Company · 296 open roles
Careers at hckd.fa.us2.oraclecloud.com
hckd.fa.us2.oraclecloud.com has 296 active roles on ResuMinder right now. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
Refreshed continuously
Across active listings
All open roles
296 positions at hckd.fa.us2.oraclecloud.com
Care Manager (RN- Remote with Mass based travel req)
hckd.fa.us2.oraclecloud.com·Dorchester, MA, United States
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 pot…
Analyst, Claims Research (Must reside in Florida)
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and…
Lead, Core Operations (Must reside in Florida)
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Provides lead level support for core operations activities including claims processing, benefit interpretation, provider services, provider enrollment, etc., ensuring functional operations and contractual compliance. Essential Job Duties • Effectiv…
Program Manager, Medicare Stars & Quality Improvement (Remote in Idaho)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Sta…
Field Care Manager, LTSS (LVN or Social Worker) - Local Travel Required
hckd.fa.us2.oraclecloud.com·Laredo, TX, United States
JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicaid members in the Laredo, TX serviced delivery area. You will complete assessments needed for determining the types of services the non-waiver members are eligible …
Pharmacy CSR Bilingual Spanish (Remote, Must Live in Florida)
hckd.fa.us2.oraclecloud.com·Jacksonville, FL, United States
Molina Healthcare is hiring a Pharmacy Customer Service Representative. This role is remote for those who live in Florida only. Bilingual- Spanish speaking is needed. Our agents assist with all Medicaid member Pharmacy-related calls. You will assist the members with obtaining th…
Supervisor, Nurse Practitioner (San Diego, CA)
hckd.fa.us2.oraclecloud.com·San Diego, CA, United States
Job Description Job Summary Supervises and mentors a team focused on primary, urgent, and preventative care services in various non-clinical community settings such as homes, nursing facilities, shelters, and pop-up clinics, in any environment where members feel most comfortabl…
Senior Abstractor, National HEDIS/Quality Improvement (Remote)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides senior level support for Molina enterprise quality improvement abstraction activities. Responsible for data collection and abstraction of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives …
Crisis & Cyber Response Manager
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for the day-to-day delivery of Molina enterprise cyber response/crisis management program activities. Partners closely with information technology (IT) security, business continuity, disaster respons…
Medical Records Collector (must reside in Florida tri county area)
hckd.fa.us2.oraclecloud.com·Miami, FL, United States
JOB DESCRIPTION Job Summary Provides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection,…
Analyst, National Quality Analytics & Performance Improvement (Remote)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides analyst support for Molina enterprise risk and quality reporting activities. Designs and develops reporting solutions to support Healthcare Effectiveness Data and Information Set (HEDIS) auditing, rate tracking, identification of targeted in…
Program Manager, Medicare Stars & Quality Improvement (Remote in New Mexico)
hckd.fa.us2.oraclecloud.com·NM, United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Sta…
Director, Medicare Clinical Strategy and Performance
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary Leads and directs a team supporting clinical performance improvement activities. Works directly with clinical leadership to develop clinical strategy that will result in year-over-year performance in cost, quality, and overall member outcomes Respons…
Manager, Healthcare Services (Remote in FL)
hckd.fa.us2.oraclecloud.com·Miami, FL, United States
JOB DESCRIPTION Job Summary This position will offer remote work flexibility, but the candidate selected for this role must reside in Florida. Leads and manages multidisciplinary team of healthcare services professionals in some or all of the following functions: care manage…
Telephonic Transition of Care Coach (RN) - Must Live in TX
hckd.fa.us2.oraclecloud.com·TX, United States
JOB DESCRIPTION We are seeking a Texas licensed RN with a strong background in behavioral health to join this care management team as a Transition of Care Coach, supporting our Medicaid members with a behavioral health diagnosis and have been recently admitted to an inpatient un…
Program Manager, Medicare Stars & Quality Improvement (Remote in New York)
hckd.fa.us2.oraclecloud.com·NY, United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Sta…
Specialist, Member Engagement
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Provides support for member engagement and member retention activities. Represents members in areas involving member impact and engagement including: appeals and grievances and member issue research and resolution. Provides new and existing members wi…
Senior Business Analyst (Medical Billing/Coding)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and …
Business Analyst (Medical Billing/Coding)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This …
Director, Delegation Oversight Compliance - REMOTE
hckd.fa.us2.oraclecloud.com·United States
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…
Program Manager, Medicare Stars & Quality Improvement (Remote in South Carolina Health Plan)
hckd.fa.us2.oraclecloud.com·SC, United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Sta…
Program Manager, Medicare Stars & Quality Improvement (Remote in Texas)
hckd.fa.us2.oraclecloud.com·TX, United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Sta…
Sr Data Analyst, Enrollment Research and Data Analytics (Remote)
hckd.fa.us2.oraclecloud.com·United States
Molina Healthcare is hiring for a Sr Data Analyst, Enrollment Research and Data Analytics. This role is a Senior Data Analyst on our Research & Analytics team that supports enrollment operations. We work with member and enrollment data across lines of business like Medicaid, Med…
Senior Program Manager ( Network Performance and Effectiveness)
hckd.fa.us2.oraclecloud.com·United States
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. Mo…