Molina Healthcare

Director, Operational Oversight (Medicare)

Molina Healthcare

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Molina Healthcare is seeking a highly motivated and experienced Director of Operational Oversight for our Medicare team. In this role, you will have the opportunity to oversee and direct the operational functions of our Medicare program, ensuring high-quality and efficient processes are in place to support our members. We are looking for a dynamic leader who is passionate about making a positive impact in the healthcare industry. If you have a strong background in Medicare operations and a drive for excellence, we want to hear from you. Join us at Molina Healthcare and be a part of a team dedicated to providing quality care for our Medicare members.

  1. Oversee and direct all operational functions of the Medicare program at Molina Healthcare.
  2. Develop and implement efficient processes to support the needs of our Medicare members.
  3. Ensure compliance with all regulatory requirements related to Medicare operations.
  4. Monitor and evaluate the performance of the Medicare program, identifying areas for improvement and implementing necessary changes.
  5. Collaborate with cross-functional teams to develop and implement strategies for enhancing the overall member experience.
  6. Oversee the development and maintenance of policies and procedures related to Medicare operations.
  7. Work closely with senior leadership to develop and manage budget and resource allocation for the Medicare program.
  8. Provide regular reports and updates on the performance of the Medicare program to senior management.
  9. Foster a positive and collaborative work environment, leading and mentoring a team of operational staff.
  10. Keep abreast of industry trends and best practices in Medicare operations and use this knowledge to drive continuous improvement within the program.
  11. Represent Molina Healthcare in meetings and negotiations with external partners and stakeholders related to Medicare operations.
  12. Ensure high-quality and efficient delivery of services to our Medicare members, maintaining a focus on member satisfaction and retention.
  13. Identify and mitigate potential risks to the Medicare program, taking appropriate action to prevent issues from arising.
  14. Stay informed and up-to-date on all changes and updates to Medicare regulations and requirements.
  15. Act as a role model for the company's values and promote a culture of excellence, integrity, and accountability within the team.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Bachelor's Degree In Healthcare Administration, Business Administration, Or A Related Field.

  • Strong Understanding Of Medicare Regulations, Policies, And Procedures.

  • Minimum Of 8-10 Years Of Experience In Healthcare Operations, With A Focus On Medicare.

  • Proven Leadership Experience, Including Managing Teams And Driving Operational Efficiency.

  • Excellent Communication And Interpersonal Skills, With The Ability To Collaborate With Multiple Stakeholders And Effectively Communicate Complex Information To Diverse Audiences.

Required Skills
  • Risk Management

  • Quality Assurance

  • Process Improvement

  • Strategic Planning

  • Performance Management

  • Data Analysis

  • Contract Negotiation

  • Budget management

  • Team Leadership

  • Operational Efficiency

  • Stakeholder

  • Medicare Compliance

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Director, Operational Oversight (Medicare) is between $120,000 and $180,000 per year. This can vary depending on factors such as location, company size, and years of experience. Some directors in this role may also receive bonuses and benefits in addition to their base salary.

Additional Information
Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedSeptember 29th, 2025
Apply BeforeApril 11th, 2026
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About Molina Healthcare

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

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