Top Tech Jobs & Startup Jobs

Leads enterprise IT infrastructure and service operations, overseeing service-level performance, ITSM processes, project intake, business requirements, reporting, budgets, process improvement, escalations, and stakeholder relationships. Develops service delivery plans, manages providers and SLAs, supports healthcare and Medicaid contract compliance, and guides cross-functional initiatives. Hires, mentors, and develops a high-performing IT team while ensuring reliable services, operational efficiency, and alignment with organizational goals.

Leads end-to-end program management across Provider Network functions, including governance, implementation, process improvement, change management, reporting, documentation, stakeholder engagement, vendor coordination, and resource planning. Develops requirements, test plans, playbooks, training materials, and performance dashboards while ensuring compliance and value realization across cross-functional initiatives.

Leads healthcare program and project delivery across multiple workstreams, managing scope, timelines, stakeholders, budgets, governance, risks, and dependencies. Analyzes dashboards, reports, operational metrics, and large datasets to identify performance gaps and recommend improvements. Develops policies, workflows, playbooks, business requirements, test plans, and training materials. Drives change management, provider engagement, quality improvement, compliance, reporting, and issue resolution across cross-functional teams.

Manages multiple Appeals and Grievances projects from inception through delivery, overseeing scope, schedules, resources, budgets, quality, stakeholders, and change management. Develops project plans, status reports, process documentation, SOPs, workflows, and PEGA job aids. Coordinates process improvements, governance changes, vendors, training, and cross-functional collaboration with executive, operational, and PEGA teams across multiple regions.

Provides senior engineering support for enterprise infrastructure and ServiceNow-enabled platforms across hybrid cloud, compute, storage, networking, databases, and automation. Leads complex deployments, configuration, monitoring, troubleshooting, security remediation, architecture reviews, and technical workstreams. Uses Azure, PowerShell, Python, Terraform, SQL, and observability tools to improve reliability and scalability. Collaborates with cross-functional teams, supports compliance and change management, mentors engineers, contributes to strategic roadmaps, and participates in on-call support.

Manages actuarial staff and oversees actuarial reporting, opinions, medical cost studies, pricing, liability estimates, financial projections, and rate filings. Reviews methodologies, interprets actuarial results, recommends solutions, and provides leadership insights. The role also includes hiring, mentoring, technical guidance, regulatory communications, and support for budgeting, acquisitions, and new business initiatives.

Leads competitive intelligence and market analysis for Medicaid, DSNP, and Marketplace RFPs. Reviews competitor responses, identifies gaps and differentiators, develops recommendations, maintains intelligence databases, supports capture strategy and oral presentations, and advises business development, product, legal, and executive stakeholders. Provides benchmarking, proposal analytics, training, and protest support while refining RFP methodologies. Requires 50% or more travel.

Leads enterprise data, analytics, business intelligence, and AI strategy across healthcare payer functions. Partners with executives to prioritize analytics initiatives, build reporting and predictive insight capabilities, establish data governance and accountability, and drive measurable business outcomes. Oversees cross-functional teams, enterprise application development, Azure architecture, quality automation, DevOps, and intelligent automation while engaging C-suite and board stakeholders.

Supports Molina Healthcare’s corporate development and M&A strategy by sourcing and evaluating opportunities, building financial and valuation models, coordinating due diligence and transaction activities, supporting agreement negotiations, preparing leadership presentations, and assisting with post-acquisition integration. The role requires cross-functional collaboration, strong financial analysis, project management, negotiation, communication, and organizational skills.

Leads complex business and technology programs across the full lifecycle, coordinating multiple project teams and stakeholders. Develops integrated plans, manages dependencies, risks, scope, timelines, resources, and budgets, and tracks program KPIs. Facilitates governance meetings, communicates status and outcomes to leadership, maintains documentation, supports decision-making, and drives alignment with business priorities. May mentor team members and coordinate continuous improvement activities.