VP, Medicare Advantage (Remote within the US)
Molina Healthcare Arizona; Phoenix, Arizona; Tampa, Florida; Owensboro, Kentucky; Bellevue, Nebraska; Santa Fe, New Mexico; Yonkers, New York; West Valley City, Utah; Seattle, Washington; Chandler, Arizona; Atlanta, Georgia; Des Moines, Iowa; Iowa City, Iowa; Lexington-Fayette, Kentucky; Rochester, New York; Orem, Utah; Michigan; Green Bay, Wisconsin; Kenosha, Wisconsin; Wisconsin; Orlando, Florida; Boise, Idaho; Idaho Falls, Idaho; Bowling Green, Kentucky; Ann Arbor, Michigan; Omaha, Nebraska; Las Cruces, New Mexico; Buffalo, New York; Salt Lake City, Utah; Georgia; Layton, Utah; Spokane, Washington; Tacoma, Washington; New Mexico; Washington; Jacksonville, Florida; Nampa, Idaho; Caldwell, Idaho; Covington, Kentucky; Detroit, Michigan; Warren, Michigan; Lincoln, Nebraska; Kearney, Nebraska; Albuquerque, New Mexico; Rio Rancho, New Mexico; Houston, Texas; St. Petersburg, Florida; Meridian, Idaho; Sioux City, Iowa; Grand Rapids, Michigan; Syracuse, New York; Cleveland, Ohio; Austin, Texas; Florida; Idaho; Iowa; Provo, Utah; Nebraska; Ohio; Vancouver, Washington; Bellevue, Washington; Madison, Wisconsin; Mesa, Arizona; Scottsdale, Arizona; Davenport, Iowa; Sterling Heights, Michigan; Akron, Ohio; Dayton, Ohio; Utah; Milwaukee, Wisconsin; Tucson, Arizona; Miami, Florida; Macon, Georgia; Savannah, Georgia; Louisville, Kentucky; Roswell, New Mexico; New York, New York; Columbus, Ohio; Cincinnati, Ohio; Dallas, Texas; Fort Worth, Texas; Kentucky; New York; Racine, Wisconsin; Augusta, Georgia; Columbus, Georgia; Cedar Rapids, Iowa; Grand Island, Nebraska; San Antonio, Texas; Texas Job ID 2029767Job Summary
As the leader for Molina’s Medicare Advantage product (Non-Dual), this position has P&L, business strategy, sales distribution and provider network responsibility for all products, as well as any future Markets and products that may be developed and marketed. This leader will have responsibility for managing relationships with internal partners who support this product, as well as external vendors who provide support, develops infrastructure, standards, and policies and procedures.
JobResponsibilities
- Lead financial performance of plans to meet membership, earnings, and quality targets. Take appropriate actions to increase revenue, leverage resources, manage and/or minimize expenses and drive medical expense initiatives to deliver on the business plan.
- Lead industry, market and competitive research and analysis to inform and shape recommendations.
- Foster highly productive working relationships that enable close collaboration with Molina Medicare Segment Leadership Team as well as Market Plan Presidents key corporate, functional, and business unit leaders
- Recruit and retain top talent, strengthen overall team performance, and prepare team members for roles of increased responsibility.
- Design and execute compliant Provider contracting/management strategies to maintain market-competitive networks to support profitable growth for all products.
- Evaluate variation in performance across competitors and markets to uncover sources of opportunity to drive additional growth, and also to anticipate potential drivers of disruption.
- Oversee the team to drive market strategy, evaluate opportunities to expand geographically and eliminate roadblocks. Oversee annual CMS bid pricing and recommendation.
- Partner closely with the Product leadership to identify and communicate the need for improvements and changes in Molina’s products and services.
- In partnership with senior leadership, determines the annual implementation of Molina’s Medicare Advantage product strategic plan.
- Has oversight over Molina's Medicare Advantage operations as they relate to compliance, operations, Stars, risk adjustment, network Design, and quality.
- Development and maintenance of regulatory relationships as they pertain to Molina’s Medicare Advantage line of business.
Job Qualifications
The ideal candidate will have deep experience in the Insurance industry, with a proven track record of hitting financial targets established by the enterprise and growing the business and contributing to the growth of other lines of business on an annual basis. The right candidate will be a strong leader of people with proven success in expanding and elevating the capabilities and performance of the team.
In addition to the above, the following professional qualifications and personal attributes are also recommended:
- Well-developed and broad knowledge of the healthcare ecosystem, with a track record of identifying industry, market, and competitor trends to offer insightful implications for the greater business.
- Proven ability to build high-performing teams by identifying, cultivating, and motivating top talent from inside and outside of the organization.
- A proven thought leader who drives a future-focused agenda, helps advance organizational thinking about our Medicare Advantage businesses, works with business units to build strategies from present to future state, and anticipates changes and disruption to see opportunities for the future.
- Ability to work through tumultuous or ambiguous scenarios successfully.
- Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences.
- Current or recent experience in a large, highly matrixed company (i.e., Fortune 150), with proven ability to influence leaders and key stakeholders in such an environment.
- Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome.
- Current or recent experience in the healthcare or insurance industry leadership role is highly desirable, but not required.
- Bachelor’s degree is required. Advanced degree (MBA) preferred.
- Bachelor’s degree and at least 10 years of deep Medicare experience.
- Strong analytical skills.
- Strong interpersonal, influencing and communication skills with an ability to interact effectively with stakeholders and regulators, to include virtual, matrixed leadership experience and the ability to effectively manage and build relationships within the enterprise and the business.
- Proven ability to manage a diverse and geographically dispersed workforce.
