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hckd.fa.us2.oraclecloud.com/CX

Discussion
151 jobs
hckd.fa.us2.oraclecloud.com/CX
3 weeks ago

Health Plan Ancillary Provider Contracts Manager - Complex (Michigan)

North AmericaFull-time
United States

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, financial performance…
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hckd.fa.us2.oraclecloud.com/CX
3 weeks ago

Representative, Support Center (Bilingual English/Spanish)

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
3 weeks ago

Care Manager Processor - In Office, Downers Grove IL

North AmericaFull-timeJunior
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 times per week. Candidates should live within a reasonable driving…
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hckd.fa.us2.oraclecloud.com/CX
3 weeks ago

Account Representative, Medicare Sales-Los Angeles, CA-Fully Bilingual-Spanish

North AmericaFull-time
United States

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
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

Care Manager, LTSS - Black Hawk County

North AmericaFull-time
United States

This is a remote field-based role requiring travel within Black Hawk County. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates…
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

RN Care Manager, LTSS (Brockton, MA)

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
4 weeks ago

Care Manager Processor, Hybrid In Downers Grove IL

North AmericaFull-timeJunior
United States

Molina Healthcare is hiring a Care Manager Processor. This role will report into the Molina Healthcare office in Downers Grove two to three times per week. Candidates should live within a reasonable driving distance. A…
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

RN- Transition of Care Coach (Fitchburg, MA)

North AmericaFull-time
United States

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
4 weeks ago

Program Manager, Healthcare Services - Clinical Analytics/Pega/CCA - Remote

North AmericaFull-time
United States

***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership to support the alignment and implementation of enterprise healthcare services strategies…

Analytics PMP Process Improvement Six Sigma
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

Care Review Clinician (RN or BH Licensed)

North AmericaFull-time
United States

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines,…
Apply
hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

Manager, Actuarial Services - REMOTE

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Leads and manages team responsible for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to identify risks; also supports provision of…

Analytics Business Development Predictive Analytics Statistics
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

Specialist, Benefit Sales (Facilitated Enroller) (In Field - Brooklyn, NY) Bilingual Russian Preferred

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health…

Hipaa
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

Specialist, Benefit Sales (Facilitated Enroller) (In Field - Monroe, NY) - Bilingual Yiddish Required

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health…

Hipaa
Apply
hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

VP, Applications - Enterprise Data Analytics - Remote

North AmericaFull-timeC-level
United States

Job Summary VP, Data & Analytics (Enterprise Insights & Business Intelligence) with enterprise-wide influence across MedEcon, Payment Integrity, Claims, Configuration, UM, Provider, and other core functions.…

Agile AI AKS Analytics Atlassian +22 skills
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

Senior Data Scientist

North AmericaFull-timeSenior
United States

JOB DESCRIPTION Job Summary Provides senior level support for data science activities. Performs data and error analysis to improve models, and cleans and validates data for uniformity and accuracy. Executes data…

Agentic AI AI Analytics Azure Cloud +29 skills
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

IRIS Self-Directed Personal Care (RN)

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
4 weeks ago

Program Manager - Clinical Vendor Implementations/UM/Care Management - Remote

North AmericaFull-time
United States

***Remote and must live in the United States*** JOB DESCRIPTION Job Summary This role is responsible for the internal business projects and programs involving departmental and cross-functional subject matter experts.,…

Process Improvement Program Management Visio
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hckd.fa.us2.oraclecloud.com/CX
4 weeks ago

Care Manager (RN)(Syracuse, 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…

Hipaa
Apply
hckd.fa.us2.oraclecloud.com/CX
last month

Field Care Manager (Ogle/ Stephenson / Jo Davies Peoria)

MENA, North AmericaFull-time

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…
Apply
hckd.fa.us2.oraclecloud.com/CX
last month

Field Care Manager (Travel St Clair/Madison)

MENA, North AmericaFull-time

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…
Apply

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