AVP, Medicare Duals Optimization (REMOTE)

Molina Healthcare • Phoenix, AZ • 6h ago

Job Description

Job Summary

Provides leadership to a team that is responsible for strategy, process improvements, and operational support to advance the goals and objectives of the Integrated Duals program. Supports integrated duals product development in collaboration with enterprise and health plan teams. Supports integrated teams in continual process improvement, identifying opportunities, driving projects and implementation efforts around enhanced/new processes. Partners with health plans and other enterprise teams to effectively manage and implement integrated dual products. Supports Go-To market planning for integrated duals. In partnership with other members of the Office of Duals, members of the market leadership team, responsible for optimizing operational departments, programs, and services in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state, and local regulatory requirements.

Job Duties

Supports strategy development, vision and direction for integrated duals overall business and strategic objectives.

Serves as a duals SME for enterprise and health plan teams in developing Go-To market strategies.

Leads and supports integrated duals product development and benefit strategy for markets.

Supports development of duals specific training.

Coordinates accountabilities between duals office and markets to drive operational performance.

Coordinates accountabilities between duals office and shared service to drive compliance and efficiency as well as provide oversight, including service level agreements.

Collaborates with Medicaid business development and market leadership on mutual growth opportunities.

Works with senior management to mitigate risk and develop/implement improvements for all operational areas that impact duals performance.

Collaborates with compliance to ensure appropriate oversight/internal audits; develop leading indicators and alerts for all key operational metrics.

Directs analytical activities to identify trends and potential opportunities.

Formulate and implement business plans, tactics, and strategies to provide for efficient, effective, and compliant operations to meet short-term objectives/obligations and ensure long term growth and success.

Works with Legal Affairs to assess and provide analyses for proposed changes to Medicare, and other government-sponsored healthcare program contracts, governing regulations and new legislation and policy requirements.

Directs managers and/or directors of specific functional areas as assigned.

Serves as Chief of Staff for Duals Leader.

Job Qualifications

REQUIRED QUALIFICATIONS:

At least 10 years' experience in Managed Care, specifically government programs and/or Medicare/Duals Health Plan Operations or equivalent combination of education and experience.

Strong leadership in a matrixed environment

Demonstrated adaptability and flexibility to a rapidly moving business environment.

Background analyzing technical performance and driving teams to improvement via direct management and oversight.

Strong proficiency in MS Office Tools, particularly PowerPoint and Excel.

PREFERRED QUALIFICATIONS:

Experience with Medicare SNP Plans.

Experience with continuous process improvement strategies

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $140,795 - $274,550 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Sr Manager, Supply Chain Operations

West Pharmaceutical Services • Tempe, AZ • 57min ago

Management & Administrative

Sr Manager, Supply Chain Operations Requisition ID: 71377 Date: Sep 8, 2025 Location: Tempe, Arizona, US Department: Supply Chain Description: At West, we're a dedicated team that is connected by a purpose to improve pat...

57min ago

Go to Apply

Clinical Quality Operations Manager - Remote

Merck • Phoenix, AZ • 1h ago

Hospital & Medical

Job Description In partnership with the Clinical Quality Operations Lead (CQOL and Head of CQO, the CQOM is accountable for the execution of operational quality activities within the assigned therapeutic area. This inclu...

1h ago

Go to Apply

Market Supervisor

MarketSource • Peoria, AZ • 1h ago

131328BRTitle:Market SupervisorJob Description:Market Supervisor MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed sales solutions for enterprise customers. MarketSource provides the u...

1h ago

Go to Apply

Graphic Designer II

Branded Bills • Tempe • 2h ago

Position: Graphic Designer II Department: Marketing Report To: Sr. Designer Employment Type: Full-Time / In House Job Summary: As a Graphic Designer II at Branded Bills, you will help bring the vision of Branded Bills to...

2h ago

Go to Apply

Dental Assistant

Elegant Dentistry • Sun City West • 2h ago

Hospital & Medical

Job Posting: Dental Assistant at Elegant Dentistry Job Description Elegant Dentistry, a leader in providing top-notch dental care, is excited to announce the availability of a full-time position within our dedicated team...

2h ago

Go to Apply

Experienced Dental Consultant

The Dental A Team • Phoenix • 2h ago

Hospital & Medical

Do you have a passion to positively impact Dentistry? AND Dental Consulting Experience?! .... We're growing our consultant team and The Dental A Team is excited to announce an opening for a business focused, experienced...

2h ago

Go to Apply

Dental Consultant

The Dental A Team • Phoenix • 2h ago

Hospital & Medical

Do you have a passion for helping Dentists + Teams reach their dreams? Are you an experienced Dental Consultant or Dental Business Coach looking for a fun, engaging culture?! YES?! ... You've found your people! The Denta...

2h ago

Go to Apply

Senior Commercial Banking Portfolio Manager

Wells Fargo • Chandler, AZ • 2h ago

Finance, Accounting & Banking

About this role: Wells Fargo is seeking a Commercial Banking Portfolio Manager. This position is responsible for credit portfolio management to meet the long-term financial objectives and risk tolerance for commercial ba...

2h ago

Go to Apply

Banking, Capital Markets Strategy - Manager/Senior Manager

Accenture • Scottsdale, AZ • 2h ago

Finance, Accounting & Banking

Why Accenture Strategy? In the world of strategy today, it is about the future, and in the future, digital technology is disrupting competitive landscapes and creating new opportunities for almost every organization. Thi...

2h ago

Go to Apply

Commercial Banking Portfolio Manager

Wells Fargo • Chandler, AZ • 2h ago

Finance, Accounting & Banking

About this role: Wells Fargo is seeking a Commercial Banking Portfolio Manager covering Government Banking at Wells Fargo as part of the Centralized Government Credit Execution Team. This team covers a national portfolio...

2h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.