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Health Plan Provider Contracts Manager - Complex at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Contract Negotiation, Value Based Payment, Provider Relationship Management, Network Adequacy, Financial Analysis, Regulatory Compliance, Managed Care, Medical Cost Ratio Analysis, Strategic Planning, Stakeholder Management, Microsoft Excel, Reimbursement Modeling
Specialization
Requires at least 5 years of network contracting experience and 3 years of managed health care negotiations. Must be proficient in various compensation methodologies including VBP, FFS, and capitation across Medicaid and Medicare lines.
Experience Required
Minimum 5 year(s)
Care Review Clinician (LVN) - MUST RESIDE IN TEXAS at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Utilization Management, Prior Authorization, Mcg Guidelines, Interqual Guidelines, Clinical Review, Microsoft Outlook, Microsoft Excel, Microsoft Teams, Microsoft One Note, Medical Necessity Verification, Case Management, Clinical Assessment
Specialization
Requires a TX licensed LVN with at least 2 years of healthcare experience in acute care, inpatient review, or managed care. Proficiency in Microsoft Office Suite and experience with UM guidelines like MCG or Interqual is highly preferred.
Experience Required
Minimum 2 year(s)
RN/LPN Part-time Nightshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Care, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted RN or LPN license in Tennessee. Ability to work compassionately with individuals in psychiatric care or chemical dependency is required.
LPN Full-time Nightshift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted LPN license in Tennessee. Experience in mental health or chemical dependency treatment is preferred, along with strong communication and analytical skills.
RN/LPN PRN Nightshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Requires a current unrestricted RN or LPN license in the state of Tennessee. Candidates must be able to work compassionately with individuals in psychiatric care and those with chemical dependencies.
Cook at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Inventory Management, Sanitization, Nutrition Compliance, Kitchen Cleaning, Portion Control
Specialization
Candidates should preferably have a high school diploma and must possess a Food Handler Certificate. Additional requirements include a clean criminal record regarding felonies and substance abuse, and knowledge of Board of Health guidelines.
Nurse Practitioner - Part-time at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Mental Health Treatment, Substance Abuse Counseling, Patient Assessment, Communication Skills, Problem Solving, Clinical Judgment, Psychiatric Care, Interdisciplinary Collaboration, Documentation, Policy Interpretation
Specialization
Candidates must hold a Master's degree in Nursing and be a licensed PMHNP or FNP with board certification. An X-Waiver and DEA license with active prescriptive authority are preferred.
Experience Required
Minimum 2 year(s)
Behavioral Health Technician 1st Shift Full-time at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Behavioral Health Support, Client Safety Monitoring, De Escalation, Documentation, Inventory Management, Interpersonal Skills, Time Management, Multi Tasking, Electronic Medical Records, Crisis Intervention, Communication, Professional Judgment, Trauma Informed Care, Confidentiality, Team Collaboration
Specialization
Candidates should ideally possess a high school diploma or GED and have prior experience in substance abuse or mental health settings. A valid state driver's license with a clean driving record is required, along with strong communication and interpersonal skills.
Care Review Clinician - Utilization Review (KY RN license- REMOTE) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Utilization Review, Clinical Assessment, Prior Authorization, Medical Necessity Verification, Case Management, Critical Thinking, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Organizational Skills, Time Management
Specialization
Candidates must be a Registered Nurse with an active, unrestricted license and at least 2 years of experience in acute care, inpatient review, or managed care. Proficiency in Microsoft Office and strong critical-thinking skills are required.
Experience Required
Minimum 2 year(s)
Payments Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Medical Billing, Payment Posting, Revenue Cycle Management, Insurance Reimbursement, Claim Processing, Ehr Systems, Microsoft Office, Data Accuracy, Critical Thinking, Problem Solving, Hipaa Compliance, Financial Reconciliation
Specialization
Candidates should have 1-3 years of experience in medical billing or healthcare revenue cycle management, preferably in behavioral health. Proficiency with EHR systems, billing platforms, and a strong attention to detail are required.
Experience Required
Minimum 2 year(s)
Verification Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Benefit Verification, Customer Service, Behavioral Health, Data Entry, Microsoft Office Suite, Outlook, Insurance Portals, Monday.Com, Onedrive, Time Management, Multitasking, Written Communication, Verbal Communication, Interpersonal Skills, Organization
Specialization
Candidates must have a high school diploma or equivalent and proven interpersonal skills for interfacing with insurance companies and staff. Proficiency in Microsoft Office and the ability to follow standard operating procedures is required.
