Top 30 Program director Jobs in Apopka, Fl

Director, Value-Based Programs (Remote in FL)
Molina Healthcare —Orlando, FL
- $97,299.00 - $189,732.18 a year
- Full-time
- Remote
- 3 years
- Organizational skills
- Contracts
- Health insurance
Regional Director of Program Excellence
Boys & Girls Clubs of Central Florida —Orlando, FL
- $75,000 - $80,000 a year
- Extended hours
- Background check
- Clean driving record
- 5 years
Quick Apply
10d
National Program Director, Public Health, Clinical Solutions & Licensing
American Heart Association —Orlando, FL
- $135,000 - $145,000 a year
- Full-time
- 8 years
- Bachelor's degree
- Fair chance
- Wellness program
- Paid holidays
Director of Program Management
BAE Systems OneArc USA, Inc —Orlando, FL
- Full-time
- Hybrid work
- 7 years
- Office
- Business development
Quick Apply
14d
Senior Program Manager
AMERICAN SYSTEMS —Orlando, FL
- $150,000 - $182,000 a year
- Full-time
- Hybrid work
- 5 years
- Engineering
- Office
- Retirement plan
5d
Senior Program Manager of Project Controls
AdventHealth Corporate —Altamonte Springs, FL
- $96,266.14 - $179,045.63 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Disability insurance
PROGRAM DIRECTOR
CENTRAL FLORIDA CHAMPIONSHIP KARATE, INC. —Orlando, FL
- $40,000 - $60,000 a year
- Weekends as needed
- Customer service
- Mid-level
- Administrative experience
- Health insurance
- Paid time off
Quick Apply
Sr Program Manager
Scientific Research Corporation —Orlando, FL
- Full-time
- Computer Science
- 11+ years
- Travel
- Paid holidays
- Health insurance
6d
Director of Clinical Quality Programs
AdventHealth Orlando Support —Orlando, FL
- $110,702.15 - $205,911.28 a year
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Paid parental leave
- Disability insurance
4d
Neurology Residency Program Director
AdventHealth Medical Group Central Florida —Orlando, FL
- Monday to Friday
- Management
- BLS Certification
- Continuous improvement
8d
Surgical Technology - Program Director - Faculty/Instructor
SOUTH COLLEGE —Orlando, FL
- Full-time
- Mid-level
- University
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Academic Faculty Opportunity - Osteopathic Family Medicine Residency Program Director - Orlando, FL
AdventHealth Medical Group Central Florida —Orlando, FL
- Medicine
- Inpatient
- Outpatient experience
- Health insurance
- 403(b)
Assistant Director, Sponsored Programs
University of Central Florida —Orlando, FL
- $89,076 - $111,345 a year
- Full-time
- Office
- Finance
- Master's degree
- Paid holidays
- Health insurance
Senior Program Manager - Medical & Clinical Affairs
Convatec —Orlando, FL
- Full-time
- Remote
- 7 years
- Microsoft Outlook
- Writing skills
7d
Program Supervisor, Specialty Pharmacy Patient Services
AssistRx —Sand Lake, FL
- $59,000 - $66,000 a year
- Full-time
- Background check
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Quick Apply
AT - Contract Specific CDL Program Director
Ancora Education —Orlando, FL
- $60,000 - $65,000 a year
- Full-time
- School experience
- DOT physical examination
- CDL
Quick Apply
Program Director
Boys & Girls Clubs of Central Florida —Orlando, FL
- Up to $20 an hour
- Full-time
- Background check
- CPR Certification
- Clean driving record
Quick Apply
2d
Program Director
MY COPING LAB INC —Orlando, FL
- $20 - $25 an hour
- Full-time
- 3 years
- Master's degree
- Experience working with children
Quick Apply
9d
Sr. Program Manager
Intelligent Manufacturing Solutions LLC —Orlando, FL
- Urgently hiring
- Customer service
- 11+ years
- Travel
Quick Apply
Senior Program Manager
Orange County Government —Orlando, FL
- $36.38 - $41.84 an hour
- Full-time
- Microsoft Word
- Background check
- 5 years
- Paid holidays
- Disability insurance
1d

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Director, Value-Based Programs (Remote in FL)

Molina Healthcare -
Orlando, FL

Apply Now

Job Details

Full-time
$97,299.00 - $189,732.18 a year

Benefits

Health insurance

Qualifications

Contract management
Managerial strategic planning
Program design
Program management
Managed care organization experience
Medical coding
Regulatory compliance
Contract management experience in healthcare
Health insurance knowledge
Medicare regulations
Contracts
Leading team collaboration initiatives
Healthcare financial management
Medicaid regulations
Productivity software
Healthcare performance metrics analysis
Healthcare compliance
Team motivation (leadership skill)
Project stakeholder communication
Cross-functional communication
HEDIS
Senior leadership

Full Job Description

JOB DESCRIPTION Job Summary

Leads and directs team responsible for value-based programs (VBP) activities. Responsible for developing and implementing value-based strategies for lines of business impacted by the regulatory risk adjustment payment model. Supports achievement of financial and business objectives through value-based reimbursement.

