Program Director (Provider Data Ops / Medicaid / State Master Files) - REMOTE

Lensa; Detroit (MI); Remote; USD 80,000 - 157,000; Full time

Job summary

A leading company in healthcare is seeking a Program Director to manage internal business projects and programs. This remote role requires strong leadership and project management skills, overseeing critical operational and strategic portfolios. The ideal candidate will have extensive experience in Provider Data Operations and relevant certifications, ensuring effective collaboration across teams and successful project delivery.

Qualifications

• 7-9 years of experience required, 10+ years preferred in Provider Data Operations.
• PMP, Lean Six Sigma, ITIL certifications preferred.
• Experience with State Master Files and large data sets.

Responsibilities

• Manage internal business projects and programs involving cross-functional teams.
• Oversee governance across operational and strategic project portfolios.
• Collaborate with corporate units and manage strategic relationships.

Skills

Analytical thinking

Decision-making

Influencing skills

Project management

Education

Bachelor's degree

Graduate degree

Tools

Portfolio management tools

Project management methodologies

Advanced Excel

Job description

Program Director (Provider Data Ops / Medicaid / State Master Files) - REMOTE

Job Summary

Responsible for managing internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. This role involves planning and directing schedules and project budgets, monitoring projects from inception through delivery, and overseeing work of external vendors as needed. The position primarily focuses on project/program management rather than specialized functional expertise, although technical team members may be involved. The Senior Program Management Professional will oversee governance across all operational and strategic project portfolios, requiring strong management and leadership skills, experience presenting to C-level executives, and proficiency with portfolio and project management tools and methodologies. The role demands quick information assimilation, decision-making, analytical thinking, influencing skills, and the ability to manage multiple priorities and ambiguity. Oversight of strategic and operational portfolios and management of strategic relationships with Corporate EPMO and IT are essential, along with issue escalation and resolution.

Knowledge/Skills/Abilities

• Manage programs using staff and matrixed resources with oversight from AVP and VP as needed
• Serve as industry Subject Matter Expert in the functional area and lead programs to meet critical needs
• Escalate gaps and barriers in implementation and compliance to senior management
• Develop business case methodologies and implement business strategies
• Collaborate with other units at corporate and Molina Plans

Job Qualifications

Required Education: Bachelor's degree or equivalent experience

Required Experience: 7-9 years

Preferred Education: Graduate degree or equivalent experience

Preferred Experience: 10+ years Provider Data Operations experience, experience with State Master Files, advanced Excel skills with large data sets

Preferred License, Certification, Association: PMP, Lean Six Sigma, ITIL delivery experience

Current Molina employees interested in applying should do so via the intranet. Molina Healthcare offers competitive benefits and is an EOE M/F/D/V.

Pay Range: $80,412 - $156,803 / ANNUAL (actual compensation may vary based on location, experience, education, and skills)