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Careers at hckd.fa.us2.oraclecloud.com
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600 positions at hckd.fa.us2.oraclecloud.com
Care Manager, LTSS
hckd.fa.us2.oraclecloud.com·Madison, WI, United States
***Remote with travel throughout Dane County, Wi for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrate…
Specialist, Appeals & Grievances
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers …
Care Manager (BH Licensed) - Must reside in Wisconsin
hckd.fa.us2.oraclecloud.com·WI, United States
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 contribu…
Medicare Community Sales Representative-Madison , WI
hckd.fa.us2.oraclecloud.com·Madison, WI, United States
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to…
Sr. Specialist, Quality Program Management & Performance RN (Must reside in AZ)
hckd.fa.us2.oraclecloud.com·Phoenix, AZ, United States
JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives, audits, data analysis and quality improvement surveys and state/federal quality compliance activities. Contributes to overarching stra…
Specialist, Benefit Sales (Facilitated Enroller) In Field - Queens, NY
hckd.fa.us2.oraclecloud.com·Queens, NY, United States
JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork …
Director, Customer Experience (IT Solutions / QNXT & Salesforce) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
Job Summary This role, on the Customer Experience team, will be responsible for technically based projects like liaising with IT to upgrade Salesforce or create visions for technical solutions that improve the overall member/provider/customer experience. The ideal candidate will…
Care Manager, LTSS (RN) Remote (Detroit MI)
hckd.fa.us2.oraclecloud.com·Detroit, MI, United States
JOB DESCRIPTION This RN will act as a Care Coordinator (Long Term Care Services) supporting our Medicaid and Medicare dual members. The Care Coordinator will support them to ensure their long-term services and support needs are met. The position is a combination of phone call o…
Senior Examiner, Claims
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Provides senior level support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors. Essential Job Duties …
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, LBSW, LMSW or a Bachelors/Masters trained Social Worker to join Molina as a Field Care Manager to work with our Medicaid members in the Laredo, TX service delivery area. You will complete assessments needed for determining th…
Examiner, Claims
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Must reside in Florida. Provides support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors. Essential …
Transition of Care Coach (RN) Remote (Michigan)
hckd.fa.us2.oraclecloud.com·MI, United States
JOB DESCRIPTION Job Summary This RN will act as a Transition of Care Coach supporting our Michigan Medicare and Dual members who have recently been admitted to this hospital. The TOC Coach will support them to ensure a successful transition from inpatient to discharge to eithe…
Lead Analyst, Healthcare Analytics (Data Stewardship & Enterprise Reporting) – Remote
hckd.fa.us2.oraclecloud.com·United States
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…
Senior Engineer, Big Data - Claims Reporting Analytics - Remote
hckd.fa.us2.oraclecloud.com·United States
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 posi…
Actuarial Consultant (Medicaid/Finance & Actuarial) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides subject matter expert level consultant expertise for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to identify risks. Estimates liabilities, establishes premium rates, and supports f…
Principal Architect, Information Systems - Provider Horizontal Application Portfolio/AI Implementations - Remote
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary Architects company specific systems and technology expertise across multiple infrastructure and development disciplines. Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensur…
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…