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Program Director, Healthcare Services (Population Health & EPSDT - Kentucky)

Passport Health Plan by Molina Healthcare

Louisville, Kentucky; Lexington-Fayette, Kentucky

Job ID 2036841

Apply now

Overview

Passport Health Plan by Molina Healthcare has a mission to provide quality health care to those who need it, no matter their circumstances. Today, Molina health plans serve 3,331,000 members across the country through government-funded programs. Each day, we work to earn the trust our partners and members put in us, so they can lean on Molina. Together, Passport Health Plan and Molina share a commitment to improving the health and quality of life of our members across the Commonwealth of Kentucky.

Experienced professionals and new grads are encouraged to apply.

Full Time
Level: Mid-Level
Travel: Yes

Success Profile

What makes you successful at Passport Health Plan by Molina Healthcare? Check out the traits we’re looking for and see if you're the right fit!

Compassionate
Consultive
Patient
Problem-Solver
Sincere
Relationship Expertise

BENEFITS

Insurance

Medical · Dental · Vision Group & Voluntary Life Insurance Aflac · Pet Health · Identity Theft Auto & Home Insurance
Savings

Flexible Spending Accounts 401K · Roth 401K Employee Stock Purchase Plan
Career Growth

Continuing Education Units Education Reimbursement
Time Off

Paid Time Off Volunteer Time Off Company Holidays
Additional Benefits

Legal Assistance Plan Employee Assistance & Well Being Programs Employee Perks Platform Rideshare Portal

RESPONSIBILITIES

JOB DESCRIPTION Job Summary

Provides senior level subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Manages one or more healthcare services clinical programs - leveraging staff and matrixed resources with oversight from health care services leadership as needed.

• Serves as industry subject matter expert in designated functional area(s), and leads program(s) to meet business needs and requirements.

• Escalates gaps and barriers in implementation and compliance to healthcare services leadership.

• Develops business case methodologies for programs and coordinates implementation of business strategies.

• Creates business requirement documents (BRDs), test plans, requirement traceability matrices (RTMs), user training materials and other related business documents and presentations.
• Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.

• May engage and oversee the work of external vendors.

• Focuses on process improvement, organizational change management, program management and other processes relative to business needs.

• Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
• Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.

• Collaborates and facilitates activities with other business functions and within the enterprise.

Required Qualifications

• At least 8 years of health care experience, including experience in managed care and/or clinical operations, or equivalent combination of relevant education and experience.
• Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• Strong analytical and problem-solving skills.
• Strong organizational and time-management skills.
• Ability to work in a cross-functional, professional environment.
• Experience working within applicable state, federal, and third-party regulations.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

Preferred Qualifications

• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
• Operational and process improvement experience.
• Medicaid/Medicare population experience.
• Clinical experience.
• Leadership experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $84,031 - $172,483.8 / 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 04/13/2026