Plan President – Mississippi – (Jackson, Mississippi, United States)

Job Description

Job Summary
 

Molina Health Plan Operational Leadership roles provide overall direction and administration of the Plan’s operational departments, programs, and services.

Responsibilities include implementing programs that are in alignment with Molina Healthcare’s strategic and operating plan; providing day-to-day leadership and management of the health plan market or product operations that mirrors the company’s mission, vision, and core values; and ensuring the efficient and compliant operations of the market or product of the health plan.
 

Job Duties

The Plan President leads one of Molina Healthcare’s State Health Plans, providing a wide range of quality health care services to families and individuals who qualify for government-sponsored programs, including Medicaid, Medicare, Managed Long-Term Services and Support (MLTSS) and – in some states – Health Insurance Marketplace (Exchange) plans.

• Formulates and implements business plans and strategies to provide profitable operations, meet short-term objectives and ensure long-term growth, success, and competitive position.
• Directs the growth of the state plan, including overseeing business development activities. Identifies, analyzes, and recommends strategic alliances and/or acquisitions to provide better products and services to members.
• Develops and implements adequate measures to meet the P & L and fiscal needs of the company, conserve its assets and maintain an effective system of budgetary control.
• Reviews forecasts and proposed capital expenditures. Recommends programs and policies by analyzing the changing needs of the membership and industry; identifies and analyzes trends and evaluates options.
• Amends existing policies to improve operations and creates new policies as needed. Presents reports and recommendations on the operations and finances of the state plan and propose changes to major policies.
• Ensures the overall level of quality for delivery of medical services meet or exceed appropriate standards.
• Provides personal leadership that encourages employee productivity and responsiveness to the needs of current and prospective members, providers and other community and regulatory stakeholders.
• Ensures programs are established to comply with all relevant federal, state, and local regulations.

Knowledge, Skills & Abilities:

• Strong people leader with experience building, coaching, and motivating strong teams who deliver quality customer experiences
• Strong financial management and analytic skills
• Exceptional organizational and project management skills
• Excellent communication and presentation skills
• Ability to fosters and builds a collaborative working environment with internal and external colleagues and constituents
• Ability to understand set strategy/objectives, assign accountability and monitor meaningful action steps

Job Qualifications

Required Education:

• Bachelor’s Degree in Business, Health Services Administration, or related field.

Required Experience:

• 15+ years progressive experience in the managed healthcare industry, including 10 years of management experience.
• Working knowledge of Medicaid and Medicare products.

Preferred Education:

• Master’s Degree in Business, Health Administration, or related field.

Preferred Experience:

• Transition and/or acquisition experience. Direct experience with Medicaid and Medicare managed care plans.

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.

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Pay Range: $246,251.34 – $480,190.11 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Source: Working at Molina Healthcare