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Careers at hckd.fa.us2.oraclecloud.com
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600 positions at hckd.fa.us2.oraclecloud.com
Specialist, Health Plan Provider Engagement (Remote in TX)
hckd.fa.us2.oraclecloud.com·Beaumont, TX, United States
JOB DESCRIPTION Job Summary Provides support for health plan provider engagement activities. Drives value-based care strategies through risk adjustment and quality improvement activities. Ensures smaller, less advanced tier II and tier III providers have engagement plans to meet…
Medical Director, Behavioral Health (Based in AZ)
hckd.fa.us2.oraclecloud.com·AZ, United States
JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to…
Senior Specialist, Health Plan Provider Engagement (Remote in NM)
hckd.fa.us2.oraclecloud.com·NM, United States
JOB SUMMARY: Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative approach emphasizing physician engagement and behavior change through actionable…
Director, Operational Oversight - D-SNP Payment Operations
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Leads and directs team responsible for operational oversight activities, including oversight of internal operating controls and processes/practices (auditing, root-cause analysis, compliance, etc.). Compiles and shares outcomes with operations function…
Senior Analyst, Claims Research
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Must reside in Florida. Provides senior level analyst support for claims research activities. Ensures timely and accurate resolution of provider submitted claims issues/inquiries. Leverages deep understanding of medical claims processing, analytical …
Senior Consultant, Clinical Performance (RN License Required)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides senior level clinical subject matter expertise in execution of clinical operations transformations and performance and process improvement initiatives designed to increase operational efficiencies. Contributes to overarching strategy to provid…
Lead Analyst, HEDIS Healthcare Analytics
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Performs research and analysis of complex HEDIS healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports an…
Medical Director, Behavioral Health (FL)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to…
COO, Health Plan (Ohio)
hckd.fa.us2.oraclecloud.com·Columbus, OH, United States
Job Description Job Summary Responsible for the overall direction and administration of the operational departments, programs and services provided by the health plan. Responsibilities include: implementing programs that are in alignment with Molina's strategic plan and opera…
Manager, Configuration - Claims Adjudication/Custom Solutions - Remote
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Leads and manages team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and…
Sr. Specialist, National Marketing & Communications (Care Connections) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides senior level support for marketing and communications operations activities across the Molina enterprise. Supports the development and maintenance of marketing and communications workflows, campaign schedules, and projects, and ensures success…
Associate Specialist, National Communications (Care Connections) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary The associate communications specialist will work closely with the communications team to develop results-oriented communications campaigns. The position will be responsible for creating a variety of materials for the company including newsletters, …
Analyst, Finance & Analytics (Advanced SQL / Large-Scale Data) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides analyst support for financial analysis activities including data/text mining, analysis, modeling, and predicting to understand business issues, develop solutions and enable informed business decisions. Essential Job Duties • Extracts and…
Senior Representative, Health Plan Provider Relations (Las Vegas, NV)
hckd.fa.us2.oraclecloud.com·Las Vegas, NV, United States
JOB DESCRIPTION Job Summary Provides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within th…
Senior Financial Analyst – Regulatory Reporting & Healthcare Finance (Remote)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides senior level analyst support for finance activities including financial analysis, reporting, forecasting, trending and modeling to support planning for future business decisions for the Kentucky Health Plan. Essential Job Duties • Gather…
Program Manager (Medicare Programs/Portfolio Mgmt) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides support to Molina’s Medicare segment through program management, including governance frameworks, internal and partner capability delivery oversight, program controls, playbooks and best practices, as applicable. Serves as a key interface be…
Specialist, IRIS Consulting (Milwaukee County, WI)
hckd.fa.us2.oraclecloud.com·Milwaukee, WI, United States
JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you! We’re currently looking for so…
Care Manager, LTSS
hckd.fa.us2.oraclecloud.com·Eau Claire, WI, United States
***Remote with with travel througout Eau Claire County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating int…
Transition of Care Coach (RN) - Must live in IL
hckd.fa.us2.oraclecloud.com·Chicago, IL, United States
This is a remote field-based opportunity requiring travel in Lake, Cook, DuPage, McHenry, and Kane counties. Job Summary Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all…
Provider Contracts Manager - Complex (Behavioral Health)
hckd.fa.us2.oraclecloud.com·Bothell, WA, United States
***Remote and must live in or be willing to travel to Washington***JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, f…
Nurse Practitioner, Behavioral Health UM (PMHNP)
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary Performs behavioral health utilization reviews, applying evidence-based criteria, and collaborating with physicians to ensure clinically appropriate, cost-effective, and regulatory-compliant care determinations. Assists in evaluating medical necess…
Senior Specialist, Provider Network Administration (Salesforce)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation, analysis, maintenance, and governance of critical provider information across claims, credentialing, contracting, and provider network systems. This role serves …
Care Manager - (RN, BH Licensed LCSW, LMHC, LMFT, LMSW) Multiple Openings in FL
hckd.fa.us2.oraclecloud.com·FL, 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…
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
hckd.fa.us2.oraclecloud.com·Milwaukee, WI, United States
JOB DESCRIPTION Job Summary 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 s…