Company · 926 open roles
Careers at hckd.fa.us2.oraclecloud.com
hckd.fa.us2.oraclecloud.com has 926 active roles on ResuMinder right now. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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926 positions at hckd.fa.us2.oraclecloud.com
Program Manager (Marketplace Network Strategy & Payment Optimization) REMOTE
hckd.fa.us2.oraclecloud.com·United States
JOB DESCRIPTION Job Summary This role serves as the program management and governance lead for key Marketplace Network Strategy initiatives. The Program Manager is responsible for creating structure, accountability, reporting, and cross-functional coordination for programs tha…
Senior Specialist, IRIS Consulting
hckd.fa.us2.oraclecloud.com·Green Bay, WI, United States
JOB DESCRIPTION Job Summary Provides senior level support to older adults and people with physical or intellectual disabilities in the navigation of the IRIS program - Wisconsin's fully self-directed long-term supports and services (LTSS) program. Manages a complex participant c…
Specialist, IRIS Consulting (Eau Claire County, WI & Chippewa County, WI))
hckd.fa.us2.oraclecloud.com·Eau Claire, WI, United States
IRIS Consultant 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 …
Care Review Clinician (BH Licensed)
hckd.fa.us2.oraclecloud.com·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…
Senior Specialist, IRIS Consulting
hckd.fa.us2.oraclecloud.com·Madison, WI, United States
JOB DESCRIPTION Job Summary Provides senior level support to older adults and people with physical or intellectual disabilities in the navigation of the IRIS program - Wisconsin's fully self-directed long-term supports and services (LTSS) program. Manages a complex participant c…
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…
Specialist, Appeals & Grievances Members - Remote (CST)
hckd.fa.us2.oraclecloud.com·United States
Mon - Fri 8am - 5pm CST Medicaid and Market place members 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 accordanc…
Senior Specialist, IRIS Consulting
hckd.fa.us2.oraclecloud.com·Milwaukee, WI, United States
JOB DESCRIPTION Job Summary Provides senior level support to older adults and people with physical or intellectual disabilities in the navigation of the IRIS program - Wisconsin's fully self-directed long-term supports and services (LTSS) program. Manages a complex participant c…
Senior Specialist, IRIS Consulting (La Crosse County, WI)
hckd.fa.us2.oraclecloud.com·La Crosse, 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 …
Care Manager (RN)
hckd.fa.us2.oraclecloud.com·Seattle, WA, 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…
Senior Specialist, IRIS Consulting (Hybrid role)
hckd.fa.us2.oraclecloud.com·Milwaukee, WI, United States
JOB DESCRIPTION Job Summary Provides senior level support to older adults and people with physical or intellectual disabilities in the navigation of the IRIS program - Wisconsin's fully self-directed long-term supports and services (LTSS) program. Manages a complex participant c…
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 …
Care Manager, LTSS
hckd.fa.us2.oraclecloud.com·Sparta, WI, United States
***Remote with travel throughout Monroe 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 integra…
Specialist, IRIS Consulting
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 …
Senior Specialist, IRIS Consulting
hckd.fa.us2.oraclecloud.com·Kenosha, WI, United States
JOB DESCRIPTION Job Summary Provides senior level support to older adults and people with physical or intellectual disabilities in the navigation of the IRIS program - Wisconsin's fully self-directed long-term supports and services (LTSS) program. Manages a complex participant c…
Care Manager (RN)
hckd.fa.us2.oraclecloud.com·WA, 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…
Care Manager (RN)
hckd.fa.us2.oraclecloud.com·WA, 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…
Care Manager (BH Licensed)
hckd.fa.us2.oraclecloud.com·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 contribut…
Program Manager, LTSS Healthcare Services
hckd.fa.us2.oraclecloud.com·United States
Molina Healthcare is hiring a Program Manager, LTSS Healthcare Services. This role is remote. Highly qualified candidates should have experience with LTSS in some capacity. Additional responsibilities may include implementations of new markets, working with health plans to ensu…
Healthcare Growth & Community Engagement Internship (Nebraska Health Plan) – Summer 2027 (Undergraduate)
hckd.fa.us2.oraclecloud.com·NE, United States
JOB SUMMARY (Purpose of the Job & high-level summary): The Molina Healthcare Internship Program shares an objective to create a stepping stone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects…
Lead, Healthcare Services
hckd.fa.us2.oraclecloud.com·WA, United States
JOB DESCRIPTION Job Summary Provides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral health, and other clinica…
Sr Analyst, Claims Research (Medicaid Claims) Remote
hckd.fa.us2.oraclecloud.com·United States
Molina Healthcare is hiring for Senior Analyst, Claims Research. This position is fully remote. Highly Qualified Candidates Will Have the Following Experience – • Experience with medical claims, specifically Medicaid claims • Handling provider claim disputes • Advanced E…
Pediatric Care Manager (RN-ECC)- Hybrid in Lee County, FL
hckd.fa.us2.oraclecloud.com·Fort Myers, 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…
Sr Specialist, Government Contracts (Medicaid) Must Live in FL
hckd.fa.us2.oraclecloud.com·Jacksonville, FL, United States
Molina Healthcare of Florida is hiring for a Senior Specialist in our Government Contracts department. Candidates must reside in Florida. Highly Qualified Candidates Will Have the Following Experience • Managed Care Experience, preferably Florida Medicaid and CMS • Contract…
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