Job Details

Program Director, Value-Based Care - REMOTE at Molina Healthcare in Nampa, Idaho, United States Job Description Job Description Job Summary Provides subject matter expertise for the design and implementation of value-based care programs across Medicaid, Medicare, and Marketplace populations, ensuring alignment with clinical, quality and financial goals. Job Duties + Leads the end-to-end design of value-based care programs that are responsive to market needs and tailored for Medicaid, Medicare, and Marketplace populations. + Develops contracting frameworks that are inclusive and attractive to a broad array of provider types, including Federally Qualified Health Centers, behavioral health providers, Long-Term Services and Support agencies, and hospital systems. + Integrates social determinants of health and health equity principles into Value-Based Contracting models to optimize health outcomes for underserved populations. + Analyzes industry trends, health plan and provider performance data, and regulatory developments to inform innovative and compliant value-based contracting designs. + Serves as the primary architect for the organizations value-based contracting strategy in all RFP submissions, aligning with business objectives and differentiating the organization in competitive procurements. + Collaborates with cross-functional stakeholders to ensure program alignment with clinical models of care, quality strategies, and organizational goals. + Establishes metrics and monitoring plans to track program performance, and iterate designs based on provider feedback, market dynamics, and population health needs. + Acts as a subject matter expert and thought leader, representing the organization in external forums, conferences, and stakeholder meetings. Job Qualifications REQUIRED QUALIFICATIONS: + At least 8 years of experience in Healthcare Administration, Managed Care, and/or Provider Network Management and Operations with an emphasis on value-based care and/or population health. + Excellent and clear written and verbal communication skills. + Strong leadership and cross-functional collaboration capabilities. + Analytical and strategic thinking skills; ability to use data to drive decision-making. + Proficiency in Microsoft Office Suite. 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: $97,299 - $227,679 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. To view full details and how to apply, please login or create a Job Seeker account