Essential Job Duties

Accountable for designing and implementing strategies to continuously improve results of existing value-based initiatives while also leading a continuous process of innovation to identify new initiatives which lead to the overall achievement of improved accuracy, compliancy and completeness in risk adjustment revenue for all government lines of business (LOB).
Supports the strategic direction and organization of corporate initiatives to facilitate achievement of value-based financial strategy and business objectives.
Serves as primary owner of value-based programs (VBP) and contracts annual plan by state by line of business (LOB) development and execution.
In conjunction with health plan and quality and risk adjustment leadership, identifies providers for potential value-based care contracts, assists local network and corporate network teams in reaching out to targeted providers, develops suggested contract terms (financial and quality metrics and benchmarks, assignment of reporting responsibilities and functions within contract language etc.), sets annual targets for each value-based program (VBP)/value-based contract (VBC), and develops reports for local health plan resources to share on a regular cadence with providers to achieve goals.
Collaborates with risk adjustment to leverage the needs assessment for specific area to guide the contracting and program strategy to achieve desired VBC/VBP goals.
Designs and maintains an internal dashboard of value-based programs and contracts by state by LOB for internal monitoring and senior leadership ensures consistent measurement of all metrics to enable accurate comparisons and measurement of progress toward annual goals supporting financial forecasts.
Supports launching of value-based programs in new markets/expansion of existing markets to achieve goals in requests for proposals (RFPs) and financial forecasts.
Presents VBC/VBP/reimbursement performance to senior leadership in monthly/quarterly leadership meetings designs an oversight process for internal monitoring of existing contracts within the Molina leadership team.
Ensures value-based contracting/reporting data and reporting internally and externally are accurate.
Hires, trains, manages and evaluates team member performance - provides coaching, development, and recognition; ensures ongoing appropriate staff training, holds regular team meetings, and drives communication and collaboration.
Develops and sustains a high-performance team, dedicated to best-in-class solutions responsible for attracting, developing and retaining top-tier talent to support strategy and long-term business objectives.

Required Qualifications

At least 8 years of managed care experience, including value-based programs (VBP) experience, or equivalent combination of relevant education and experience.
At least 3 years of management/leadership experience.
Experience leading value-based program and contract design, and implementation for Medicaid, Medicare, and/or Marketplace programs.
Experience in a complex health care delivery environment, specifically with government sponsored programs, including risk revenue management, strategy and compliance.
Knowledge of value- based programs (VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding.
Knowledge of medical economics and financial reporting, and ability to walk stakeholders through complex financial reconciliations.
Leadership skills, including ability to influence others who are not in a direct reporting line including ability to think strategically, develop vision, and execute effectively and efficiently for both near-term and long-term results.
Proven ability to innovate and manage complex processes across multiple functional areas.
Experience working in a highly matrixed organization, and proven ability to develop internal enterprise relations, and external strategic relationships.
Excellent verbal and written communication skills, including ability to present at an executive level to internal/external stakeholders.
Microsoft Office suite and applicable software program(s) proficiency.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

#PJCorp

#LI-AC1

Pay Range: $97,299 - $189,732.18 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

program director jobs in apopka, fl

Director, Value-Based Programs (Remote in FL)

Regional Director of Program Excellence

National Program Director, Public Health, Clinical Solutions & Licensing

Director of Program Management

Senior Program Manager

Senior Program Manager of Project Controls

PROGRAM DIRECTOR

Sr Program Manager

Director of Clinical Quality Programs

Neurology Residency Program Director

Surgical Technology - Program Director - Faculty/Instructor

Academic Faculty Opportunity - Osteopathic Family Medicine Residency Program Director - Orlando, FL

Assistant Director, Sponsored Programs

Senior Program Manager - Medical & Clinical Affairs

Program Supervisor, Specialty Pharmacy Patient Services

AT - Contract Specific CDL Program Director

Program Director

Program Director

Sr. Program Manager

Senior Program Manager

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