Job Summary
As a project subject matter expert, the AVP is a strategic thought partner and leader in the successful development and implementation of new programs, with a primary focus on behavioral health, and initiatives in collaboration with the health plan, providers and various stakeholders across the Commonwealth. This position delivers strategic planning, project management, and process improvement services to customers across the organization.
Knowledge/Skills/Abilities
. Leads and oversees portfolio of programs and projects, including resourcing, to deliver against the plan; ensures scope, schedule, and objectives are defined and delivered
. Accountable for ensuring markets and shared service partners are compliant with federal and regulatory mandates and guidance
. Leads, directs, and oversees the implementation and launch of new programs and initiatives in collaboration with health plan and shared service partners, ensuring deadlines are met on schedule and within budget
. Oversees all aspects of program management; creates clear program governance and defines escalation paths for resolution of decisions, risks and issues
. Conducts long-term planning and leads complex cross-functional programs and engagements that contribute to the strategic direction of the business
. Identifies and implements process improvements and efficiencies
. Leads and develops a high-performing team, providing on-going feedback, developing technical capabilities, and fostering a culture of continual learning and business improvement
. Leads the team in achieving high levels of operational consistency by participating in monthly Operations meetings with regional plan management
. Offers insight into product performance across functional areas that include operations, quality, and risk adjustment
Job Qualifications
REQUIRED EDUCATION:
Bachelor's degree
REQUIRED EXPERIENCE:
. 10+ Years in managed care, healthcare consulting, or experience in membership-based programs
. 10+ years of experience in behavioral health systems, including the development and deployment of new programs and initiatives.
. 7+ years of program and project management experience
. 5+ years proven knowledge of Government-sponsored healthcare (Medicaid/Medicare)
. Deep knowledge of the Virginia behavioral health system and an established network with agency leaders (DBHDS, DMAS, VDH) and BH providers (both public and private)
. Experience working within, or as a contractor to, government agencies and/or regulatory bodies and interpreting state regulatory code.Experience with the design of value-based care and alternative payment methodologies.
. Demonstrated ability to drive large-scale initiatives within a complex and geographically dispersed organization
. Ability to present strategies and goals in an inspirational manner to large cross-functional teams
. Ability to adapt approach quickly and easily
. Ability to make sound decisions in ambiguous or difficult situations, synthesizing information from multiple sources and using it for effective decision-making
. Strong interpersonal, organizational, and communication skills (written & verbal)
. Demonstrated strong performance management and people development skills
PREFERRED EDUCATION:
MBA or Masters preferred
Behavioral Health Clinical License (LCSW, LPCC, LP, RN)
PREFERRED EXPERIENCE:
Experience with Agile or Lean Six Sigma methodologies a plus
PHYSICAL DEMANDS:
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
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.
Pay Range: $122,430.44 - $238,739.35 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
