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Molina Healthcare · United States

# Program Manager (Marketplace Network Strategy & Payment Optimization) REMOTE

United States Remote Full-time Manager or lead Marketing 

Listed on Molina Healthcare’s official careers site. Posted November 5, 2026. Check that it is still open and apply there.
[Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2039983)

[OpenNash Jobs](https://jobs.opennash.com/) / [Molina Healthcare](https://jobs.opennash.com/companies/molina-healthcare/) / Program Manager (Marketplace Network Strategy & Payment Optimization) REMOTE

## Job description

### Job Summary

This role serves as the program management and governance lead for key Marketplace Network Strategy initiatives. The Program Manager is responsible for creating structure, accountability, reporting, and cross-functional coordination for programs that support affordability, provider reimbursement optimization, and enterprise network strategy execution. The role acts as a business partner to Network Strategy leadership and helps ensure resources are focused on the highest-value opportunities.

### Essential Job Duties
- Oversees the design, implementation, delivery, and ongoing operations of respective business program(s) and services.
- Supports end-to-end program delivery by establishing goals, scope, and success measures aligned with organizational priorities.
- Develops and maintains governance frameworks to ensure consistent, compliant, and effective program management practices.
- May oversee financial stewardship of program budgets - ensuring proper prioritization and alignment of resources to achieve desired outcomes.
- Partners with executive sponsors and functional leaders to ensure program objectives are met and value is realized across business units.
- Drives performance measurement and reporting, including dashboards, key performance indicators (KPIs), and post-implementation reviews to track outcomes and identify opportunities for continuous improvement.
- Ensures well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program(s).
- Collaborates with legal, compliance, information technology (IT), and other cross-functional teams to ensure governance standards are upheld.
- Tracks performance metrics and ensures value realization from deployed solutions.
- Coordinates recurring meetings to support governance framework and decision-making processes.
- Oversees portfolio management and/or initiative-specific programmatic changes and project management.
- Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices, etc.
- Routinely reviews program collateral to ensure current and accurate reflection of business needs.
- Promotes consistency in planning, communication, and execution across initiatives.
- Champions organizational change management by ensuring effective stakeholder engagement, communication, and adoption of new processes or technologies.
- Maintains and evolves program documentation, playbooks, and best practices to reflect current business needs and lessons learned.
- Identifies opportunities/gaps and provides recommendations on program enhancements to applicable leaders.
- Creates business requirements documents (BRDs), test plans, requirements traceability matrices, user training materials and other related documentation.
- Generates and distributes required business/programmatic reporting.
- Facilitates special functional/departmental projects.
- May provide specialized training and support to new and existing staff as needed.

### Required Qualifications
- At least 5 years of progressive program and/or project management experience, with increasing levels of responsibility in a complex, matrixed organization, or equivalent combination of relevant education and experience.
- Experience leading medium-scale or multi-functional programs within healthcare, managed care, or a similar regulated environment.
- Operational process improvement and change management experience.
- Project management experience/skills.
- Data analysis skills/experience.
- Strong organizational and time-management skills.
- Proven ability to manage multiple projects simultaneously with competing priorities.
- Experience managing budgets and resource plans for business/strategic initiatives.
- Ability to work cross-collaboratively across a highly matrixed organization.
- Strong verbal/written/presentation communication skills, and ability to influence at all levels of the organization.
- Advanced Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.

### Preferred Qualifications
- Project Management Professional (PMP), Six Sigma Green Belt and/or Black Belt certification.
- Health care/managed care experience.
- Experience leading complex, cross-functional healthcare initiatives involving Provider Contracting, Claims, Finance, Operations, and
- Network Management teams.
- Knowledge of provider reimbursement methodologies, fee schedule development, healthcare payment models, and medical cost optimization strategies.
- Experience supporting health plan network strategy, provider negotiations, affordability initiatives, or payment integrity programs.
- Demonstrated ability to develop governance frameworks, executive reporting, risk mitigation plans, and stakeholder communication strategies for enterprise programs.
- Experience managing external vendor relationships and consulting partnerships within a healthcare or managed care environment.
- Experience with Marketplace, Commercial, Medicare, or Medicaid health plan operations and provider network management preferred.

### 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

## At a glance
- Posted by the employer: Nov 5, 2026
- First seen by OpenNash: Nov 8, 2026
- Last checked: Nov 8, 2026
- Listed for: 3 days
- Location: United States
- Work arrangement: Remote
- Employment type: Full-time[Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2039983)

## Hiring at Molina Healthcare
- Open jobs: 455
- New in the last 7 days: After two weekly collections
- Tracked since: Jul 10, 2026

[All Molina Healthcare jobs](https://jobs.opennash.com/companies/molina-healthcare/) · [Weekly hiring report](/reports/hiring/)

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