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Careers at hckd.fa.us2.oraclecloud.com
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594 positions at hckd.fa.us2.oraclecloud.com
Director, Value-Based Programs (Value-Based Contracting & (CMS LAN) Remote in FL
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Leads and directs team responsible for value-based programs (VBP) activities. Responsible for developing and implementing value-based strategies for lines of business impacted by the regulatory risk adjustment payment model. Supports achievement of fi…
Community Connector
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing health care needs. Contributes …
Care Manager, LTSS
hckd.fa.us2.oraclecloud.com·La Crosse, WI, United States
***Remote with travel throughout La Crosse County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating inte…
Care Manager, LTSS
hckd.fa.us2.oraclecloud.com·Spooner, WI, United States
***Remote with travel throughout Douglas and Washburn Counties, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coor…
Care Manager, LTSS
hckd.fa.us2.oraclecloud.com·Hudson, WI, United States
***Remote with travel throughout Pierce and St. Croix Counties, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coor…
Medical Assistant, Care Connections - CA ONLY
hckd.fa.us2.oraclecloud.com·Long Beach, CA, United States
JOB DESCRIPTION Job Summary Provides medical assistant support for Care Connections team. Responsible for contacting members following appointments/services rendered to ensure member understanding and navigation of the health care system, and coordination support for follow-up c…
Senior Analyst, Data & Analytics - Remote (SQL Exp)
hckd.fa.us2.oraclecloud.com·United States
Job Description The Senior Analyst, Data & Analystcs, supports the out-of-network (OON) provider liability operating model by developing the analytics, reporting, and market intelligence needed to inform the negotiation strategy, arbitration positioning, QPA payment accuracy, an…
Care Manager, LTSS
hckd.fa.us2.oraclecloud.com·Madison, WI, United States
***Remote with travel throughout Dane County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrate…
Specialist, Appeals & Grievances
hckd.fa.us2.oraclecloud.com·TX, United States
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers …
Senior Accountant (Health Plan Accounting/PST) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides senior-level accounting support for Molina's Texas Health Plan, including month-end close, account reconciliations, financial statement preparation, statutory reporting, audit support, and accounting schedule preparation. This role requires …
Care Manager, LTSS
hckd.fa.us2.oraclecloud.com·Madison, WI, United States
***Remote with travel throughout Dane Ciunty, Wi for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrate…
Care Manager, LTSS (RN)
hckd.fa.us2.oraclecloud.com·Madison, WI, United States
***Remote with travel throughout Dane County, Wi for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrate…
Intern
hckd.fa.us2.oraclecloud.com·Richmond, VA, United States
JOB DESCRIPTION Job Summary The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business profession. We aim to develop talent by providing students and al…
Senior Analyst, Medical Economics (Trend Analytics, SQL, Power BI, Medicaid) - REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides senior-level analytical support for Medical Economics initiatives through the extraction, analysis, and synthesis of complex healthcare data to identify risks, opportunities, and drivers of medical cost and utilization trends. Responsible fo…
Representative, Support Center (Bilingual English/Spanish, Must reside in OH)
hckd.fa.us2.oraclecloud.com·OH, 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…
Community Connector - Must live in OH
hckd.fa.us2.oraclecloud.com·Lima, OH, United States
This is a remote field-based role requiring daily travel. Job Summary Provides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable member…
Care Review Clinician (RN) - Remote in FL
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Must reside in Florida Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - …
Care Review Clinician (BH Licensed) - Remote in FL
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensur…
Transition of Care Coach (RN-Peds) - Miami, FL
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Candidates must reside in Florida and hold an active, unrestricted nursing license in the state. This is a hybrid position requiring approximately 20% travel to hospital settings to support member needs. Applicants must have a minimum of two years of case manage…
Peer Specialist - CRPS Required-Hillsborough County Florida
hckd.fa.us2.oraclecloud.com·FL, United States
JOB DESCRIPTION Job SummaryProvides 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 contribute…
Care Manager (BH Licensed)
hckd.fa.us2.oraclecloud.com·KY, 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…
Representative, Support Center
hckd.fa.us2.oraclecloud.com·KY, 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…
Program Manager, Healthcare Services (Clinical Policy and Medicare Compliance)
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, po…
AVP, Health Plan Operations
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary Provides strategy and leadership to 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 memb…