• Job Description

  Req#: 2032928

  Job Description

  
  Job Summary

  Provides subject matter expertise for the design and implementation of value-based care programs across Medicaid, Medicare, and Marketplace populations, ensuring alignment with clinical, quality and financial goals.

  Job Duties

  • Leads the end-to-end design of value-based care programs that are responsive to market needs and tailored for Medicaid, Medicare, and Marketplace populations.
  • Develops contracting frameworks that are inclusive and attractive to a broad array of provider types, including Federally Qualified Health Centers, behavioral health providers, Long-Term Services and Support agencies, and hospital systems.
  • Integrates social determinants of health and health equity principles into Value-Based Contracting models to optimize health outcomes for underserved populations.
  • Analyzes industry trends, health plan and provider performance data, and regulatory developments to inform innovative and compliant value-based contracting designs.
  • Serves as the primary architect for the organization’s value-based contracting strategy in all RFP submissions, aligning with business objectives and differentiating the organization in competitive procurements.
  • Collaborates with cross-functional stakeholders to ensure program alignment with clinical models of care, quality strategies, and organizational goals.
  • Establishes metrics and monitoring plans to track program performance, and iterate designs based on provider feedback, market dynamics, and population health needs.
  • Acts as a subject matter expert and thought leader, representing the organization in external forums, conferences, and stakeholder meetings.

  Job Qualifications

  REQUIRED QUALIFICATIONS:

  • At least 8 years of experience in Healthcare Administration, Managed Care, and/or Provider Network Management and Operations with an emphasis on value-based care and/or population health.
  • Excellent and clear written and verbal communication skills.
  • Strong leadership and cross-functional collaboration capabilities.
  • Analytical and strategic thinking skills; ability to use data to drive decision-making.
  • Proficiency in Microsoft Office Suite.

  To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
  
  Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

• About the company

  Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.

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