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Director, Healthcare Analytics (CA Health Plan) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Healthcare Analytics, Sql, Data Analysis, Cost Containment, Utilization Management, Mentoring, Coaching, Regulatory Compliance, Reporting, Finance, Database Development, Care Coordination, Risk Adjustment, Quality Analysis, Subject Matter Expert, Project Collaboration
Specialization
A Bachelor's Degree in a relevant field and 5 years of experience leading healthcare analytics are required. Additionally, 12 years of work experience in a claims processing or healthcare environment is preferred.
Experience Required
Minimum 10 year(s)
Business Office at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Customer Service, Communication, Detailed Oriented, Microsoft Office Suite, Medical Office Registration, Insurance Verification, Authorizations, Administrative Support, Data Entry, Billing, Registration System, Eligibility Systems, Financial Analysis, Record Keeping, Check In/Check Out, Decision Making
Specialization
Candidates must be detailed oriented and capable of multi-tasking, possessing previous medical office and registration experience. Essential duties involve professional communication, accurate data entry into the registration system, determining insurance benefits, completing financial analysis, and maintaining patient records.
Experience Required
Minimum 2 year(s)
Behavioral Health Technician Full-time at Evoraa Healthcare
Norcross, Georgia, United States - Full Time
Skills Needed
Client Safety, De Escalation, Communication, Interpersonal Skills, Time Management, Decision Making, Empathy, Emr Familiarity, Record Keeping, Problem Solving, Boundary Setting, Professional Judgment, Attention To Detail, Flexibility, Dependability, Reporting
Specialization
Minimum qualifications include a High School Graduate or GED preference, and preferred experience in substance abuse and/or mental health settings. Candidates must possess a valid state driving license without major violations in the last five years.
Patient Services Supervisor at BioTAB Healthcare
St. Louis, Missouri, United States - Full Time
Skills Needed
Supervision, Training, Performance Monitoring, Issue Resolution, Compliance, Process Improvement, Timecard Management, Customer Service Acumen, Quality Control, Patient Intake, Insurance Verification, Prior Authorizations, Case Processing, Crm, Hipaa, Salesforce
Specialization
Candidates must possess proven leadership experience in healthcare operations or customer service, along with a strong understanding of healthcare regulations and insurance processes. The role requires exceptional communication, organizational skills, attention to detail, and proficiency with relevant software like Salesforce or Epic.
Nursing Facilities Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Facility Case Management, Mds Assessments, Microsoft Office Suite, Outlook, Excel, Teams, Care Management, Care Coordination, Waiver Enrollment, Care Planning, Motivational Interviewing, Medication Reconciliation, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a licensed Registered Nurse (RN) in Texas, residing in the Dallas service delivery area, with at least two years of healthcare experience, including one year in care management or a related setting, and one year working with persons with disabilities or chronic conditions. A valid driver's license and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
Principal Physicist (MR-Linac Planning) at HCA Healthcare UK
London W1G 8BJ, , United Kingdom - Full Time
Skills Needed
Line Management Experience, Physics
Qualification
Graduate
Representative, Support Center III - Remote (Bilingual Preferred) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Customer Service, Call Center Operations, Problem Resolution, Data Processing, Time Management, Communication Skills, Hipaa Compliance, Microsoft Office, Salesforce, Crm, Managed Care, Insurance Knowledge, Medicaid, Medicare, Marketplace, Conflict Resolution
Specialization
Requires at least 2 years of customer service, call center, or sales experience in a high-volume environment. Candidates must have an understanding of insurance products like Medicaid and Medicare and possess strong data processing and communication skills.
Experience Required
Minimum 2 year(s)
Provider Credentialing and HR Manager at Maxmed Healthcare
San Antonio, Texas, United States - Full Time
Skills Needed
Credentialing, Privileging, Human Resources, Primary Source Verification, Healthcare Administration, Onboarding, Employee Relations, Compliance, Hris, Timekeeping, Performance Management, Data Management, Reporting, Microsoft Office 365, Background Checks
Specialization
Candidates must possess a bachelor's degree in a relevant field and at least 3-5 years of experience in healthcare credentialing. Additionally, 3+ years of HR generalist experience and familiarity with federal healthcare or Defense Health Agency environments are required.
