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

Lensa; Jacksonville (FL); Remote; USD 100,000 - 140,000; Full time

Job summary

A leading company in healthcare is seeking a Program Director for Provider Data Operations. This remote role involves managing complex projects and programs, requiring strong leadership and communication skills. The ideal candidate will have extensive experience in project management and a solid understanding of Medicaid and State Master Files, ensuring compliance and successful implementation.

Qualifications

• 7-9 years of experience required; 10+ years Provider Data Operations experience preferred.
• Experience with State Master Files is essential.
• Certifications such as PMP, Lean Six Sigma, or ITIL are preferred.

Responsibilities

• Manage programs using staff and matrixed resources.
• Serve as industry Subject Matter Expert.
• Develop business case methodologies and coordinate business strategies.

Skills

Leadership

Communication

Governance

Project Management

Portfolio Management

Advanced Excel

Education

Bachelor's degree or equivalent

Graduate degree preferred

Tools

PMP

Lean Six Sigma

ITIL

Job description

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

This position involves managing internal business projects and programs involving cross-functional teams, delivering products from design to completion. Responsibilities include planning schedules, managing budgets, overseeing project execution, and engaging with external vendors as needed. The role requires senior-level program management expertise, including governance, leadership, and communication skills, with experience in portfolio and project management tools and methodologies.

Key Responsibilities:

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

Qualifications:

• Bachelor's degree or equivalent; graduate degree preferred
• 7-9 years of experience required; 10+ years Provider Data Operations experience preferred
• Experience with State Master Files and advanced Excel skills
• Certifications such as PMP, Lean Six Sigma, or ITIL are preferred