[Hiring] Program Director @Molina Healthcare

Role Description

Provides deep subject matter expertise and leadership for program management activities. Supports programmatic business needs across department and/or cross-functional areas, including:

• Programs design
• Implementation
• Administration
• Governance
• Workflow analysis
• Process improvements
• Vendor management
• Policy and playbook development and maintenance
• Best practices
• Resource allocations
• Special projects for the WA Health Plan

Essential Job Duties:

• Oversees the strategy, design, implementation, delivery, and ongoing operations of respective business program(s) and services in support of business goals and measurable value delivery.
• Develops and oversees governance structures, frameworks, and standards to ensure consistent and compliant best practices across respective program(s).
• Partners with executive sponsors, senior leaders, and key stakeholders to establish vision, objectives, priorities, and success measures for designated program(s).
• Manages and optimizes program portfolio performance - ensuring alignment of initiatives, budgets, and resources with organizational strategy.
• Provides executive-level reporting and insights on program status, risks, dependencies, and outcomes - enabling informed decision-making.
• Leads program financial planning and oversight - ensuring effective use of budgets and identification of cost savings opportunities.
• Drives cross-functional collaboration and alignment across legal, compliance, information technology (IT), and operational teams to ensure programs adherence to governance and quality standards.
• Champions change management and adoption across program(s) - ensuring stakeholder engagement and sustainable implementation of new processes or technologies.
• Continuously evaluates program(s) frameworks and performance metrics to enhance operational efficiency, scalability, and strategic impact.
• May provide specialized training, mentoring and support to new and existing staff as needed - fosters a culture of accountability, innovation, and continuous improvement.

Qualifications

• At least 8 years of progressive program and/or project management experience, with increasing levels of responsibility in a complex, matrixed organization, or equivalent combination of relevant education and experience.
• At least 3 years of management/leadership experience.
• Demonstrated experience in strategic planning, governance development, and executive stakeholder management.
• Proven success managing budgets, performance metrics, and organizational change in a highly matrixed or regulated environment.
• Strong understanding of managed care operations, healthcare delivery systems, or related industries.
• Strong operational process improvement experience.
• Strong project management experience/skills.
• Strong data analysis skills/experience.
• Strong organizational and time-management skills.
• Proven ability to manage multiple projects simultaneously with competing priorities.
• Ability to work cross-collaboratively across a highly matrixed organization, and ability to align diverse stakeholders toward shared goals.
• Excellent verbal/written/presentation communication skills.
• Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.

Requirements

• Project Management Professional (PMP), Six Sigma Green Belt and/or Black Belt certification.
• Claim and provider contract configuration.
• Claims processing experience.
• WA Medicaid experience.
• Encounter data validation experience.

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Company Description

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.