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Careers at hckd.fa.us2.oraclecloud.com
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926 positions at hckd.fa.us2.oraclecloud.com
Director, Transformation
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Leads and directs team responsible for Molina enterprise initiatives that drive and advance strategic, operational, and technology-enabled transformation across the organization. Partners with senior leadership to evaluate opportunities, assess viabil…
Care Manager (RN) Ohio - Region 9 Belmont, Holmes, Carroll, Coshocton
hckd.fa.us2.oraclecloud.com·Martins Ferry, OH, United States
Molina Healthcare is hiring for several Care Manager RN’s in the Eastern Central region of Ohio. This role will be covering Region 9 which is the following counties - Belmont County, Carroll County, Coshocton County, Guernsey County, Harrison County, Holmes County, Jefferson Coun…
Representative, Support Center
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary 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 service information, and …
Manager, Health Plan Provider Contracts (Michigan)
hckd.fa.us2.oraclecloud.com·Detroit, MI, United States
JOB DESCRIPTION ***Employee for this role must reside in Michigan*** Job Summary Leads and manages team responsible for health plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operation…
Senior Analyst, Business
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides senior level analyst support for business requirements activities of high-level complexity. Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reim…
Care Management Processor (In Office, Downers Grove IL)
hckd.fa.us2.oraclecloud.com·Downers Grove, IL, United States
Molina Healthcare is hiring several Care Manager Processors. This role will report into the Molina Healthcare office in Downers Grove up to four to five times per week. Candidates must live within a reasonable commute. A CMP completes outreach to members to ensure quality hea…
Field Care Manager (Ogle county)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides support for health management activities within the care management/care coordination functions. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum, including behavioral health, long-t…
Senior Analyst, Data & Analytics (Provider Network - FL)
hckd.fa.us2.oraclecloud.com·Tampa, FL, United States
JOB DESCRIPTION Job Summary Provides senior level analyst support for data analysis and reporting activities. Responsible for organizing data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance. Ge…
Field Nurse Practitioner (Columbus, OH)
hckd.fa.us2.oraclecloud.com·Columbus, OH, 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…
Field Care Manager, LTSS (LVN) - Local Travel Required
hckd.fa.us2.oraclecloud.com·Jasper, TX, United States
JOB DESCRIPTION Opportunity for Texas licensed LVN to join Molina as a Care Manager working with our Medicaid members who live in the Jasper and Livingston, TX service area. If hired, you will conduct face-to-face meetings with the members in their homes, completing assessments…
Representative, Health Plan Provider Relations - Remote Must reside in WA
hckd.fa.us2.oraclecloud.com·WA, United States
JOB DESCRIPTION Job Summary Provides administrative, operational, and provider relations support to ensure the effective coordination and execution of Provider Relations activities. Responsible for organizing, tracking, scheduling, reporting, documenting, and maintaining systems…
Specialist, Provider Network Administration - Remote Must reside in Ohio
hckd.fa.us2.oraclecloud.com·Columbus, OH, United States
JOB DESCRIPTION Job Summary Provides support for provider network administration activities. Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system require…
Care Manager, LTSS (Cook County)
hckd.fa.us2.oraclecloud.com·Chicago, IL, United States
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need…
Care Manager, LTSS (Collar: DuPage/Kane)
hckd.fa.us2.oraclecloud.com·Aurora, IL, United States
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need…
Care Manager, LTSS (Collar: Lake/Will/McHenry)
hckd.fa.us2.oraclecloud.com·Waukegan, IL, United States
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need…
Care Manager, LTSS (Metro East: St. Clair)
hckd.fa.us2.oraclecloud.com·Belleville, IL, United States
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need…
Medical Review Nurse (RN)
hckd.fa.us2.oraclecloud.com·United States
Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; v…
Program Manager, Health Plan Payment Integrity (MI)
hckd.fa.us2.oraclecloud.com·Detroit, MI, United States
JOB DESCRIPTION ***Employee for this role must reside in Michigan*** Job Summary Provides subject matter expertise for oversight, production, and resolution of health plan payment integrity (PI) recovery concepts. Executes and monitors health plan scoreable action items (SAIs…
Supervisor, Healthcare Services Operations Support
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific se…
Lead, Healthcare Services Operations Support
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job SummaryProvides lead level non-clinical healthcare services support for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuri…
Representative, Support Center II
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides level II 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 service information, ide…
Program Manager (Remote)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and support for program management activities. Supports programmatic business needs across department and/or cross-functional areas, including programs design, implementation, administration, governance, workflow analy…
Program Manager, Medicare Stars & Quality Improvement (Remote)
hckd.fa.us2.oraclecloud.com·United States
Job Summary Provides subject matter expertise and leadership for Care Connections, Medicare Stars and quality improvement (QI) programs/activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare S…
Pediatrics Care Manager LVN/LPN Hybrid in Orange County
hckd.fa.us2.oraclecloud.com·Orlando, 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…
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