National Network Performance Director
Molina Healthcare of Illinois
***Remote and must live in the United States*** Job Description Job Summary Provides subject matter expertise for identifying, developing, and operationalizing scalable cost of care and network performance initiatives across the enterprise. Leads the end-to-end lifecycle from unvetted ideas through discovery and development, including defining payer-provider opportunities and quantifying plausible cost savings. Job Duties * Generate, curate, and prioritize early-stage ideas for cost and network improvement initiatives, balancing innovation with regulatory, compliance and operational constraints. * Lead structured discovery efforts – including data analysis, stakeholder input, and external benchmarking – to mature unvetted ideas into defined concepts, provider behavior change hypotheses, and credible cost-savings business cases with scorable action items (SAIs). * Partner with analytics, finance, clinical, and other cross-functional teams to ensure business cases and initiatives are credible, defensible, and aligned with enterprise standards. * Identify and monitor industry trends in health care cost, provider reimbursement, and utilization management, with a focus on implications for Medicare, Medicaid, Duals and Marketplace lines of business. * Serve as a bridge between corporate strategy and health plan execution, converting approved initiatives into clear, standardized playbooks that are adaptable to local market variation while preserving enterprise targets. * Present concepts, business cases, and playbooks to senior leadership and executive stakeholders, influencing prioritization, investment decisions, and rollout strategy. * Create and execute enterprise operational plans to deploy initiatives, leading market teams and health plans through execution, monitoring performance against forecasts, and iterating to amplify impact. * Provide end-to-end oversight of internal business projects and programs from initiation through delivery, ensuring adherence to scope, schedule, budget and structured design, analysis, and delivery practices; engage and oversee external vendors as needed. * Proactively identify implementation barriers, compliance considerations, and change management risks; establish and manage a disciplined issue escalation and resolution process to remove roadblocks and maintain momentum. * Support change management, communication planning, and stakeholder readiness to ensure successful adoption and sustained outcomes of delivered solutions. Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 7 years of experience in a Managed Care environment, or equivalent combination of relevant education and experience.- Provider network contracting and management experience.
- Critical-thinking, problem-solving and analytical skills.
- Ability to process corporate strategy and strategic priorities into a roadmap
- Excellent communication skills across all levels of leadership.
- Ability to collaborate across teams in a highly matrixed organization.
- Ability to build relationships, translate data into action and
$125.5k - $219k
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