Director of Value-Based Programs (Remote)

Molina Healthcare; United States; On-site; USD 87,568 - 189,732; Full time

Job summary

Molina Healthcare is seeking a senior leader to drive value-based programs and risk-adjusted strategies across Medicaid, Medicare, and Marketplace lines. You will design annual plans by state, oversee VBP contracts, and coordinate with health plans to meet financial goals.

The role requires deep managed care experience, leadership capability, and the ability to influence across a matrix organization while delivering results and maintaining regulatory compliance.

Qualifications

• At least 8 years of managed care experience, including value-based programs.
• Experience leading value-based program and contract design for government-sponsored programs.
• Strong knowledge of risk adjustment models and quality metrics.
• Excellent verbal and written communication with senior leadership.

Responsibilities

• Design and implement strategies to improve value-based initiatives and risk adjustment revenue.
• Lead primary owner of value-based programs and contracts across states and lines of business.
• Identify providers for value-based care contracts and develop contract terms and targets.
• Collaborate with risk adjustment to align contracting with program strategy.
• Present performance to senior leadership and monitor contract execution.

Skills

Leadership

Strategic thinking

Communication

Cross-functional collaboration

Education

Bachelor's degree in health administration or related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a senior leader to drive value-based programs and risk-adjusted strategies across Medicaid, Medicare, and Marketplace lines. You will design annual plans by state, oversee VBP contracts, and coordinate with health plans to meet financial goals.

The role requires deep managed care experience, leadership capability, and the ability to influence across a matrix organization while delivering results and maintaining regulatory compliance.