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Careers at hckd.fa.us2.oraclecloud.com
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600 positions at hckd.fa.us2.oraclecloud.com
Manager, Applications - ADF/ETL/AI - Remote
hckd.fa.us2.oraclecloud.com·United States
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 o…
Behavioral Health Care Manager (RN) - EST/CST
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION The schedule is flexible and does not follow a standard 8:00 AM–5:00 PM EST workday. You must have behavioral health experience. Instead, there is a minimum requirement of 2 hours of after-hours work per week, to be completed outside regular business hours on a …
Auditor, Clinical Services
hckd.fa.us2.oraclecloud.com·FL, United States
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 strate…
Trainer, Clinical Services
hckd.fa.us2.oraclecloud.com·FL, United States
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 cli…
Auditor, Clinical Services
hckd.fa.us2.oraclecloud.com·FL, United States
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 strate…
Field Care Manager, LTSS (LVN) - Local Travel Required
hckd.fa.us2.oraclecloud.com·Plano, TX, United States
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 around Pasadena, TX. You will complete assessments needed for determining the types of services our members are eligible to …
Telephonic Transition of Care Coach (LPC or LCSW) - MUST RESIDE IN TEXAS
hckd.fa.us2.oraclecloud.com·TX, United States
JOB DESCRIPTION We are seeking a Texas licensed LPC or LCSW to join our behavioral health 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 unit. You will partner…
Analyst, Data & Analytics - Value Base Programs/Excel - Remote
hckd.fa.us2.oraclecloud.com·Des Moines, IA, United States
Job Description Job Summary Provides support in conducting research, analysis, and reporting across healthcare and operational data to support decision‑making, cost‑containment strategies, and business performance improvement. Works with complex datasets including claims, pharm…
Supervisor, Payment Integrity-Spokane-In Office
hckd.fa.us2.oraclecloud.com·Spokane, WA, United States
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…
Medicare Strategy and Operations Manager
hckd.fa.us2.oraclecloud.com·United States
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 anal…
Director, Delegation Oversight (California Utilization Management) - 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…
Senior Program Manager (Network Adequacy) - Remote
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…
Analyst, Configuration Oversight-Provider Contracts/Claims/QNXT/Conga
hckd.fa.us2.oraclecloud.com·United States
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 o…
Analyst, Config Oversight-COB (Edit Reviews)/Claims/QNXT/ Root Cause analysis
hckd.fa.us2.oraclecloud.com·United States
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 o…
Representative, Support Center
hckd.fa.us2.oraclecloud.com·FL, United States
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…
Health Educator (Remote in Florida)
hckd.fa.us2.oraclecloud.com·FL, United States
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…
Director, Health Plan Provider Contracts
hckd.fa.us2.oraclecloud.com·Boise, ID, United States
***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 operation…
Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
hckd.fa.us2.oraclecloud.com·Omaha, NE, United States
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…
Principal Strategist, Value-Based Network Contracting
hckd.fa.us2.oraclecloud.com·United States
***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 Marketplac…
Care Manager, LTSS - Miami
hckd.fa.us2.oraclecloud.com·Miami, FL, United States
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-t…
Senior Analyst, Data & Analytics (Remote)
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary Provides senior level analysis for complex data to generate insights that support strategic and operational decision-making. This role designs and delivers reporting, analytics, and data solutions across business and healthcare domains, including cla…
Manager, Healthcare Services (Milwaukee County, WI)
hckd.fa.us2.oraclecloud.com·Milwaukee, WI, United States
JOB DESCRIPTION Job Summary Leads and manages multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other…
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
hckd.fa.us2.oraclecloud.com·Milwaukee, WI, United States
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 liv…
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
hckd.fa.us2.oraclecloud.com·Milwaukee, WI, United States
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 liv…