Top 51 Director of program management Jobs in Jacksonville Fl

Director, Value-Based Programs (Remote in FL)
Molina Healthcare —Jacksonville, FL
- $97,299.00 - $189,732.18 a year
- Full-time
- Remote
- 3 years
- Organizational skills
- Contracts
- Health insurance
Executive Director - Jacksonville, FL
American Red Cross —Jacksonville, FL
- Full-time
- 7 years
- Office
- Bachelor's degree
- Paid holidays
- Disability insurance
Executive Director, National Specialty Value‑Based Care Partnership
CVS Health —Jacksonville, FL
- $131,500 - $303,195 a year
- Full-time
- Hybrid work
- Office
- Analysis skills
- Contracts
- Health insurance
- Dental insurance
9d
District Director
Sprouts Farmers Market —Fleming Island, FL
- Full-time
- 5 years
- Merchandising
- Analysis skills
- Paid parental leave
- Health savings account
Associate Director of Business Development (Hybrid)
Collins Aerospace —Jacksonville, FL
- $157,200 - $298,800 a year
- Full-time
- Hybrid work
- Military
- Office
- Bachelor's degree
- Paid holidays
- Loan repayment program
Director of Business Services
University of North Florida —Jacksonville, FL
- $118,000 a year
- Full-time
- Background check
- 6 years
- Office
Director of Nursing
Concorde Career Colleges, Inc. —Jacksonville, FL
- Nursing
- RN License
- 3 years
- Paid parental leave
- Health insurance
Program Management Program Director
Sevita —Jacksonville, FL
- $54,080 a year
- Weekends as needed
- Driver's License
- Bachelor's degree
- Travel
Assistant Program Director
New Season —Jacksonville, FL
- Full-time
- Addiction Medicine
- Computer literacy
- Mid-level
Quick Apply
Assistant Program Director
Nan McKay & Associates —Jacksonville, FL
- Writing skills
- 3 years
- Master's degree
Quick Apply
Director, GSOC Services
First Coast Security —Jacksonville, FL
- $90,000 - $130,000 a year
- Weekends as needed
- 7 years
- Analysis skills
- Recruiting
Quick Apply
Director Risk Management
Acosta Group —Jacksonville, FL
- Full-time
- Microsoft Excel
- Office
- Analysis skills
Quick Apply
10d
Program Director, Internal Medicine Residency at Ascension St. Vincent's
Ascension —Jacksonville, FL
- Online Application
- Medicine
- Internal Medicine
- 3 years
- Disability insurance
- Health insurance
11d
Community Partnership School Director
Childrens Home Society of Florida —Orange Park, FL
- $65,000 a year
- Weekends as needed
- Background check
- Customer service
- 5 years
- Paid holidays
- Paid time off
Quick Apply
3d
Administrative Director, Hematology Oncology
Nemours —Jacksonville, FL
- Full-time
- Mentoring
- Recruiting
- Senior level
10d
Program Director & Open Rank Professor, 12 Month Salaried (COM Residency Program Administration Internal Medicine) Jacksonville, FL
Florida State University —Jacksonville, FL
- Online Application
- Medicine
- Doctoral degree
- Internal Medicine
Director of Women and Children Services
Ascension —Jacksonville, FL
- Full-time
- Nursing
- BLS Certification
- Master's degree
- Disability insurance
- Health insurance
GROUP DIR - UTILIZATION MANAGEMENT
Wekiva Springs Center —Jacksonville, FL
- Full-time
- Management
- Senior level
14d
Program Director - Nursing Academic Affairs
Mayo Clinic —Jacksonville, FL
- Full-time
- Hybrid work
- Nursing
- RN License
- Research
- Health savings account
- Health insurance
10d
DIRECTOR CULINARY OPERATIONS - K-12 FOOD SERVICE, JACKSONVILLE, FL
Chartwells K12 —Jacksonville, FL
- $145,000 - $160,000 a year
- Full-time
- Background check
- 5 years
- Research
- Commuter assistance
- Paid parental leave
Quick Apply

I want to receive the latest job alert for director of program management in jacksonville fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

director of program management jobs near jacksonville fl

Director Of Program Management jobs in Jacksonville, FL

Internal Medicine Physician jobs in Jacksonville, FL

Program Director jobs in Jacksonville, FL

Director Of Business Development jobs in Jacksonville, FL

Director Of Nursing jobs in Jacksonville, FL

Utility Manager jobs in Jacksonville, FL

Director Of Risk Management jobs in Jacksonville, FL

Executive Director jobs in Jacksonville, FL

Director jobs in Jacksonville, FL

Director Of Operations jobs in Jacksonville, FL

Hvac Apprenticeship Program jobs in Washington, DC

Facilities Management jobs in Springfield, MO

Disaster Management jobs in Guam

Director Of Program Management jobs in Las Vegas, NV

Director Of Program Management jobs in Hickory, NC

Director Of Program Management jobs in Lexington, KY

Internal Medicine Physician jobs in Dallas, TX

Internal Medicine Physician jobs in Virginia

Internal Medicine Physician jobs in Toledo, OH

Internal Auditor jobs in Austin, TX

Director, Value-Based Programs (Remote in FL)

Molina Healthcare -
Jacksonville, 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

director of program management jobs in jacksonville fl

Director, Value-Based Programs (Remote in FL)

Executive Director - Jacksonville, FL

Executive Director, National Specialty Value‑Based Care Partnership

District Director

Associate Director of Business Development (Hybrid)

Director of Business Services

Director of Nursing

Program Management Program Director

Assistant Program Director

Assistant Program Director

Director, GSOC Services

Director Risk Management

Program Director, Internal Medicine Residency at Ascension St. Vincent's

Community Partnership School Director

Administrative Director, Hematology Oncology

Program Director & Open Rank Professor, 12 Month Salaried (COM Residency Program Administration Internal Medicine) Jacksonville, FL

Director of Women and Children Services

GROUP DIR - UTILIZATION MANAGEMENT

Program Director - Nursing Academic Affairs

DIRECTOR CULINARY OPERATIONS - K-12 FOOD SERVICE, JACKSONVILLE, FL

I want to receive the latest job alert for director of program management in jacksonville fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected