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RN Patient Care Manager Hospice
Gentiva Hospice
Hermantown, MN
We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure…
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Hospice Patient Care RN Manager
SouthernCare
Kokomo, IN
We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure…
Added 1 min ago
RN Manager - ECT Program
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West Bloomfield, MI
The RN Manager-ECT oversees outpatient ECT nursing operations, ensuring safe, high-quality, patient-centered care. Responsibilities include patient assessment, treatment planning, education…
Added 1 min ago
Director of Nursing (DON)
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Burns, TN
…physicians, and multidisciplinary teams to strengthen nursing operations, promote employee engagement, and deliver high-quality patient…
Added 1 min ago
Career Day in Los Angeles, CA!
Community Choice Financial Family of Brands
Los Angeles, CA
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added 1 min ago
Career Day in D'Lberville, MS!
Community Choice Financial Family of Brands
D'Iberville, MS
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
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Career Day in Memphis, TN!
Community Choice Financial Family of Brands
Cordova, TN
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
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Career Day in Hays, KS!
Community Choice Financial Family of Brands
Hays, KS
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
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Career Day in Arnold, MO!
Community Choice Financial Family of Brands
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We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added 1 min ago
Career Day in Jackson, TN!
Community Choice Financial Family of Brands
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We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added 1 min ago
Respiratory Therapy Manager
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The Respiratory Therapy Manager is responsible for the overall function and professional growth of the respiratory therapy department. You will provide consultation with regard to pulmonary…
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Director Facility Operations
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New Baltimore, MI
…Treatment Center is seeking a passionate Director of Facility Operations to work at our facility in New Baltimore,…
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Assistant Maintenance Manager
RPM Living
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Assume the responsibilities of the Maintenance Manager in their absence, ensuring the continuity of maintenance operations and decision-making
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Sourcing NPD Program Manager (Spector)
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Somerset, NJ
As Sourcing Program Manager, you will lead sourcing execution for complex product-development and manufacturing programs, connecting Engineering, Operations, Quality, Category Management,…
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Platform Product Manager
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Remote, United States
The Platform Product Manager establishes clear business ownership and decision rights, prioritizes investments based on customer, market, and enterprise value, and ensures platform…
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Assistant Maintenance Manager
RPM Living
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Assume the responsibilities of the Maintenance Manager in their absence, ensuring the continuity of maintenance operations and decision-making
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Manager-Nurse LPN
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Bradford Recovery; Inpatient Drug and Alcohol (short term) Rehabilitation Center seeking an organized, motivated LPN Nurse Manager to join our team!
Added 2 mins ago
Fleet Maintenance Manager
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…companies in the US, is looking to hire a skilled Fleet Maintenance Manager in the Chicago, IL area. The Fleet Manager is responsible for leading a team of Technicians and Mechanics in an…
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Fleet Maintenance Manager
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LT
Maintenance Technician Part Time
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Added 2 mins ago
Manager, Business Operations
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The Manager, Business Operations oversees and supports the organization's day-to-day operations. This person develops and implements policies and procedures that improve efficiency and…
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Senior Manager, Global Strategic Orchestration – Commercial IT
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Added 2 mins ago
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Production Controller II
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Added 3 mins ago
Key Account Manager
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Sr. Manager, Inside Sales
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Monitor, troubleshoot and improve area-of-control operations to ensure alignment to LiftMaster’s business direction, quality of business practices, optimum organizational performance and a…

Molina Talent Acquisition

Program Manager (Marketplace Network Strategy & Payment Optimization) REMOTE

United States

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Job details

Posting language: English
Posted: Nov 5, 2026

Original job description

JOB DESCRIPTION

Job Summary

This role serves as the program management and governance lead for key Marketplace Network Strategy initiatives. The Program Manager is responsible for creating structure, accountability, reporting, and cross-functional coordination for programs that support affordability, provider reimbursement optimization, and enterprise network strategy execution. The role acts as a business partner to Network Strategy leadership and helps ensure resources are focused on the highest-value opportunities.

Essential Job Duties

Oversees the design, implementation, delivery, and ongoing operations of respective business program(s) and services.
Supports end-to-end program delivery by establishing goals, scope, and success measures aligned with organizational priorities.
Develops and maintains governance frameworks to ensure consistent, compliant, and effective program management practices.
May oversee financial stewardship of program budgets - ensuring proper prioritization and alignment of resources to achieve desired outcomes.
Partners with executive sponsors and functional leaders to ensure program objectives are met and value is realized across business units.
Drives performance measurement and reporting, including dashboards, key performance indicators (KPIs), and post-implementation reviews to track outcomes and identify opportunities for continuous improvement.
Ensures well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program(s).
Collaborates with legal, compliance, information technology (IT), and other cross-functional teams to ensure governance standards are upheld.
Tracks performance metrics and ensures value realization from deployed solutions.
Coordinates recurring meetings to support governance framework and decision-making processes.
Oversees portfolio management and/or initiative-specific programmatic changes and project management.
Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices, etc.
Routinely reviews program collateral to ensure current and accurate reflection of business needs.
Promotes consistency in planning, communication, and execution across initiatives.
Champions organizational change management by ensuring effective stakeholder engagement, communication, and adoption of new processes or technologies.
Maintains and evolves program documentation, playbooks, and best practices to reflect current business needs and lessons learned.
Identifies opportunities/gaps and provides recommendations on program enhancements to applicable leaders.
Creates business requirements documents (BRDs), test plans, requirements traceability matrices, user training materials and other related documentation.
Generates and distributes required business/programmatic reporting.
Facilitates special functional/departmental projects.
May provide specialized training and support to new and existing staff as needed.

Required Qualifications

At least 5 years of progressive program and/or project management experience, with increasing levels of responsibility in a complex, matrixed organization, or equivalent combination of relevant education and experience.
Experience leading medium-scale or multi-functional programs within healthcare, managed care, or a similar regulated environment.
Operational process improvement and change management experience.
Project management experience/skills.
Data analysis skills/experience.
Strong organizational and time-management skills.
Proven ability to manage multiple projects simultaneously with competing priorities.
Experience managing budgets and resource plans for business/strategic initiatives.
Ability to work cross-collaboratively across a highly matrixed organization.
Strong verbal/written/presentation communication skills, and ability to influence at all levels of the organization.
Advanced Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.

Preferred Qualifications

Project Management Professional (PMP), Six Sigma Green Belt and/or Black Belt certification.
Health care/managed care experience.
Experience leading complex, cross-functional healthcare initiatives involving Provider Contracting, Claims, Finance, Operations, and • • Network Management teams.
Knowledge of provider reimbursement methodologies, fee schedule development, healthcare payment models, and medical cost optimization strategies.
Experience supporting health plan network strategy, provider negotiations, affordability initiatives, or payment integrity programs.
Demonstrated ability to develop governance frameworks, executive reporting, risk mitigation plans, and stakeholder communication strategies for enterprise programs.
Experience managing external vendor relationships and consulting partnerships within a healthcare or managed care environment.
Experience with Marketplace, Commercial, Medicare, or Medicaid health plan operations and provider network management preferred.

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

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