Molina Healthcare · 14 hours ago
Program Director, Healthcare Services
200 Oceangate, Long Beach, CA, 90802, US
Full-time
Onsite
Director/Executive
8+ years expMolina Healthcare is a company dedicated to providing quality healthcare services, and they are seeking a Program Director to lead their healthcare services function. This role involves managing clinical programs, ensuring compliance with regulatory standards, and contributing to strategies for cost-effective member care.
Health CareHospitalMedical
Responsibilities
Manages one or more healthcare services clinical programs - leveraging staff and matrixed resources with oversight from health care services leadership as needed
Serves as industry subject matter expert in designated functional area(s), and leads program(s) to meet business needs and requirements
Escalates gaps and barriers in implementation and compliance to healthcare services leadership
Develops business case methodologies for programs and coordinates implementation of business strategies
Creates business requirement documents (BRDs), test plans, requirement traceability matrices (RTMs), user training materials and other related business documents and presentations
Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes
May engage and oversee the work of external vendors
Focuses on process improvement, organizational change management, program management and other processes relative to business needs
Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements
Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate
Collaborates and facilitates activities with other business functions and within the enterprise
Qualification
Required
At least 8 years of health care experience, including experience in managed care and/or clinical operations, or equivalent combination of relevant education and experience
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice
Strong analytical and problem-solving skills
Strong organizational and time-management skills
Ability to work in a cross-functional, professional environment
Experience working within applicable state, federal, and third-party regulations
Strong verbal and written communication skills
Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases
Preferred
Registered Nurse (RN). License must be active and unrestricted in state of practice
Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification
Operational and process improvement experience
Medicaid/Medicare population experience
Clinical experience
Leadership experience
Benefits
Molina Healthcare offers a 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