ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT
Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.
VP, Network Performance & Effectiveness
Molina HealthcareAZ, United States; Arizona; Owensboro, Kentucky; West Valley City, Utah; Sioux City, Iowa; Sterling Heights, Michigan; Texas; Chandler, Arizona; Dallas, Texas; Georgia; Florida; Nebraska; Rochester, New York; Davenport, Iowa; Vancouver, Washington; Bellevue, Washington; Bellevue, Nebraska; Bowling Green, Kentucky; San Antonio, Texas; Phoenix, Arizona; Las Cruces, New Mexico; Grand Rapids, Michigan; Buffalo, New York; Covington, Kentucky; Utah; Kenosha, Wisconsin; New York; Tucson, Arizona; Yonkers, New York; Green Bay, Wisconsin; Omaha, Nebraska; Macon, Georgia; Scottsdale, Arizona; Akron, Ohio; Santa Fe, New Mexico; Savannah, Georgia; Nampa, Idaho; Albuquerque, New Mexico; Ohio; Warren, Michigan; Michigan; Des Moines, Iowa; Columbus, Georgia; Kearney, Nebraska; Augusta, Georgia; Everett, Washington; Orem, Utah; Salt Lake City, Utah; Meridian, Idaho; Washington; Miami, Florida; Detroit, Michigan; Provo, Utah; Racine, Wisconsin; Albany, New York; Cleveland, Ohio; Madison, Wisconsin; Tacoma, Washington; Wisconsin; Rio Rancho, New Mexico; St. Petersburg, Florida; Jacksonville, Florida; Caldwell, Idaho; Boise, Idaho; Tampa, Florida; Iowa; New Mexico; Atlanta, Georgia; Spokane, Washington; Lincoln, Nebraska; Syracuse, New York; Idaho; Louisville, Kentucky; Kentucky; Grand Island, Nebraska; Dayton, Ohio; Layton, Utah; Lexington-Fayette, Kentucky; Mesa, Arizona; Cincinnati, Ohio; Fort Worth, Texas; Columbus, Ohio; Roswell, New Mexico; Cedar Rapids, Iowa; Orlando, Florida; Idaho Falls, Idaho; Milwaukee, Wisconsin; Ann Arbor, Michigan; Iowa City, Iowa; Houston, Texas; Austin, Texas Job ID 2034544
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.
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 10/23/2025Job Alerts
Sign up to receive automatic notices when jobs that match your interests are posted.
OPEN FORM