hckd.fa.us2.oraclecloud.com/CX_3002

Manager, Health Plan Provider Relations & Contracting (Wisconsin)

JOB DESCRIPTION ***Employee must reside in Wisconsin*** Job Summary Leads and manages team responsible for health plan provider relations activities. Supports network development, network adequacy, contracting, and…

Contract Negotiation

North AmericaFull-timeSenior

Senior ServiceNow Engineer – AI Enablement & Platform Strategy - Remote

Automation Azure Cloud Dynatrace Hipaa +14 skills

JOB DESCRIPTION Job Summary Provides senior level engineering support for enterprise infrastructure systems through contributions to the implementation, maintenance, and reliability of platforms that enable critical…

Manager, Regional Delegation Oversight

***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Leads and manages a regional team responsible for multi-state delegation oversight activities including monitoring of delegation oversight to…

Corrective Action

North AmericaFull-timeLead

Project Manager / Process Improvement Lead (Appeals & Grievances)

Agile PMP Process Improvement Six Sigma Visio

JOB DESCRIPTION Job Summary Provides support for internal business projects from inception through delivery. Plans and managed project schedules, milestones, budgets, stakeholder involvement, and quality/delivery.…

Care Manager, LTSS - Field travel in Racine and Kenosha County, WI

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…

Representative, Support Center (Bilingual English/Spanish) Must reside in OH

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

Account Representative, Medicare Sales-MA

JOB DESCRIPTION Job Summary Provides support for Molina Medicare sales activities. Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible,…

Salesforce

Associate Program Manager (Pharmacy Implementations)

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…

Program Management

Representative, Support Center (Bilingual English/Spanish): Overview

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

Transition of Care Coach (RN) (must be licensed and reside in Michigan)

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…

Manager, National Risk & Quality Solutions - NCQA (Remote)

Analytics Azure Data Ingestion Data Quality Databricks +3 skills

Job Description Job Summary Leads and manages Quality Systems performance managers, demonstrating accountability for people performance, delivery outcomes, and execution of quality system initiatives. Oversees a…

Care Manager, LTSS - Field travel in Sauk County, WI

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…

Care Manager, LTSS - Field travel in Crawford and Vernon County, WI

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…

Care Manager, LTSS (RN) - Field travel in Sauk and Richland County, WI

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…

Care Manager, LTSS - Field travel in Adams, Waushara, Marquette, Columbia County, WI

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…

Care Manager, LTSS (RN) - Field travel in Waukesha and Sheboygan County, WI

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…

Care Manager, LTSS - Field travel in Waukesha and Sheboygan County, WI

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…

Care Manager, LTSS (LSW) - Ross County

This is a remote field-based role. Licensed Social Workers preferred. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with…

Program Manager - Government Programs & Value-Based Care - Remote

Process Improvement Program Management Visio

JOB DESCRIPTION Job Summary Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets,…