Molina Healthcare

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Director, Data Management

DirectorDirectorFull TimeRemoteTeam 10,001

Location

United States

Posted

7 days ago

Salary

Not specified

DatabricksAzureData EngineeringData GovernanceData QualityHealthcare DataClaims DataEDIFHIRHL7HIPAAMedicaidMedicareFin OpsData LakehouseAi/mlCloud Cost Optimization

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Director, Data Management is a senior leadership role within Molina Healthcare responsible for enterprise data management strategy, delivery, and modernization across core health plan domains. This role leads the design, integration, and operation of data platforms that support Medicaid, Medicare, Marketplace, and other payer lines of business, with a strong emphasis on Databricks‑based lakehouse architecture, AI‑enabled data management, and cloud platform cost optimization (FinOps).

This leader owns end‑to‑end data domain delivery, including:

  • Ingestion
  • Integration
  • Governance
  • Quality
  • Analytics enablement
  • Operational reliability for critical healthcare data such as claims, clinical, provider, member, authorizations, encounters, quality, and financial data

The role partners closely with Clinical, Operations, Finance, Compliance, Security, and Enterprise Architecture to ensure data solutions are secure, compliant, scalable, and aligned to Molina’s business objectives and regulatory obligations. The Director balances near‑term delivery commitments with long‑term platform strategy, ensuring Molina’s data ecosystem enables analytics, reporting, regulatory submissions, value‑based care, and AI/ML use cases.

Qualifications

  • 10+ years of experience in healthcare data management, data engineering, or analytics, with direct experience in a payer/managed-care organization.
  • Strong understanding of health plan operations and data, including claims, encounters, authorizations, provider, member, and clinical data.
  • Proven leadership experience delivering enterprise-scale data platforms and integrations.
  • Hands-on experience with Databricks and Azure cloud data platforms.
  • Experience operating in highly regulated healthcare environments (HIPAA, CMS, state Medicaid).
  • Demonstrated ability to lead cross-functional teams and manage complex stakeholder relationships.

Requirements

  • Experience supporting Medicaid, Medicare, Marketplace, or multi-LOB health plans.
  • Experience enabling AI/ML initiatives in healthcare.
  • Strong background in FinOps, cloud cost governance, and optimization.
  • Familiarity with healthcare data standards and integrations (EDI, FHIR, HL7).
  • Prior experience in Data Engineering and Data Management.

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Leadership Expectations

  • Acts as a healthcare data thought leader within Molina.
  • Treats data as a strategic enterprise asset supporting clinical quality, regulatory compliance, and financial performance.
  • Drives results through collaboration, accountability, and disciplined execution.
  • Promotes standardization, reuse, and long-term sustainability of Molina’s data ecosystem.

Job Requirements

  • 10+ years of experience in healthcare data management, data engineering, or analytics, with direct experience in a payer/managed-care organization.
  • Strong understanding of health plan operations and data, including claims, encounters, authorizations, provider, member, and clinical data.
  • Proven leadership experience delivering enterprise-scale data platforms and integrations.
  • Hands-on experience with Databricks and Azure cloud data platforms.
  • Experience operating in highly regulated healthcare environments (HIPAA, CMS, state Medicaid).
  • Demonstrated ability to lead cross-functional teams and manage complex stakeholder relationships.
  • Experience supporting Medicaid, Medicare, Marketplace, or multi-LOB health plans.
  • Experience enabling AI/ML initiatives in healthcare.
  • Strong background in FinOps, cloud cost governance, and optimization.
  • Familiarity with healthcare data standards and integrations (EDI, FHIR, HL7).
  • Prior experience in Data Engineering and Data Management.

Benefits

  • Molina Healthcare offers a competitive benefits and compensation package.
  • Leadership Expectations
  • Acts as a healthcare data thought leader within Molina.
  • Treats data as a strategic enterprise asset supporting clinical quality, regulatory compliance, and financial performance.
  • Drives results through collaboration, accountability, and disciplined execution.
  • Promotes standardization, reuse, and long-term sustainability of Molina’s data ecosystem.

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