Molina Healthcare · 18 hours ago
Program Director – Strategy & Performance – Remote
United States
Full-time
Remote
Director/Executive
7+ years expMolina Healthcare is seeking a Program Director for their Clinical Data Acquisition team to lead enterprise level programs and initiatives. This role involves overseeing the planning, execution, and optimization of clinical data retrieval and provider engagement programs, ensuring compliance with CMS and State requirements.
Health CareHospitalMedical
Responsibilities
Leads the strategic planning, execution, and delivery of clinical data acquisition programs supporting enterprise Risk Adjustment goals and regulatory obligations
Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs
Escalates gaps and barriers in implementation and compliance to AVP and Director as appropriate
Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy
Develops and maintains comprehensive project plans, charters, roadmaps, and performance dashboards for multiple concurrent initiatives
Ensures accurate, compliant, and timely delivery of data for Risk Adjustment initiatives across Medicare, Medicaid, and Marketplace lines of business
Partners with operational and technical teams to enhance data workflows, improve retrieval efficiency, and streamline provider facing processes
Supports the development and rollout of provider education strategies and materials related to documentation, data submission, and risk adjustment accuracy
Aides in developing provider facing and internal communication materials, including marketing collateral, education content, and informational guides
Ensures transparency and consistency in project reporting, escalation pathways, and stakeholder communication plans
Identifies opportunities for workflow enhancement, automation, and process redesign within clinical data acquisition
Applies structured project management, change management, and continuous improvement methodologies
Extensive expertise in project and program management, including governance, risk management, and portfolio management frameworks
Strong leadership and influencing skills with ability to motivate cross functional teams and drive outcomes in complex environments
Deep understanding of CMS & State risk adjustment and Quality programs, medical record retrieval workflows, and clinical documentation principles
Ability to manage competing priorities, large scale initiatives, and ambiguity in a fast paced environment
Qualification
Required
Bachelor's degree or equivalent combination of education and experience
7-9 years
Preferred
Graduate Degree or equivalent combination of education and experience
10+ years
CPHQ
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-17
Company data provided by crunchbase