Director, Market Optimization

Job not on LinkedIn

September 19

🌺 Hawaii – Remote

Although this job is listed in Hawaii, this company may be open to hiring remote in other states.

💵 $133.3k - $179.9k / year

⏰ Full Time

🔴 Lead

👔 Director

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Modivcare

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Healthcare Insurance • Transport

Modivcare is a company that focuses on simplifying the experience of living with complex healthcare needs by providing a comprehensive suite of supportive care solutions. They specialize in non-emergency medical transportation, personal care, and virtual & remote patient monitoring. Modivcare works closely with Medicaid Plans, State Agencies, Medicare Advantage, SNP Plans, health systems, healthcare professionals, and transportation providers, ensuring that members receive necessary health services. Through innovative technology and data-driven strategies, they address social determinants of health by offering services like quality transportation, chronic care management, meal delivery, and in-home assistance, aimed at optimizing patients' health outcomes and improving their overall experience.

10,000+ employees

Founded 2017

⚕️ Healthcare Insurance

🚗 Transport

💰 $525M Post-IPO Debt on 2024-07

📋 Description

• This position is responsible for directing operational functions and developing related programs, policies, and processes to implement the overall business strategy of non-emergency medical transportation (NEMT) operations. • Oversee transportation provider performance across all modes, ensuring achievement of KPIs (on-time rates, digital compliance, reroutes, etc.). • Drive accountability for “Perfect Trip” standards, root cause resolution, and continuous improvement within the local provider base. • Lead quarterly business reviews with top-tier transportation providers, including commercial, performance, and financial components. • Collaborate closely with Credentialing, Safety, Compliance, and Network Planning teams to mitigate risk and ensure consistent service delivery. • Act as primary liaison with state Medicaid leaders, health plan executives, provider leadership, and key community partners. • Represent Modivcare in high-stakes conversations with regulatory agencies, industry forums, and public-facing engagements across the state. • Lead market presentations and performance reviews with internal executives and client stakeholders. • Partner across Product, Technology, Compliance, and Continuous Improvement to ensure Hawaii market solutions are aligned with national innovation and best practices. • Advocate for Hawaii’s needs in enterprise-level initiatives, including mode diversification, service model pilots, and new program rollouts. • Collaborate with Business Development, Proposal, and Government Affairs teams to support RFPs, re-procurements, and growth opportunities with Medicaid and Medicare Advantage plans. • Provide Hawaii-specific content, data, and strategic positioning for bids, client presentations, and partnership proposals. • Determine appropriate resourcing of staff to achieve goals and objectives. • Build an effective leadership team through mentoring and formal education. • Define annual Key Performance Indicators aligned with corporate goals. • Direct and coach leaders on performance gaps, development, and all HR processes including onboarding, succession planning, employee relations, selection, terminations, compensation, and rewards. • Prepare and manage budgets; analyze variances and implement corrective actions to improve performance. • May manage local Provider Relations staff or lead a matrixed support structure across functions. • Provide coaching, performance feedback, and development planning. • Partner with Talent and HR to support recruiting, onboarding, and succession planning. • May lead projects and perform other duties as assigned. • Occasional business travel may be required.

🎯 Requirements

• Bachelor’s degree required. • Ten (10) plus years of experience in transportation, healthcare operations, logistics, or public services with progressive leadership responsibilities. • Five (5) plus years of leadership experience. • Experience working in non-emergency medical transportation (NEMT) desired. • Experience with financial ownership, client partnerships, or strategic project execution. • Prior experience in Hawaii Medicaid, managed care, or regulated transportation preferred. • Or equivalent combination of education and/or experience. • Strong financial acumen with understanding of P&L ownership, unit economics, budgeting, and cost control strategies. • Executive-level communication and presentation skills, especially with state regulators and client stakeholders. • Data-driven decision-making with the ability to analyze performance and implement effective interventions. • Deep understanding of Hawaii’s healthcare and transportation landscape, including geographic, cultural, and regulatory nuances. • Strong stakeholder management, negotiation, and conflict resolution skills. • Proficiency in Microsoft Office and experience with Tableau, Salesforce, and enterprise financial tools preferred. • Experience supporting or leading responses to RFPs, client expansions, or pilot programs. • Understanding of the Medicaid/Medicare regulatory environment and the role of transportation in plan performance and population health. • Ability to position Modivcare’s services persuasively in both formal (RFP) and informal (relationship-based) settings.

🏖️ Benefits

• Medical, Dental, and Vision insurance • Employer Paid Basic Life Insurance and AD&D • Voluntary Life Insurance (Employee/Spouse/Child) • Health Care and Dependent Care Flexible Spending Accounts • Pre-Tax and Post --Tax Commuter and Parking Benefits • 401(k) Retirement Savings Plan with Company Match • Paid Time Off • Paid Parental Leave • Short-Term and Long-Term Disability • Tuition Reimbursement • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)