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hckd.fa.us2.oraclecloud.com/CX_3002

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151 jobs
hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

IRIS Self-Directed Personal Care (RN) (Racine County, WI & Kenosha County, WI)

RemoteNorth AmericaFull-time
United States

Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summary Are you seeking a unique nursing position that gives you a great…
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Care Manager, LTSS (RN) - Lawrence/Gallia Counties

North AmericaFull-time
United States

This is a remote field-based role requiring travel in the Lawrence and Gallia County areas. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities.…
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Representative, Support Center III - Remote (Medicaid, Medicare In and Outbound calls)

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Provides level III support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while…

CRM Hipaa Salesforce
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Senior Specialist, Benefit Sales (Facilitated Enroller) (In Field - Westchester, NY)

North AmericaFull-timeSenior
United States

JOB DESCRIPTION Job Summary Provides senior level support for benefit sales and enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products,…

Corrective Action Hipaa
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Representative, Support Center

North AmericaFull-time
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…

CRM Hipaa Salesforce
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Manager, Appeals & Grievances Member- Remote EST

North AmericaFull-time
United States

Must be flexable to travel to the SC office when needed due to buisnsess needs JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider…
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Health Plan Provider Contracts Manager - Complex (Texas)

North AmericaFull-time
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,…
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Care Manager (BH Licensed) - must be licensed in the state of NY

North AmericaFull-time
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…

Risk Assessment
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Manager, Appeals & Grievances Member - Remote

North AmericaFull-time
United States

Member Focus JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized…
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Clinical Validation Reviewer, RN - Inpatient Coding & Reimbursement

North AmericaFull-time
United States

Seeking an RN with inpatient coding, clinical validation, reimbursement, DRG review, and/or payment integrity experience. This is not a traditional bedside nursing role. Candidates should have experience interpreting…

Analytics Process Improvement
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Transition of Care Coach (RN) East St Louis, IL

MENA, North AmericaFull-time

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…
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Care Manager (Michigan RN) (must reside in Michigan)

North AmericaFull-time
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…

Hipaa
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hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Care Manager, LTSS (Miami, FL)

North AmericaFull-time
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…
Apply
hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

RN Care Manager (Mississippi)

North AmericaFull-time
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…

Hipaa
Apply
hckd.fa.us2.oraclecloud.com/CX_3002
2 weeks ago

Care Manager, LTSS (RN) - Field travel in Milwaukee County, WI

North AmericaFull-time
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…
Apply
hckd.fa.us2.oraclecloud.com/CX_3002
3 weeks ago

Transition of Care Coach (RN) - Must Live in Illinois

MENA, North AmericaFull-time

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…
Apply
hckd.fa.us2.oraclecloud.com/CX_3002
3 weeks ago

Telephonic Care Manager, LTSS (LVN) - Must Reside in Texas

North AmericaFull-time
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…
Apply
hckd.fa.us2.oraclecloud.com/CX_3002
3 weeks ago

Senior Program Manager - Quality Systems - Analytics - Remote

North AmericaFull-timeSenior
United States

JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for program management activities. Supports programmatic business needs across department and/or cross-functional areas, including programs…

Jira PMP Process Improvement Program Management SharePoint +4 skills
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hckd.fa.us2.oraclecloud.com/CX_3002
3 weeks ago

Program Manager (Provider Engagement, Risk Adjustment, & Quality Improvement)

North AmericaFull-time
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 program…

Analytics PMP Process Improvement Program Management Root Cause Analysis +3 skills
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hckd.fa.us2.oraclecloud.com/CX_3002
3 weeks ago

Care Manager, LTSS (RN) - Field travel in Adams, Waushara, Marquette and Columbia County, WI

North AmericaFull-time
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…
Apply

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