Director Member Experience - Medicaid Strategy Career in Columbus
Career & Market Insight
This is a senior enterprise leadership role at Molina Healthcare, one of the largest Medicaid managed care organizations in the U.S. The Director, Member Experience sits at a strategic intersection of operations, policy, and customer success — a high-visibility position with real organizational impact.
Compensation & Market Context: While no salary is listed, Director-level roles in Medicaid Managed Care typically range from $130,000–$180,000 annually at large health plans, with total compensation (bonus + benefits) often 20–30% above base. Molina operates across 20+ states, giving this role national scope that typically commands premium pay.
Skills You'll Develop:
- Enterprise-scale strategy development across multiple LOBs (Medicaid, Medicare, Marketplace)
- Six Sigma / process improvement application in a regulated healthcare environment
- Cross-functional executive influence and stakeholder management
- KPI/scorecard design and performance management at scale
Green Flags: Full-time remote for a Director-level role is relatively rare in managed care — this signals a mature remote culture. The breadth of LOBs (TANF, ABD, CHIP, Expansion) offers rich exposure to the full Medicaid landscape.
Considerations: The role requires 7+ years in Medicaid Managed Care specifically, making this a narrow talent pool. Candidates without deep Medicaid roots may struggle with state regulatory nuances. The fast-paced, low-supervision environment is better suited to self-directed leaders than those seeking structured mentorship.
Job Summary
The Director, Member Experience is responsible for developing, implementing, and monitoring a successful strategy to achieve Molina's Medicaid membership retention goals & objectives across the enterprise for the Medicaid lines of business (TANF, ABD, Expansion, CHIP) including similar solutions for other lines of business (Medicare, Marketplace) as appropriate. This position is accountable for the development of enterprise strategies that lead to membership growth and retention.
The ideal candidate would be curious, enjoy cross-functional collaboration, and have a proven track record of creating and implementing successful strategies to improve member/customer satisfaction. This role will be full-time remote and healthcare/pharmacy experience is highly preferred.
Knowledge/Skills/Abilities
- Identify and drive process improvements to enhance the member and provider experience.
- Develop strategies to alleviate pain points in areas such as pharmacy, network and provider relations, and other critical areas that affect overall experience.
- Participate and contribute in Enterprise Health Plan meetings regarding overall strategic planning for the health plan.
- Identify opportunities and help develop/prioritize initiatives that support member retention.
- Work closely with the leadership team to ensure that the results of member satisfaction/retention activities are consistent with the state's direction and objectives; develop & implement strategies to quickly course correct when necessary.
- Establish and review performance metrics ("scorecards" and reports) on a regular basis to ensure each health plan is on track to deliver results in line with the organization's strategic plan; provide recognition and recommendations to improve performance.
- Communicate extensively with other Molina departments to ensure policies, programs, and strategies achieve membership retention targets.
- Identify technology support needs that help facilitate member retention and satisfaction activities and drive successful implementation.
Job Qualifications
Required Education:
Bachelor's degree in a health-related field or equivalent experience.
Required Experience/Knowledge, Skills & Abilities:
- Minimum 7 years' experience in Medicaid Managed Care, particularly in a sales or outreach role.
- Minimum 3 years of management/supervisory experience.
- Exceptional networking and negotiation skills, as well as strong public speaking/presentation skills.
- Ability to work in a fast-paced, team-oriented environment with little supervision.
- Process Improvement (Six Sigma) expertise.
- Proven ability to influence or persuade senior-level leaders regarding matters of organizational significance.
- Proven ability to influence policy making.
- Knowledge of applicable State, Federal, and third-party regulations.
- Thorough understanding of Medicaid product lines.
- Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.
Preferred License, Certification, Association:
Active State Life and Health and/or Disability License without infraction.
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.
Frequently Asked Questions
Is this Director, Member Experience role truly fully remote?
What Medicaid experience is required for this role?
Is a healthcare license required for this position?
What lines of business does this role cover?
What does Molina Healthcare offer in terms of compensation and benefits?
