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 Family Care with My Choice Wisconsin 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
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
hckd.fa.us2.oraclecloud.com
This is a remote field-based role requiring travel in Bremer, Fayette, and Chicksaw Counties. Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrate
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Leads and directs a team responsible for financial analysis activities across designated business areas - focusing on operational performance and strategic partnerships. Facilitates analysis, modeling, and forecasting to uncover business insights, deve
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Leads and directs team responsible for health plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Collaborates with senior leadership and
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 general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in support of the functional pro
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strateg
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strateg
hckd.fa.us2.oraclecloud.com
Job Summary: Molina Healthcare is seeking a Manager, Applications to lead a high-impact team responsible for ETL development, reporting support, and technical enablement across key TCIM workstreams. This is a people leadership role for a team with 10 direct reports and a blend of
hckd.fa.us2.oraclecloud.com
Job Description Job Summary Provides support for clinical training activities. Creates and delivers clinical training programs for clinical staff across the enterprise to orient employees to Molina clinical methodologies, policies, processes and systems. Ensures all Molina clinic
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicare members in the service delivery area including Plano, Garland, Wylie, and Rockwall. You will complete assessments needed for determining the types of services our
hckd.fa.us2.oraclecloud.com
Job Description The Medicare Strategy & Operations Manager role supports senior leaders in creating segment and state-specific strategies, as well as driving key strategic and operational initiatives to transform the organization. Strategy development efforts include data analysi
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Leads and supervises team responsible for payment integrity activities including recovery operations. Responsible for performance, quality levels and establishing procedures and techniques that achieve optimal payment integrity operational standards a
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Responsible for comprehensive contract review and target claim audits review. This includes but not limited to; deep dive contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on
hckd.fa.us2.oraclecloud.com
Job Summary Leads and directs team responsible for multi-state delegation oversight activities including monitoring of delegation oversight to ensure compliance with state, federal, National Committee for Quality Assurance (NCQA), and Molina requirements. Collaborates closely wi
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Moni
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Responsible for comprehensive contract review and target claim audits review. This includes but not limited to; deep dive contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary The Health Educator supports the development, implementation, and maintenance of Health Plan Health Education programs. Assists with identifying health education program needs. Researches and develops health education and disease management materials.
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Must reside in Florida. 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
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desi
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION **This is a hybrid position requiring approximately 50–75% field-based work. Candidates must reside in the Miami area, as members are located there. Bilingual candidates are preferred.** Job Summary Provides support for care management/care coordination long-term
hckd.fa.us2.oraclecloud.com
***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Provides deep strategy and leadership for network contracting activities. Responsible for partnering with health plans/segments to develop contracting strategies for Medicaid, Medicare, and Marketplace l
hckd.fa.us2.oraclecloud.com
***Remote and must live in or relocating to Idaho*** JOB DESCRIPTION Job Summary Leads and directs team responsible for health plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational
hckd.fa.us2.oraclecloud.com
JOB DESCRIPTION This position will offer remote work flexibility, but the selected candidate must reside in Nebraska. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team as a Clinical Auditor. The person filling this role will be an