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 DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contribut
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time
hckd.fa.us2.oraclecloud.com
Come join us for our upcoming virtual hiring event! Event Date & Time: Tuesday, June 9th at 12:00pm EST Register here today: Molina Healthcare Florida Virtual Hiring Event 1 Event Date & Time: Thursday, June 25th at 12:00pm EST Register here today: Molina Healthcare Florida Virtu
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informatio
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting for the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, polic
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support for Molina Medicare sales activities. Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within market areas to achieve revenue, profitab
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job SummaryProvides peer support services for members with behavioral health needs/chemical dependency issues. In collaboration with multidisciplinary care team working across the continuum, strives to ensure member progress toward desired outcomes, and contribute
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide qual
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis. K
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need pote
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide qua
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the cont
hckd.fa.us2.oraclecloud.com
Job Description Job Summary Provides support for facility site review activities including routine document preparation and file management, site review meeting/travel scheduling, and office supply ordering. Facilitates activities including training and reporting, and supports p
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Leads and directs 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 This role will be a member of the Payment Integrity Analytics team who is responsible for creating and maintaining a post pay review of claims, members, and providers to ensure accurate billing. Our team creates Post Pay Concepts (Analytics) that identify inaccura
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides senior level support for health education activities. Responsible for developing, implementing, and maintaining health plan health education programs. Assists in identifying health education program needs, researching and developing health e
hckd.fa.us2.oraclecloud.com
Job Description Job Summary The Sr Health Educator is responsible for developing, implementing, and maintaining Health Plan Health Education programs. Oversees and assists providers in meeting health education contract requirements and serves as a resource for other Health Educat
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values. Provides product and service information, an
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides senior level support for health education activities. Responsible for developing, implementing, and maintaining health plan health education programs. Assists in identifying health education program needs, researching and developing health e
hckd.fa.us2.oraclecloud.com
Job Description ****90% of this role will travel throughout NYC to conduct on-site audits, complaint investigations, and regulatory reviews in order to meet oversight and compliance requirements*** Job Summary Provides audit support for contractual and regulatory compliance for S
hckd.fa.us2.oraclecloud.com
Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina’s Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates use
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides senior level support for health education activities. Responsible for developing, implementing, and maintaining health plan health education programs. Assists in identifying health education program needs, researching and developing health e
hckd.fa.us2.oraclecloud.com
***Remote and must live in Mississippi*** JOB DESCRIPTION Job Summary Leads and directs team responsible for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between
hckd.fa.us2.oraclecloud.com
**California residents preferred. **California Nursing licensure required **Every other weekend will be required