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Director, Market Optimization
Director, Market OptimizationModivcare • Riverside, CA, US
Director, Market Optimization

Director, Market Optimization

Modivcare • Riverside, CA, US
20 days ago
Job type
  • Full-time
Job description

Director - Market Optimization

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

Modivcare is looking for an experienced Director - Market Optimization to join our team. 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. This individual will collaborate with senior leadership to build and execute data-driven action plans that improve service quality, drive provider accountability, and enhance stakeholder engagement across the Hawaii market.

This candidate must reside in Hawaii.

This Role

Provider Network Leadership & Execution

  • 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.

Executive Engagement & Market Representation

  • 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.
  • Internal Leadership & Strategic Collaboration

  • 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.
  • Serve as a key culture carrier and change agent within the organization, driving performance, innovation, and trust across the Hawaii market.
  • Strategic Growth and Business Development

  • 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.
  • Serve as the local subject matter expert for plan-specific expansions or renewals, including program design feedback and pricing considerations.
  • Partner with Product and Innovation teams to pilot new services in Hawaii that align with client needs, cost-efficiency goals, and member access priorities.
  • May lead projects and perform other duties as assigned.
  • Occasional business travel may be required.
  • Supervisory Responsibilities

  • 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.
  • Lead change management initiatives and foster a culture of accountability and collaboration.
  • 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.
  • We are interested in speaking with individuals with the following

  • 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.
  • Ability to connect operational metrics to financial levers and understand the relationship between network performance and EBITDA.
  • 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.
  • Salary : $133,300 - $179,900

    Bonus eligible based on individual and company performance.

    Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.

    We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package to include the following :

  • 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!)
  • Modivcare is an Equal Opportunity Employer. We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com.

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