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.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 01/16/2025ABOUT OUR LOCATION
View Map- Lead Overreader, HEDIS Abstraction / Quality Improvement (Remote) Arizona, Florida, Ohio, Texas, Michigan, Kentucky, New Mexico, Idaho, Iowa, Nebraska, Washington, New York, Utah, Georgia 02/06/2025
- Program Director, PMO Arizona, Kenosha Wisconsin, Racine Wisconsin, Boise Idaho, Idaho Falls Idaho, Owensboro Kentucky, Sterling Heights Michigan, Grand Island Nebraska, Kearney Nebraska, Washington, Wisconsin, Georgia, Kentucky, Michigan, Akron Ohio, Dallas Texas, Mesa Arizona, Miami Florida, St. Petersburg Florida, Columbus Georgia, Des Moines Iowa, Davenport Iowa, Lexington-Fayette Kentucky, Dayton Ohio, West Valley City Utah, Green Bay Wisconsin, Chandler Arizona, Jacksonville Florida, Meridian Idaho, Omaha Nebraska, New York New York, Yonkers New York, New Mexico, San Antonio Texas, Spokane Washington, Phoenix Arizona, Tucson Arizona, Savannah Georgia, Iowa City Iowa, Grand Rapids Michigan, Ann Arbor Michigan, Bellevue Nebraska, Roswell New Mexico, Idaho, Cincinnati Ohio, Houston Texas, Provo Utah, Vancouver Washington, Scottsdale Arizona, Tampa Florida, Nampa Idaho, Caldwell Idaho, Sioux City Iowa, Louisville Kentucky, Warren Michigan, Albuquerque New Mexico, Las Cruces New Mexico, Rio Rancho New Mexico, Buffalo New York, Cleveland Ohio, Nebraska, Milwaukee Wisconsin, Atlanta Georgia, Covington Kentucky, Detroit Michigan, Santa Fe New Mexico, Ohio, Utah, Florida, Orem Utah, Seattle Washington, Tacoma Washington, Orlando Florida, Cedar Rapids Iowa, Bowling Green Kentucky, Columbus Ohio, New York, Iowa, Austin Texas, Fort Worth Texas, Layton Utah, Bellevue Washington, Madison Wisconsin, Augusta Georgia, Macon Georgia, Lincoln Nebraska, Rochester New York, Syracuse New York, Texas, Salt Lake City Utah 02/06/2025
- Care Review Clinician, Inpatient Review (RN) Arizona, Idaho Falls Idaho, Lexington-Fayette Kentucky, Santa Fe New Mexico, Layton Utah, Milwaukee Wisconsin, Green Bay Wisconsin, Atlanta Georgia, Georgia, Texas, Davenport Iowa, Omaha Nebraska, Rochester New York, Yonkers New York, Salt Lake City Utah, Racine Wisconsin, Chandler Arizona, Tampa Florida, Columbus Georgia, Kentucky, Nampa Idaho, Bowling Green Kentucky, Grand Island Nebraska, Rio Rancho New Mexico, Dayton Ohio, Houston Texas, San Antonio Texas, Austin Texas, Kenosha Wisconsin, Phoenix Arizona, Michigan, Boise Idaho, Cedar Rapids Iowa, Iowa City Iowa, Louisville Kentucky, Grand Rapids Michigan, Lincoln Nebraska, Bellevue Nebraska, Syracuse New York, West Valley City Utah, Orem Utah, Vancouver Washington, Tucson Arizona, Mesa Arizona, Scottsdale Arizona, Macon Georgia, New Mexico, New York, Utah, Warren Michigan, Las Cruces New Mexico, Buffalo New York 02/05/2025
- Care Review Processor Arizona, Ohio, Warren Michigan, Roswell New Mexico, Cincinnati Ohio, Akron Ohio, Florida, Dayton Ohio, Spokane Washington, San Antonio Texas, Utah, Dallas Texas, Chandler Arizona, Vancouver Washington, Layton Utah, St. Petersburg Florida, Syracuse New York, Bellevue Washington, Georgia, Madison Wisconsin, Caldwell Idaho, Idaho, Sioux City Iowa, Iowa City Iowa, Covington Kentucky, Columbus Georgia, Fort Worth Texas, New York, Orlando Florida, Wisconsin, Texas, Kearney Nebraska, Santa Fe New Mexico, Grand Rapids Michigan, Seattle Washington, Kenosha Wisconsin, Provo Utah, Louisville Kentucky, Ann Arbor Michigan, Tacoma Washington, Idaho Falls Idaho, Nebraska, Augusta Georgia, Davenport Iowa, Cedar Rapids Iowa, Cleveland Ohio, Buffalo New York, Rochester New York, Yonkers New York, West Valley City Utah, Tucson Arizona, Mesa Arizona, Owensboro Kentucky, Nampa Idaho, Kentucky, Bellevue Nebraska, Racine Wisconsin, Iowa, Boise Idaho, Des Moines Iowa, Sterling Heights Michigan, Michigan, Phoenix Arizona, Tampa Florida, Albuquerque New Mexico, Lexington-Fayette Kentucky, Savannah Georgia, Meridian Idaho, New Mexico, Columbus Ohio, Miami Florida, Green Bay Wisconsin, Macon Georgia, Detroit Michigan, Bowling Green Kentucky, Washington, Rio Rancho New Mexico, Grand Island Nebraska, New York New York, Omaha Nebraska, Houston Texas, Orem Utah, Atlanta Georgia, Salt Lake City Utah, Scottsdale Arizona, Lincoln Nebraska, Austin Texas, Las Cruces New Mexico, Milwaukee Wisconsin, Jacksonville Florida 01/07/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs