accountable for:

• Identifying and removing barriers to service delivery
• Facilitating seamless transitions across departments
• Monitoring operational and financial performance
• Driving timely resolution of member, provider, and regulatory issues

This position plays a critical role in ensuring compliance with Florida Medicaid contract requirements, regulatory reporting obligations, audit readiness activities, and state oversight expectations while maintaining strong operational controls. The role is also responsible for:

• Overseeing key financial indicators
• Monitoring service delivery costs
• Identifying financial risks and trends
• Supporting data-driven decision-making to ensure services are delivered in a fiscally responsible manner

The successful candidate will be highly analytical, detailed and action-oriented, and skilled at managing complex operational processes in a fast-paced healthcare environment. Success in this role requires the ability to:

• Simultaneously balance member outcomes, regulatory compliance, operational performance, provider network effectiveness, and financial accountability
• Drive execution across multiple business functions

Qualifications

• Bachelor's degree - Healthcare Administration, Business Administration, Public Health, Operations Management, Finance, Data Analytics, or related field
• Master's degree preferred, not required
• 7+ years of progressive healthcare operations, managed care, program management, or healthcare services leadership experience
• 3+ years of direct leadership experience managing teams and operational programs
• Experience working in Medicaid, managed care, care management, home health, PDN, provider operations, or healthcare service delivery environments preferred
• Proven success managing complex cross-functional initiatives and operational transformation efforts

Requirements

• Strong ability to drive accountability and produce results in a highly matrixed environment
• Demonstrated success leading teams through ambiguity and change
• Exceptional organizational and project management skills
• Advanced analytical and problem-solving capabilities
• Ability to interpret, communicate, and implement complex regulatory requirements
• Detail-oriented with a focus on execution and follow-through
• Ability to identify risks early and proactively implement mitigation strategies
• Strong process improvement and operational design capabilities
• Ability to collate and interpret complex operational and financial data
• Proficiency with dashboards, KPIs, reporting, and performance measurement
• Understanding of healthcare operational economics and financial performance drivers
• Ability to evaluate operational decisions through a financial lens
• Experience assessing cost, utilization, productivity, and performance impacts
• Exceptional written and verbal communication skills
• Strong executive presence and ability to engage senior leadership
• Skilled facilitator capable of aligning diverse stakeholders around solutions

Benefits

• Competitive benefits and compensation package