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Program Director, Quality Incentives

Molina Healthcare - Miami, FL

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Job Description

Job Description Job Summary Molina Risk & Quality Solutions (RQS) works with health plan risk & quality leaders to support implementation of best practices for optimal performance. The Program Director, RQS HP Engagement ensures that all RQS action plans are complete, accurate and reflect the needs and path to performance goals. Knowledge/Skills/Abilities u2022 Manages 5-7 state health plans using all areas of RQS staff with oversight from AVP as needed. u2022 May supervise one or more Program Managers. u2022 Serves as industry subject matter expert in the functional areas within RQS and leads programs to meet critical needs. u2022 Escalates gaps and barriers in implementation and compliance to leadership. Partners with the Execution team for resolutions and barrier removal impeding Health Plan execution. u2022 Acts in a consultative role, supporting development of business case methodologies for incremental programs. Develops and coordinates implementation of business strategy. u2022 Collaborates and facilitates activities with other units at corporate and Molina Plans. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in Healthcare-related field (equivalent combination of education and experience will be considered in lieu of Bachelor's Degree). REQUIRED EXPERIENCE: u2022 7+ years managed healthcare experience with proven relationship management responsibilities u2022 Proven experience in risk adjustment, quality, and provider engagement. u2022 Demonstrated ability to lead and influence cross-functional teams u2022 Excellent communication and presentation skills, communicating to all levels within the organization u2022 Operational and process improvement experience PREFERRED EDUCATION: Masteru2019s degree in Business, Health Administration or related field. PREFERRED EXPERIENCE: 10+ years managed care experience specifically within Risk Adjustment and/or Quality 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. #PJCorp #LI-AC1 Pay Range: $88,453 - $206,981 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2025-10-10

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