Job Description

Job Summary

The AVP of Maternal & Child Clinical Operations provides strategic leadership and operational oversight for enterprise-wide maternal, newborn, and child health programs. This leader ensures high-quality, equitable, evidence-based care management programs across perinatal and pediatric care continuums, leveraging national MCH leadership competencies and emerging CMS maternal health standards to improve outcomes for birthing individuals, infants, and children. The role partners closely with Health Care Services leaders, operational teams, quality, network and community stakeholders to reduce preventable morbidity and mortality, address disparities, and drive high-reliable care.

Essential Job Duties

• Sets vision and strategy for maternal, newborn and child health care management programs grounded in nationally recognized quality of care standards for maternal and newborn health.
• Designs and deploys maternal and child clinical programs including perinatal safety, high risk maternity programs, neonatal care coordination and utilization management models, breastfeeding, family-centered care and postpartum support interventions.
• Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
• Leads cross-functional clinical professionals in one or both of the following capacities: Design, development and implementation of MCH programs, including evidence based protocols, dashboard development, quality outcomes metrics,
• Includes clinical talent assessment, problem identification, and solutioning, developing remediation and/or improvement plans and recommendations to remove barriers, improve performance and assist clinical teams with setting priorities and identifying training needs.
• Partners with clinical quality performance management leadership - fostering collaboration and knowledge sharing that aligns strategy and improves the member experience.
• Leverages population health data analytics to identify MCH risks, disparities and opportunities for improvement, proactively developing targeted interventions for vulnerable populations.
• Works effectively with clinical and operational stakeholders to synthesize information, develop and deploy measurement tools and oversee timelines, budgets, and return on investment (ROI) analysis.
• Oversees all related meetings and committees, directs the data analysis and reporting, monitors performance and looks ahead to mitigate risks.
• Actively supports implementations and serves as a resource to enterprise training and policy teams.
• Oversees and navigates clinical technology and software applications.
• Develops effective partnership and engagement strategies with applicable internal and external stakeholders and oversees pilot programs to test and deploy clinical initiatives across the Molina enterprise.
• Contributes to Molina request for proposal (RFP) processes as requested.

Required Qualifications

• At least 10 years of experience in health care in perinatal, maternal, newborn, or pediatric care management programs/operations.
• At least 5 years of progressive people leadership experience to include experience fostering collaboration, teamwork, customer and quality centric focus and employee engagement.
• Clinical licensure and/or certification may be required pertaining to clinical area of expertise.
• Experience in utilization management (UM)/care management (CM)/behavioral health (BH)/long-term services and supports (LTSS) or other applicable health care related experience, as required for the specific functional area.
• Experience with data analytics and implementing data driven programs and solutions.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Expertise in clinical program design for maternal and child populations, and familiarity with national MCH policy frameworks and public health systems.

  
  
  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