VP, National Quality Data Management & Performance at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Quality Data Management, Hedis Operations, Performance Outcomes Management, Managed Care, Strategic Leadership, Budget Management, Change Management, Data Analysis, Executive Presence, Cross Functional Leadership, Regulatory Compliance, Vendor Management, Clinical Data Acquisition, Risk Adjustment, Stakeholder Management, Microsoft Office
Specialization
Requires at least 12 years of experience in quality data management and HEDIS operations, including 8 years in managed care and 7 years in leadership. Must possess strong business acumen, executive presence, and a proven ability to lead complex projects in a matrixed environment.
Experience Required
Minimum 10 year(s)
Quality Program Specialist at Orsini Healthcare
Elk Grove Village, Illinois, United States - Full Time
Skills Needed
Quality Management System, Capa Tracking, Complaint Management, Document Control, Internal Auditing, External Auditing, Trend Analysis, Microsoft Excel, Microsoft Word, Microsoft Powerpoint, Microsoft Visio, Project Management, Data Analysis, Interpersonal Communication, Problem Solving, Electronic Medical Records Review
Specialization
A high school diploma is required, with 1-3 years of related experience, though an associate degree and 4-5 years of experience are preferred. Candidates must possess strong computer skills in Microsoft Office and Visio, along with the ability to analyze complex data and manage multiple tasks.
Experience Required
Minimum 2 year(s)
Case Worker at VieMed Healthcare
Lafayette, Louisiana, United States - Full Time
Skills Needed
Case Management, Medical Insurance, Community Resource Coordination, Electronic Health Records, Patient Advocacy, Telehealth, Geriatric Care, Chronic Illness Management, Interdisciplinary Collaboration, Patient Documentation, Regulatory Compliance, Crisis Intervention
Specialization
Candidates should have experience with medical insurance and community resources, with an Associate's or Bachelor's degree preferred. A valid driver's license and proficiency in specific healthcare software like Therapy Notes and Tableau are required or desired.
Experience Required
Minimum 2 year(s)
Nursing Facility Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Mds Assessments, Case Coordination, Patient Assessment, Care Planning, Waiver Enrollment, Motivational Interviewing, Medication Reconciliation, Microsoft Office Suite, Interdisciplinary Team Collaboration, Clinical Documentation, Time Management
Specialization
Requires an active RN license in Texas and at least 2 years of healthcare experience, including 1 year in care management and 1 year working with LTSS or persons with disabilities. Must possess a valid driver's license and proficiency in Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
Program Manager (Medicare Programs/Portfolio Mgmt) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Program Management, Project Management, Portfolio Management, Operational Process Improvement, Managed Care, Microsoft Project, Microsoft Visio, Jira, Governance Frameworks, Stakeholder Management, Performance Metrics Tracking, Business Requirements Documentation, Change Management, Risk Management, Communication Skills, Presentation Skills
Specialization
Requires at least 4 years of program or project management experience with a background in operational process improvement and managed care. Proficiency in Microsoft Project, Visio, and strong communication skills are essential.
Experience Required
Minimum 2 year(s)
Full-time Behavioral Health Technician 1st Shift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
De Escalation, Client Supervision, Crisis Management, Electronic Medical Records, Interpersonal Communication, Time Management, Emotional Support, Detail Oriented, Professional Judgment, Patient Monitoring
Specialization
Candidates should ideally be high school graduates or have a GED, with a valid driver's license and a preference for experience in mental health or substance abuse. Strong communication skills and the ability to remain empathetic and non-judgmental are essential.
Facilities Compliance Associate at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Regulatory Compliance, Facilities Management, Osha Standards, Preventive Maintenance, Environmental Health & Safety, Vendor Management, Emergency Preparedness, Documentation, Cms Compliance, Aaahc Standards, Life Safety, Infection Prevention, Analytical Skills, Problem Solving, Microsoft Office Suite, Communication Skills
Specialization
A high school diploma is required, though an associate degree in Healthcare Administration or a related field is preferred. Candidates should ideally have at least 2 years of experience in healthcare facilities, compliance, or safety operations.
Experience Required
Minimum 2 year(s)
BHT Supervisor 2nd Shift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Staff Supervision, Client Care, Hipaa Compliance, Microsoft Office, Crisis Management, Scheduling, Interpersonal Communication, Active Listening, Infection Control, Patient Orientation
Specialization
Requires a High School Diploma or GED and 3-5 years of healthcare experience, including at least 2 years of supervisory experience in a medical field. Candidates must be proficient in MS Office and maintain sobriety if applicable.
Experience Required
Minimum 2 year(s)
Medical Records Collector at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Records Collection, Customer Service, Data Analysis, Microsoft Excel, Project Management, Professional Phone Etiquette, File Management, Active Listening, Written Communication, Hedis Data Collection
Specialization
Requires at least one year of customer service experience, preferably in a healthcare administrative role, and a valid driver's license for travel. Proficiency in Microsoft Office and strong communication skills are essential.
Health Plan Provider Contracts Manager - Complex at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

04 Aug, 26

Salary

0.0

Posted On

06 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Contract Negotiation, Value-Based Payment, Provider Relationship Management, Network Adequacy, Financial Analysis, Regulatory Compliance, Managed Care, Medical Cost Ratio Analysis, Strategic Planning, Stakeholder Management, Microsoft Excel, Reimbursement Modeling

Industry

Hospitals and Health Care

Description
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, financial performance and operational performance.  Responsible for negotiating agreements, including value-based payment methodology, with complex provider groups that are strategically critical to plan success, including but not limited to:  hospitals, independent physician associations (IPAs), and behavioral health organizations.   Essential Job Duties • Negotiates contracts and letters of agreement with the complex provider community to secure high quality, cost-effective and marketable plan providers.  • Contracts/re-contracts with large-scale entities involving custom reimbursement; executes standardized alternative payment model (APM) contracts; issues escalations, and supports network adequacy, joint operating committees (JOCs), and delegation oversight.  • Execution, management, and optimization of value-based contracts and enhanced provider relationship management. • Directs analysis of financial impact of deal terms and prepare details and justification for executive approval for agreements outside of Molina approval guidelines. • In conjunction with contracting leadership, negotiates complex provider contracts including high-priority physician group and facility contracts using preferred, acceptable, discouraged, unacceptable (PADU) guidelines (emphasis on number or percentage of membership in value-based relationship contracts). • Develops and maintains provider contracts in contract management software. • Targets and recruits additional providers to reduce member access grievances. • Engages targeted contracted providers in renegotiation of rates and/or language; assists with cost-control strategies that positively impact the medical cost ratio (MCR) within each region. • Advises network contracting team members on negotiation of individual provider and routine ancillary contracts. • Maintains contractual relationships with significant/highly visible providers. • Evaluates provider network and implement strategic plans with the goal of meeting Molina’s network adequacy standards. • Assesses contract language for compliance with corporate standards and regulatory requirements and review revised language with assigned corporate attorney. • Participates in fee schedule determinations including development of new reimbursement models; seeks input on new reimbursement models from corporate network leadership, legal and senior level engagement as required. • Educates internal customers on provider contracts. • Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers.  • Participates with the leadership team and other committees to address the strategic goals of the department and organization. • Participates in contracting-related special projects as directed. • Provides training, mentoring and support to new and existing contracting team members.   • Ad hoc travel throughout NE, primarily Omaha:   Approximately 1-3 times per year.   Required Qualifications • At least 5 years of  experience in network contracting with large specialty or multispecialty provider groups, and at least 3 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types (i.e. physician/group/hospital), or equivalent combination of relevant education and experience. • Working familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: value-based payment (VBP), fee-for service (FFS), capitation and various forms of risk, etc. • Negotiation and relationship building capabilities. • Ability to navigate complex regulatory environments. • Data-driven decision-making skills, and analytical abilities. • Organizational skills and attention to detail. • Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization. • Ability to manage multiple tasks and deadlines effectively. • Effective verbal and written communication skills.   • Microsoft Office suite and applicable software programs proficiency.   Preferred Qualifications • Contracting experience with integrated delivery systems, hospitals and groups (specialty and ancillary). • Experience with Medicaid, Medicare, and Marketplace government-sponsored programs. MS Excel (Pivot tables and VLookup)     To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Responsibilities
Lead complex contracting activities with hospitals and physician groups to ensure network adequacy and financial performance. Negotiate value-based payment methodologies and manage strategic provider relationships to optimize cost-effectiveness.
Health Plan Provider Contracts Manager - Complex at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Contract Negotiation, Value Based Payment, Provider Relationship Management, Network Adequacy, Financial Analysis, Regulatory Compliance, Managed Care, Medical Cost Ratio Analysis, Strategic Planning, Stakeholder Management, Microsoft Excel, Reimbursement Modeling
Specialization
Requires at least 5 years of network contracting experience and 3 years of managed health care negotiations. Must be proficient in various compensation methodologies including VBP, FFS, and capitation across Medicaid and Medicare lines.
Experience Required
Minimum 5 year(s)
Care Review Clinician (LVN) - MUST RESIDE IN TEXAS at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Utilization Management, Prior Authorization, Mcg Guidelines, Interqual Guidelines, Clinical Review, Microsoft Outlook, Microsoft Excel, Microsoft Teams, Microsoft One Note, Medical Necessity Verification, Case Management, Clinical Assessment
Specialization
Requires a TX licensed LVN with at least 2 years of healthcare experience in acute care, inpatient review, or managed care. Proficiency in Microsoft Office Suite and experience with UM guidelines like MCG or Interqual is highly preferred.
Experience Required
Minimum 2 year(s)
RN/LPN Part-time Nightshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Care, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted RN or LPN license in Tennessee. Ability to work compassionately with individuals in psychiatric care or chemical dependency is required.
LPN Full-time Nightshift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted LPN license in Tennessee. Experience in mental health or chemical dependency treatment is preferred, along with strong communication and analytical skills.
RN/LPN PRN Nightshift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Requires a current unrestricted RN or LPN license in the state of Tennessee. Candidates must be able to work compassionately with individuals in psychiatric care and those with chemical dependencies.
Cook at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Meal Preparation, Food Safety, Inventory Management, Sanitization, Nutrition Compliance, Kitchen Cleaning, Portion Control
Specialization
Candidates should preferably have a high school diploma and must possess a Food Handler Certificate. Additional requirements include a clean criminal record regarding felonies and substance abuse, and knowledge of Board of Health guidelines.
Nurse Practitioner - Part-time at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Mental Health Treatment, Substance Abuse Counseling, Patient Assessment, Communication Skills, Problem Solving, Clinical Judgment, Psychiatric Care, Interdisciplinary Collaboration, Documentation, Policy Interpretation
Specialization
Candidates must hold a Master's degree in Nursing and be a licensed PMHNP or FNP with board certification. An X-Waiver and DEA license with active prescriptive authority are preferred.
Experience Required
Minimum 2 year(s)
Behavioral Health Technician 1st Shift Full-time at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Behavioral Health Support, Client Safety Monitoring, De Escalation, Documentation, Inventory Management, Interpersonal Skills, Time Management, Multi Tasking, Electronic Medical Records, Crisis Intervention, Communication, Professional Judgment, Trauma Informed Care, Confidentiality, Team Collaboration
Specialization
Candidates should ideally possess a high school diploma or GED and have prior experience in substance abuse or mental health settings. A valid state driver's license with a clean driving record is required, along with strong communication and interpersonal skills.
Care Review Clinician - Utilization Review (KY RN license- REMOTE) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Utilization Review, Clinical Assessment, Prior Authorization, Medical Necessity Verification, Case Management, Critical Thinking, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Organizational Skills, Time Management
Specialization
Candidates must be a Registered Nurse with an active, unrestricted license and at least 2 years of experience in acute care, inpatient review, or managed care. Proficiency in Microsoft Office and strong critical-thinking skills are required.
Experience Required
Minimum 2 year(s)
Payments Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Medical Billing, Payment Posting, Revenue Cycle Management, Insurance Reimbursement, Claim Processing, Ehr Systems, Microsoft Office, Data Accuracy, Critical Thinking, Problem Solving, Hipaa Compliance, Financial Reconciliation
Specialization
Candidates should have 1-3 years of experience in medical billing or healthcare revenue cycle management, preferably in behavioral health. Proficiency with EHR systems, billing platforms, and a strong attention to detail are required.
Experience Required
Minimum 2 year(s)
Verification Specialist at Evoraa Healthcare
Peachtree City, Georgia, United States - Full Time
Skills Needed
Benefit Verification, Customer Service, Behavioral Health, Data Entry, Microsoft Office Suite, Outlook, Insurance Portals, Monday.Com, Onedrive, Time Management, Multitasking, Written Communication, Verbal Communication, Interpersonal Skills, Organization
Specialization
Candidates must have a high school diploma or equivalent and proven interpersonal skills for interfacing with insurance companies and staff. Proficiency in Microsoft Office and the ability to follow standard operating procedures is required.
VP, National Quality Data Management & Performance at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Quality Data Management, Hedis Operations, Performance Outcomes Management, Managed Care, Strategic Leadership, Budget Management, Change Management, Data Analysis, Executive Presence, Cross Functional Leadership, Regulatory Compliance, Vendor Management, Clinical Data Acquisition, Risk Adjustment, Stakeholder Management, Microsoft Office
Specialization
Requires at least 12 years of experience in quality data management and HEDIS operations, including 8 years in managed care and 7 years in leadership. Must possess strong business acumen, executive presence, and a proven ability to lead complex projects in a matrixed environment.
Experience Required
Minimum 10 year(s)
Quality Program Specialist at Orsini Healthcare
Elk Grove Village, Illinois, United States - Full Time
Skills Needed
Quality Management System, Capa Tracking, Complaint Management, Document Control, Internal Auditing, External Auditing, Trend Analysis, Microsoft Excel, Microsoft Word, Microsoft Powerpoint, Microsoft Visio, Project Management, Data Analysis, Interpersonal Communication, Problem Solving, Electronic Medical Records Review
Specialization
A high school diploma is required, with 1-3 years of related experience, though an associate degree and 4-5 years of experience are preferred. Candidates must possess strong computer skills in Microsoft Office and Visio, along with the ability to analyze complex data and manage multiple tasks.
Experience Required
Minimum 2 year(s)
Case Worker at VieMed Healthcare
Lafayette, Louisiana, United States - Full Time
Skills Needed
Case Management, Medical Insurance, Community Resource Coordination, Electronic Health Records, Patient Advocacy, Telehealth, Geriatric Care, Chronic Illness Management, Interdisciplinary Collaboration, Patient Documentation, Regulatory Compliance, Crisis Intervention
Specialization
Candidates should have experience with medical insurance and community resources, with an Associate's or Bachelor's degree preferred. A valid driver's license and proficiency in specific healthcare software like Therapy Notes and Tableau are required or desired.
Experience Required
Minimum 2 year(s)
Nursing Facility Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Mds Assessments, Case Coordination, Patient Assessment, Care Planning, Waiver Enrollment, Motivational Interviewing, Medication Reconciliation, Microsoft Office Suite, Interdisciplinary Team Collaboration, Clinical Documentation, Time Management
Specialization
Requires an active RN license in Texas and at least 2 years of healthcare experience, including 1 year in care management and 1 year working with LTSS or persons with disabilities. Must possess a valid driver's license and proficiency in Microsoft Office Suite.
Experience Required
Minimum 2 year(s)
Program Manager (Medicare Programs/Portfolio Mgmt) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Program Management, Project Management, Portfolio Management, Operational Process Improvement, Managed Care, Microsoft Project, Microsoft Visio, Jira, Governance Frameworks, Stakeholder Management, Performance Metrics Tracking, Business Requirements Documentation, Change Management, Risk Management, Communication Skills, Presentation Skills
Specialization
Requires at least 4 years of program or project management experience with a background in operational process improvement and managed care. Proficiency in Microsoft Project, Visio, and strong communication skills are essential.
Experience Required
Minimum 2 year(s)
Full-time Behavioral Health Technician 1st Shift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
De Escalation, Client Supervision, Crisis Management, Electronic Medical Records, Interpersonal Communication, Time Management, Emotional Support, Detail Oriented, Professional Judgment, Patient Monitoring
Specialization
Candidates should ideally be high school graduates or have a GED, with a valid driver's license and a preference for experience in mental health or substance abuse. Strong communication skills and the ability to remain empathetic and non-judgmental are essential.
Facilities Compliance Associate at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Regulatory Compliance, Facilities Management, Osha Standards, Preventive Maintenance, Environmental Health & Safety, Vendor Management, Emergency Preparedness, Documentation, Cms Compliance, Aaahc Standards, Life Safety, Infection Prevention, Analytical Skills, Problem Solving, Microsoft Office Suite, Communication Skills
Specialization
A high school diploma is required, though an associate degree in Healthcare Administration or a related field is preferred. Candidates should ideally have at least 2 years of experience in healthcare facilities, compliance, or safety operations.
Experience Required
Minimum 2 year(s)
BHT Supervisor 2nd Shift at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Staff Supervision, Client Care, Hipaa Compliance, Microsoft Office, Crisis Management, Scheduling, Interpersonal Communication, Active Listening, Infection Control, Patient Orientation
Specialization
Requires a High School Diploma or GED and 3-5 years of healthcare experience, including at least 2 years of supervisory experience in a medical field. Candidates must be proficient in MS Office and maintain sobriety if applicable.
Experience Required
Minimum 2 year(s)
Medical Records Collector at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Medical Records Collection, Customer Service, Data Analysis, Microsoft Excel, Project Management, Professional Phone Etiquette, File Management, Active Listening, Written Communication, Hedis Data Collection
Specialization
Requires at least one year of customer service experience, preferably in a healthcare administrative role, and a valid driver's license for travel. Proficiency in Microsoft Office and strong communication skills are essential.