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Careers at hckd.fa.us2.oraclecloud.com
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600 positions at hckd.fa.us2.oraclecloud.com
National Network Performance Director
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary Provides subject matter expertise for identifying, developing, and operationalizing scalable cost of care and network performance initiatives across the enterprise. Leads the end-to-end lifecycle from unvetted ideas through discovery and development,…
Specialist, IRIS Consulting (Waukesha, WI)
hckd.fa.us2.oraclecloud.com·Waukesha, 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…
Senior Analyst, Provider Data Management (SQL/ QNXT)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION The Sr. Analyst, Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize performance. The Sr. Analyst often acts as a liaison between the business unit…
AVP, Network Strategy & Services
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides strategy and leadership to team responsible for provider network management, operations, and contracting activities . Leads network strategy and development with respect to adequacy, financial performance, and operational performance. Develop…
Part Time Medical Director ( OBGYN /Based in MS)
hckd.fa.us2.oraclecloud.com·MS, United States
JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate c…
Program Manager-Medicaid Nebraska (Remote)
hckd.fa.us2.oraclecloud.com·NE, United States
JOB DESCRIPTION Job Summary Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion…
Peer Specialist (Jefferson County KY)
hckd.fa.us2.oraclecloud.com·Louisville, KY, United States
JOB DESCRIPTION Job Summary Provides peer support services for members with behavioral health needs/chemical dependency issues. In collaboration with multidisciplinary care team working across the continuum, strives to ensure member progress toward desired outcomes, and contribu…
Pharmacy Technician
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Essential Job Duties • Performs initial receipt an…
VP, Clinical Operations (Medicare Duals) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Provides executive level strategy and leadership for teams responsible for optimization of clinical operations across the enterprise. Develops and implements processes to ensure healthcare services functions including utilization management/care management/etc. …
Care Manager (Home Care RN or LSW) Remote in Detroit Michigan Area
hckd.fa.us2.oraclecloud.com·MI, United States
Job Description: Provides support for care management and care coordination activities and collaborates with a multidisciplinary team to coordinate the integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contribu…
Field Patient Care Specialist (Okanogan, WA)
hckd.fa.us2.oraclecloud.com·Okanogan, WA, United States
Job Description Job Summary The Specialist, Patient Care Delivery is a multi-disciplinary healthcare professional who delivers high-quality, compassionate care to health plan members in their homes. This role combines clinical expertise, cultural sensitivity, and excellent …
CFO, Market (Utah & Idaho)
hckd.fa.us2.oraclecloud.com·UT, United States
JOB DESCRIPTION Job Summary Provides executive level strategy and leadership for market finance activities - specifically provision of financial analysis to support business decisions including profitability initiatives for medical management metrics, member growth/retention ven…
Dental Director, Health Plan - REMOTE
hckd.fa.us2.oraclecloud.com·AZ, United States
JOB DESCRIPTION Provides support and subject matter expertise for member clinical dental review activities. Responsible for determining appropriateness and medical necessity of member dental care services - targeting opportunities for quality improvement and satisfaction for me…
Care Manager (RN) - Must live in IA
hckd.fa.us2.oraclecloud.com·Des Moines, IA, United States
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 contributes to overarchi…
Member Health Assessor
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Provides support for member health assessment activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum, including behavioral health and long-term care for members with high-need potentia…
Representative, Support Center (Bilingual English/Spanish, Must Reside in FL)
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 …
Director, Health Plan Operations (Must reside in Florida)
hckd.fa.us2.oraclecloud.com·Miami, FL, United States
JOB DESCRIPTION Job Summary Leads and directs team responsible for the development and administration of state health plan operational functions, programs and services - ensuring functional operations, contractual compliance, and alignment with health plan member satisfaction, r…
Care Manager (BH Licensed) LCSW, LMHC, LMFT, LMSW
hckd.fa.us2.oraclecloud.com·Miami, FL, United States
Come join us for our upcoming virtual hiring event! Event Date & Time: Tuesday July 14th at 12:00pm EST Register here today: Florida Care Managers (Miami) & Care Review Clinicians Virtual Hiring Event Event Date & Time: Thursday, July 23rd at 12:00pm EST Register here today: Fl…
Transition of Care Coach - Behavioral Health - Remote (Must reside in Mississippi)
hckd.fa.us2.oraclecloud.com·Mississippi City, MS, United States
JOB DESCRIPTION Job Summary Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at tim…
Lead Analyst, Payment Integrity - Health Plan
hckd.fa.us2.oraclecloud.com·Jackson, MS, United States
JOB DESCRIPTION Job Summary Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive health plan financial performance through evaluation and execution of operational initiatives tied to payme…
Senior Program Manager - Remote CA
hckd.fa.us2.oraclecloud.com·Long Beach, CA, 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…
Program Director - Remote CA
hckd.fa.us2.oraclecloud.com·Long Beach, CA, United States
JOB DESCRIPTION Job Summary Responsible for the Management of 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 p…
Senior Data Analyst (Databricks/ BI )
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Sr Analyst (Data Governance) is responsible for the overall development, maintenance, and integrity of various reporting database. You will be responsible for testing, reviewing SQL queries, stored procedures and facilitating code reviews for improvi…
Care Manager – Multiple Openings in FL (LPN/LVN)
hckd.fa.us2.oraclecloud.com·Miami, FL, United States
Come join us for our upcoming virtual hiring event! Event Date & Time: Tuesday, July 14th at 12:00pm EST Florida Care Managers & Care Review Clinicians Virtual Hiring Event( opens in new window) Event Date & Time: Thursday, July 23rd at 12:00pm EST Florida Care Managers & Care …