Jobs in the United States

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Added 1 min ago
IT Platform Engineer Senior
University of Maryland College Park (UMCP)
United States
This position is available within the University of Maryland’s Division of Information Technology (DIT).
Added 3 mins ago
Sr. Software Product Manager, myQ (Remote)
The Chamberlain Group LLC
Remote, United States
…or more products in our portfolio to deliver a best-in-class software experience and achieve and surpass goals and business objectives, including user acquisition, engagement, retention,…
Added 3 mins ago
Application Developer - eBusiness
The Chamberlain Group LLC
Oak Brook, IL
Create deliverables according to the Software Development Lifecycle such as functional and technical specifications, user stories, acceptance criteria, test cases, and system documentation.
Added 4 mins ago
Technical Project Manager – Battery Energy Systems
Akasol Inc.
Auburn Hills, MI
We are seeking a Technical Project Manager to lead the battery system development projects from concept through production launch. This role serves as the lead integrator across…
Added 4 mins ago
Technical Trainer (Employee Development Trainer)
DC
Decatur, GA
…materials to increase awareness of and participation in employee development programs; prepares flyers, brochures, emails, etc.; makes presentations to various departments as requested; and…
Added 6 mins ago
Senior Digital Product Manager (Ecommerce)
GCI
Anchorage, AK · AK
…features and requirements in collaboration with Application Technology teams. Works in close alignment with the Digital Product Manager overseeing self-service…
Added 13 mins ago
Human Resources Generalist
Marin City Health and Wellness Center
San Rafael, CA
End-user technology skills a plus with HR software and platforms.
Added 15 mins ago
Regional Integration Manager L3
Cherokee Federal
Washington, DC
Identify and direct resolution of complex hardware/software interface issues; subject matter expert on emerging technologies; direct the development of systems specifications and technical…
Added 15 mins ago
Mechanical Robotics Engineer
American Woodmark
Lincolnton, NC
…equipment, PLC controls, machine vision, and manufacturing technology while supporting continuous improvement, safety, quality, and productivity…
Added 15 mins ago
Operations & Vendor Specialist
Fleetrock, LLC
Quakertown, PA
Build your Future with Fleetrock:At Fleetrock, we're building the future of fleet maintenance. Our cloud-based software platform combines an industry-leading user experience, advanced…
Added 16 mins ago
CC
Dietary Lead - Full Time - Rotating Shifts (Please Review Posting) - Every Other Weekend and Holiday Rotation - Newark Campus
Christiana Care Health Services, Inc.
United States
- $19.48 to $28.24 USD / hour
- Full-time
Manager shifts – 6:30am-5pm; 9am-7:30pm; 11am-9:30pm
Added 16 mins ago
Engineering Manager, Data Analytics Practice
Duke Careers
Durham, NC
The Office of Information Technology at Duke University is seeking an experienced Engineering Manager, Data Analytics Practice to lead a team responsible for building and supporting…
Added 16 mins ago
Director of Information Technology, Kersten Institute
University of Chicago
Chicago, IL
The Director of Information Technology leads technology operations, information security, and research computing support for the Kersten Institute for Urban Education, a research institute…
Added 17 mins ago
IT Project Manager
SAIC
Arlington, VA
The IT Project Manager will utilize project management and technical skills to manage projects throughout the project lifecycle, work with clients to understand their business initiatives…
Added 18 mins ago
Business Development - Accounting Advisory Services
BDO USA Experienced
United States
The Senior Manager, Accounting Advisory Services is responsible for overseeing client and candidate generation nationally and supporting overall direction and oversight for the Practice,…
Added 18 mins ago
Tax Manager, International Tax Services
BDO USA Experienced
Charlotte, NC · Miami, FL · Jacksonville, FL · Raleigh, NC · Tampa, FL
An Tax Manager, International Tax Services is responsible for advising multinational clients in a large variety of industries of the tax implications relating to their business objectives,…
Added 18 mins ago
Tax Manager, International Tax Services
BDO USA Experienced
Atlanta, GA
An Tax Manager, International Tax Services is responsible for advising multinational clients in a large variety of industries of the tax implications relating to their business objectives,…
Added 18 mins ago
Tax Senior Manager, International Tax Services
BDO USA Experienced
Charlotte, NC · Miami, FL · Jacksonville, FL · Tampa, FL · Raleigh, NC
A Tax Senior Manager, International Tax Services is responsible for advising clients of the tax implications relating to their business objectives, recommending alternate courses of action,…
Added 18 mins ago
Tax Senior Manager, International Tax Services
BDO USA Experienced
Atlanta, GA
A Tax Senior Manager, International Tax Services is responsible for advising clients of the tax implications relating to their business objectives, recommending alternate courses of action,…
Added 18 mins ago
Tax Experienced Manager, State and Local Tax
BDO USA Experienced
Cleveland, OH
A Tax Experienced Manager, State and Local Tax is responsible for advising clients of the tax implications relating to their business objectives, recommending alternate courses of action,…
Added 18 mins ago
Assurance Experienced Senior
BDO USA Experienced
Atlanta, GA
As Auditor in charge is responsible to the engagement manager for the day-to-day conduct of the audit work and in particular for ensuring that the field work is executed and completed as…
Added 18 mins ago
Senior Manager, Management Consulting
BDO USA Experienced
Houston, TX
The Management Consulting Senior Manager is responsible for planning, organizing and developing business for the HR consulting practice. This position is responsible for bringing in…
Added 18 mins ago
Assurance Experienced Senior
BDO USA Experienced
Raleigh, NC
As Auditor in charge is responsible to the engagement manager for the day-to-day conduct of the audit work and in particular for ensuring that the field work is executed and completed as…
Added 18 mins ago
Tax Manager, Core Tax Services
BDO USA Experienced
Houston, TX
The Tax Manager, Core Tax Services is responsible for advising clients on the tax implications of their business objectives, evaluating and selecting alternative actions to lessen tax…
Added 18 mins ago
Tax Senior Manager, State and Local Tax
BDO USA Experienced
San Francisco, CA · Phoenix, AZ · Seattle, WA · Salt Lake City, UT · Denver, CO · Los Angeles, CA
A Tax Senior Manager, State and Local Tax is responsible for advising clients of the tax implications relating to their business objectives, recommending alternate courses of action, as…

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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