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 SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary The Lead Analyst serves as a data steward with deep subject matter expertise, responsible for designing and prototyping Medical Economics data assets that are clearly defined and fit for use. This role bridges business and data by translating complex c
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Provides senior level support for coding activities. Responsible for monitoring adherence to Molina's compliance program, minimizing risks related to coding and billing practices, and protecting the business from liability related to fraudulent/abusive practices.
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates
hckd.fa.us2.oraclecloud.com
Must be Licensed RN and reside in state of Wisconsin
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 SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing health care needs. Contributes
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION **Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday through Friday from 9:30 AM to 6:00 PM CST and requires prior experience in Utilization Management (UM) and the application of MCG guidelines. Candidates should be co
hckd.fa.us2.oraclecloud.com
Remote position - Reside in state of Michigan
hckd.fa.us2.oraclecloud.com
Job Summary Responsible for all the aspects of architecture, design and implementation of Data Management solution using Big Data platform on Cloudera or Hortonworks and other areas of enterprise application platforms. Reporting and analytics are very important for this position.
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 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 **Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday through Friday from 8:30 AM to 5:30 PM CST and requires prior experience in Utilization Management (UM) and the application of MCG guidelines. Candidates should be co
hckd.fa.us2.oraclecloud.com
Must be licensed as RN and reside in Michigan
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides administrative level support to an Executive and division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of the Executive and department. Job Duties
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
Job Summary Lead enterprise data and analytics transformation initiatives using Databricks and modern cloud technologies. Drive architecture strategy, platform modernization, and solution delivery while partnering with business and technology leaders to build scalable, secure, AI
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
Must reside in Utah or Idaho
hckd.fa.us2.oraclecloud.com
Molina Healthcare is hiring for several Pharmacy Customer Service Representatives. These positions are remote, however those in later time zones are encouraged to apply. This team handles the Pharmacy UM / Prior Authorization calls and services external calls from providers with
hckd.fa.us2.oraclecloud.com
***Remote and must live in Texas*** JOB DESCRIPTION Job Summary Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION We are seeking RNs in the Miami area with BH experience who are passionate about supporting pediatric members and delivering high-quality care. Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinat
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides administrative level support to an Executive and division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of the Executive and department. Job Duties
hckd.fa.us2.oraclecloud.com
Must reside in Washington
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need