Browse Jobs
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
hckd.fa.us2.oraclecloud.com
JOB SUMMARY: Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative approach emphasizing physician engagement and behavior change through actionabl
hckd.fa.us2.oraclecloud.com
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summary Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives that
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support for health plan provider engagement activities. Drives value-based care strategies through risk adjustment and quality improvement activities. Ensures smaller, less advanced tier II and tier III providers have engagement plans to mee
hckd.fa.us2.oraclecloud.com
Job Description Job Summary Provides senior level analysis for complex data to generate insights that support strategic and operational decision-making. This role designs and delivers reporting, analytics, and data solutions across business and healthcare domains, including claim
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to
hckd.fa.us2.oraclecloud.com
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summary Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives that
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Must reside in Florida. Provides senior level analyst support for claims research activities. Ensures timely and accurate resolution of provider submitted claims issues/inquiries. Leverages deep understanding of medical claims processing, analytical s
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Performs research and analysis of complex HEDIS healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides senior level clinical subject matter expertise in execution of clinical operations transformations and performance and process improvement initiatives designed to increase operational efficiencies. Contributes to overarching strategy to provid
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Leads and directs team responsible for operational oversight activities, including oversight of internal operating controls and processes/practices (auditing, root-cause analysis, compliance, etc.). Compiles and shares outcomes with operations functio
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Leads and manages team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Opportunity for Texas licensed RN to join Molina as a Care Manager working with our Medicaid members in the Dallas, TX service delivery area. If hired, you will conduct face-to-face meetings with the members in their homes, completing assessments needed for determ
hckd.fa.us2.oraclecloud.com
Job Description Job Summary Responsible for the overall direction and administration of the operational departments, programs and services provided by the health plan. Responsibilities include: implementing programs that are in alignment with Molina's strategic plan and operating
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides senior level support for marketing and communications operations activities across the Molina enterprise. Supports the development and maintenance of marketing and communications workflows, campaign schedules, and projects, and ensures success
hckd.fa.us2.oraclecloud.com
Job Description Job Summary The associate communications specialist will work closely with the communications team to develop results-oriented communications campaigns. The position will be responsible for creating a variety of materials for the company including newsletters, int
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides senior level analyst support for finance activities including financial analysis, reporting, forecasting, trending and modeling to support planning for future business decisions for the Kentucky Health Plan. Essential Job Duties • Gathers, int
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within t
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job SummaryProvides senior level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) speci
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides analyst support for financial analysis activities including data/text mining, analysis, modeling, and predicting to understand business issues, develop solutions and enable informed business decisions. Essential Job Duties • Extracts and compi
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support to Molina’s Medicare segment through program management, including governance frameworks, internal and partner capability delivery oversight, program controls, playbooks and best practices, as applicable. Serves as a key interface betw
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you! We’re currently looking for someone
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides senior level support for all aspects of taxation including compliance, planning, forecasting, merger and acquisition (M&A) evaluation, expense, liability and asset recordation, securities and exchange (SEC) and statutory reporting disclosure,
hckd.fa.us2.oraclecloud.com
***Remote and must live in or be willing to travel to Washington*** JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, f
hckd.fa.us2.oraclecloud.com
***Remote with with travel througout Eau Claire County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integra
hckd.fa.us2.oraclecloud.com
This is a remote field-based opportunity requiring travel in Lake, Cook, DuPage, McHenry, Kane, and Jackson counties. Job Summary Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission