Role Description Provides executive level strategy and leadership for teams responsible for optimization of clinical operations across the enterprise. Develops and implements processes to ensure healthcare services functions including utilization management/care management/etc. and clinical vendors provide services in alignment with state, federal, regulatory and Molina quality and compliance standards. Partners with executive leadership team to provide cohesive direction towards company goals. Contributes to overarching strategy to provide quality and cost-effective member care. - Supports executive strategy development, vision and direction for enterprise clinical operations. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Leads, manages and implements effective standards, protocols, processes, decision support systems, reporting and benchmarks that support ongoing improvements of clinical operations functions. - Develops initiatives to achieve budgeted reductions in medical expenses and increases in quality scores. - Demonstrates positive leadership role in key clinical management initiatives and analytical studies aimed at optimizing utilization of clinical resources and maximizing operational efficiencies. - Engages with provider community via network teams to identify tangible opportunities for improvement of member outcomes. - Oversees and ensures compliance with contractual, accreditation and regulatory requirements relative to clinical operations. - Responsible for oversight of healthcare services related to delegation oversight monitoring. - Oversees and directs the rendering of clinical decisions at all levels of the health plan that maximize benefits for members while pursuing and supporting enterprise objectives. - Coordinates clinical activities with enterprise vendors and state health plans. - Coordinates the results of audits to improve team performance. - Assists in the development of product-specific policies. - Collaborates with contracting/network to standardize contracts for quality and utilization. Qualifications - At least 12 years of managed care experience, including progressive clinical operations experience in a highly matrixed organization, or equivalent combination of relevant education and experience. - At least 7 years of health care management/leadership experience. - Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. - Strong operational and process improvement experience. - Strong, visible leadership capabilities, and ability to initiate and maintain cross-team relationships. - Understanding of the managed care industry and market conditions. - Strong interpersonal skills. - Strong analytical and problem-solving skills. - Strong organizational and time-management skills. - Ability to work in a cross-functional, highly matrixed environment. - Experience working within applicable state, federal, and third-party regulations. - Excellent verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency - Excel, PowerPoint. Preferred Qualifications - Registered Nurse (RN). License must be active and unrestricted in state of practice. - Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification. - Experience with Power BI or Tableau dashboards. - Expertise with Medicare Duals plans. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

• Receive and log new patient referrals into all Daybreak systems • Schedule the patient's first session in the EHR in coordination with the assigned clinician's availability • Track referral status through the intake process, flagging delays or incomplete referrals • Ensure no referral falls through the cracks between receipt and first session • Initiate and track the collection of required consent documents for new patients • Confirm receipt and completeness of consent documents prior to first session • Follow up on outstanding consents and escalate when documents are overdue • Enter and maintain clinician availability slots on a daily and weekly basis • Audit data for accuracy, flagging discrepancies between scheduled availability and actual capacity • Track clinician utilization progress through the four-week onboarding period using the ramp dashboard and source systems • Identify and escalate at-risk clinicians based on slot entry and session completion data • Monitor scheduled sessions and confirm data completeness • Identify gaps or anomalies in session records and escalate accordingly • Cross-reference EHR data with session reports to ensure consistency • Support backend system setup for clinicians • Maintain accurate records • Support weekly and monthly data pulls and reporting • Assist with ad hoc data entry, cleanup, and system hygiene tasks as directed

• Plan, direct, create, and communicate clinical study timelines to ensure deliverables are produced on schedule. • Gather input from cross-functional teams to create comprehensive plans for clinical studies. • Ensure consistency of clinical study processes across clinical trials, adhering to standard operating procedures (SOP), good clinical practice (GCP), and specific country regulations. • Oversee and resolve operational aspects of clinical trials in conjunction with project teams. • Select sites and vendors, prepare clinical trial budgets, and ensure studies are conducted within clinical trial protocols. • Monitor progress and follow up with team members and line managers when issues develop. • Implement and prepare the clinical development strategy as outlined by the clinical teams. • Develop trial recruitment strategies to ensure successful participant enrollment.

• Establish and maintain strong professional and collaborative relationships with investigator sites • Track key performance metrics to assess site performance • Serve as an internal resource to champion patient perspective and voice across product development continuum • Identify investigator sites, PAGs and communities in alignment with portfolio strategy • Provide support to study teams and Clinical Research Organizations (CROs) to ensure timely delivery of clinical trials