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Hospice Patient Care RN Manager
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Kokomo, IN
…delivery of high-quality, compliant hospice services. This leadership role involves managing clinical operations, coordinating care, and developing staff to uphold the highest standards of…
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Hospice RN Administrator II
Gentiva Hospice
Jacksonville, FL
We have an exciting and rewarding opportunity for a RN Hospice Administrator to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership…
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Senior Hospice Patient Care Team Manager
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Raleigh, NC
Leadership experience in clinical supervision or program management
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BM
Therapist
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San Rafael, CA
- $104,000 to $124,800 USD / year
The ideal candidate will bring strong leadership skills and a passion for supporting individuals on their mental health and recovery journeys. This position plays a key role in guiding…
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RN Manager - ECT Program
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West Bloomfield, MI
…monitoring and supervising the effective and efficient use of the operations of nursing for assigned units. Oversees the delivery of behavioral health/nursing services in a positive,…
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Director - Outpatient Services
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Riverdale, GA
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YO
Child Watch Lead - Oceanside
YMCA of San Diego County
Oceanside, CA
- $18.25 to $20.41 USD / hour
Able to provide leadership and stability for program continuity
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YO
Gymnastics Coordinator - Mission Valley
YMCA of San Diego County
San Diego, CA
- $22.64 to $27.17 USD / hour
…managing key operational areas and delivering high-quality program. This position is responsible for ensuring the effective execution of gymnastics classes and team practices for children,…
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Director -Outpatient Services
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Memphis, TN
Oversee day-to-day operations and clinical program for PHP and IOP services, including occasional facilitation of groups
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Career Day in Los Angeles, CA!
Community Choice Financial Family of Brands
Los Angeles, CA
Enrollment in a Key Holder Program designed to establish and enhance leadership potential for promotion.
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Career Day in D'Lberville, MS!
Community Choice Financial Family of Brands
D'Iberville, MS
Enrollment in a Key Holder Program designed to establish and enhance leadership potential for promotion.
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Career Day in Memphis, TN!
Community Choice Financial Family of Brands
Cordova, TN
Enrollment in a Key Holder Program designed to establish and enhance leadership potential for promotion.
Added 1 min ago
Career Day in Hays, KS!
Community Choice Financial Family of Brands
Hays, KS
Enrollment in a Key Holder Program designed to establish and enhance leadership potential for promotion.
Added 1 min ago
Career Day in Arnold, MO!
Community Choice Financial Family of Brands
Arnold, MO
Enrollment in a Key Holder Program designed to establish and enhance leadership potential for promotion.
Added 1 min ago
Career Day in Jackson, TN!
Community Choice Financial Family of Brands
Jackson, TN
Enrollment in a Key Holder Program designed to establish and enhance leadership potential for promotion.
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Sourcing NPD Program Manager (Spector)
Veeco
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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Director Clinical Services
North Port Behavioral Health
North Port, FL
Oversee day-to-day clinical operations, including budget management, developing marketing and strategic plans and independent decision making for program requiring clinical expertise
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Platform Product Manager
Navitus Health Solutions, LLC
Remote, United States
…products, clients, and business units. Operating across product, operations, clinical, data, market strategy, sales enablement, and client-facing teams, the position leads a…
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Sr. Account Executive
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Manager-Nurse LPN
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Millerton, PA
…become dependent upon alcohol or other drugs. Our residential program is an optimal healing environment for individuals age 18 and older who have been dealing with all forms of addiction,…
Added 1 min ago
JA
Program Operations Lead
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- $149,900 to $254,800 USD / year
As the Program Operations Lead, you will work closely with the J208 Program Lead. In this multi-faceted leadership role, you will bridge the gap between technical program execution, fiscal…
Added 1 min ago
Director Clinical Services
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Springfield, MO
Oversee day-to-day clinical operations, including budget management, developing marketing and strategic plans and independent decision making for program requiring clinical expertise
Added 1 min ago
Fleet Maintenance Manager
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DEKALB, IL
…Mechanics in an aggressive quality preventative maintenance repair program, including the maintenance of large/heavy duty vehicles, and other equipment to ensure a safe and efficient…
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Fleet Maintenance Manager
Amerit Fleet Solutions
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…Mechanics in an aggressive quality preventative maintenance repair program, including the maintenance of heavy duty trucks vehicles, and other equipment to ensure a safe and efficient…
Added 1 min ago
Director, Strategic Finance & Customer Pricing
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…formula-based or promotionalpricing, you (in tandem with our Sales and Operations organizations) will develop customer-specific pricingstrategies that account for fleet complexity, service…

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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