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Careers at hckd.fa.us2.oraclecloud.com
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600 positions at hckd.fa.us2.oraclecloud.com
HOPE Navigator (Social & Health Equity Navigator) Must Live In FL (Remote)
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Provides support for member program initiatives that address social conditions that impact health outcomes; provides education, assistance, resources and best practices to members in relation to navigating the health care system. Works collaboratively…
Investigator, Special Investigative Unit Coding (Remote)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informat…
Senior Program Manager (Salesforce Experience Required, Salesforce Certification Preferred)
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…
Senior Analyst, Medical Economics - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides support and ownership for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities and improve financial performance. Essential Job Duties • Extr…
Manager, Process Improvement & Operational Excellence-Salesforce (Remote)
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary Leads and manages team responsible for process improvement initiatives that result in operational efficiencies and/or increase customer satisfaction. Assists in development of enterprise process improvement methodologies and the implementation of bus…
Specialist, Benefit Sales Bilingual - In Field - Rochester, NY - (Facilitated Enroller)
hckd.fa.us2.oraclecloud.com·Rochester, 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 …
Manager, Medical Economics - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Manages team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Collaborates with health plans ide…
Bilingual Growth & Community Engagement Spc, Bengali, Hindi, & Urdu (Queens/Brooklyn NY)
hckd.fa.us2.oraclecloud.com·Queens, NY, United States
*Candidates For This Position Must Reside In/Near Queens NY* Bilingual Highly Desired - Hindi, Bengali, Urdu and/or Arabic Are you passionate about serving others? Do you have established relationships within the community? Come join our growing Community Engagement team at M…
Care Manager (RN) - CA State License AND Compact
hckd.fa.us2.oraclecloud.com·Los Angeles, CA, 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…
Transition of Care Coach (BH Licensed) - Vancouver, WA
hckd.fa.us2.oraclecloud.com·Vancouver, WA, 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…
Care Manager - RN/Licensed BH Professionals - Travel Required
hckd.fa.us2.oraclecloud.com·IA, United States
JOB DESCRIPTION Opportunity for either an experienced Care Manager who is Bachelors or Masters trained in a social services field OR an Iowa licensed RN to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face and telephonic visits with …
Specialist, IRIS Eligibility Screening (Milwaukee County, WI & Eastern Waukesha County, WI)
hckd.fa.us2.oraclecloud.com·Milwaukee, WI, United States
Job Description Job Summary TMG is on the lookout for our next great Eligibility Screener! If you love doing meaningful work that helps others live their best lives, we want to hear from you! We’re currently in search for someone with a background in human services, so…
Broker Channel Manager-KY
hckd.fa.us2.oraclecloud.com·Louisville, KY, United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Molina broker channel management activities. Responsible to build an effective and efficient broker channel for assigned geographical region in collaboration with other broker services and sales tea…
Lead Analyst, Quality Analytics & Performance Improvement (Remote)
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary The Lead Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outc…
Bilingual (Arabic, Cantonese, Korean, or Tagalog) - Care Connections Member Advocate
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements. Job Dutie…
Director, Health Plan Provider Contracts (Medicaid / Michigan Health Plan) - Remote in Michigan
hckd.fa.us2.oraclecloud.com·Detroit, MI, United States
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 operational performance. Collaborates with senior leadership and the corporate ne…
Investigator, Special Investigative Unit Coding-South Carolina
hckd.fa.us2.oraclecloud.com·SC, United States
JOB DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informat…
Medical Director, Behavioral Health (PST Zone)
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…
VP, Network Management & Operations (Nevada Health Plan)
hckd.fa.us2.oraclecloud.com·NV, United States
Job Summary Provides executive strategy and leadership to team responsible for network operations and contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Also responsible for negotiating c…
Health Plan Provider Contracts Manager - Complex (MA State Health Plan)
hckd.fa.us2.oraclecloud.com·Boston, MA, United States
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, financial performance and operational performance. Responsible for n…
Medical Director, Behavioral Health
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…
Field Nurse Practitioner (Galesburg, IL)
hckd.fa.us2.oraclecloud.com·Galesburg, IL, United States
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure memb…
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…
Analyst, Business - SQL (Remote in Florida)
hckd.fa.us2.oraclecloud.com·FL, 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 …