Experience Required
Minimum 2 year(s)
Behavioral Health Technician 2nd Shift Full-time at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Behavioral Health Support, Client Supervision, De Escalation, Documentation, Safety Monitoring, Interpersonal Skills, Time Management, Multi Tasking, Electronic Medical Records, Communication Skills, Crisis Intervention, Patient Care
Specialization
Candidates should have a high school diploma or GED and experience in substance abuse or mental health settings is preferred. A valid state driver's license with a clean driving record is required.
Director of Nursing at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Nursing Leadership, Policy Management, Infection Control, Budgeting, Financial Processes, Patient Treatment Planning, Record Keeping, Staff Management, Problem Solving, Communication, Customer Service, Bls Certification, Joint Commission Accreditation, Behavioral Health Experience
Specialization
Candidates must be a graduate of an accredited nursing school with at least a BSN and hold an active, non-disciplinary RN license in the facility's state. Required experience includes a minimum of 2 years of direct supervisory experience, knowledge of policy management, financial reporting, and regulatory compliance, along with an active BLS certificate.
Experience Required
Minimum 5 year(s)
Associate Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Claims Review, Appeals Processing, Grievance Resolution, Medical Records Request, Documentation, Research, Communication, Time Management, Organizational Skills, Microsoft Office Suite
Specialization
Candidates must possess at least one year of experience in claims or customer/provider service within a healthcare setting, along with proven customer service skills. Essential requirements include strong organizational, time management, and effective verbal and written communication abilities, plus proficiency in Microsoft Office.
Remote Lead, Healthcare Services - Data-Driven Responsibilities - Texas ONL at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Managed Care, Hedis Measures, Quality Improvement, Compliance, Data Extraction, Microsoft Office Suite, Microsoft Word, Microsoft Outlook, Microsoft Teams, Microsoft Excel, Clinical Support, Utilization Management, Care Transitions, Behavioral Health, Communication Skills
Specialization
Candidates must have at least 4 years of healthcare experience, including 2 years in managed care, and hold an active clinical license such as RN, LVN, LPN, LCSW, LMFT, LPCC, or LMSW. Proficiency in Microsoft Office Suite, particularly Excel, and strong communication and problem-solving skills are required.
Experience Required
Minimum 2 year(s)
Behavioral Care Review Clinician (RN) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Behavioral Health, Concurrent Review, Prior Authorization, Mcg, Utilization Management, Clinical Assessment, Medical Necessity, Care Coordination, Microsoft Office, Sharepoint, Multitasking, Regulatory Compliance, Asam Certification, Rn Licensure
Specialization
Candidates must have at least 2 years of MCG experience and a background in Behavioral Health Concurrent Review and Prior Authorization within an MCO setting. A valid RN license in Nevada and ASAM certification are required upon hire.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS - MUST RESIDE IN IL at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Long Term Services And Supports, Multidisciplinary Team Collaboration, Member Assessments, Waiver Enrollment, Care Plan Development, Service Plan Implementation, Medical Necessity Assessment, Benefit Evaluation, Motivational Interviewing, Barrier Assessment, Incident Identification, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must have at least two years of healthcare experience, including one year working with persons with disabilities/chronic conditions in long-term services and supports or care management. A Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) license is required, and the role mandates having a valid and unrestricted driver's license and reliable transportation for required travel.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS- MUST Reside in ID at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Case Management, Motivational Interviewing, Medication Reconciliation, Assessment, Care Planning, Interdisciplinary Care Team Facilitation, Documentation, Time Management, Problem Solving, Critical Thinking, Communication, Microsoft Office, Clinical Guideposts
Specialization
Candidates must be a Registered Nurse (RN) with at least 2 years of healthcare experience, including 1 year in care management or a related field. A valid driver's license and the ability to reside in Idaho are mandatory requirements for this role.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Care Management, Waiver Assessments, Care Coordination, Microsoft Office Suite, Outlook, Excel, Teams, Motivational Interviewing, Medication Reconciliation, Time Management, Problem Solving, Critical Thinking, Bilingual, Valid Driver's License
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations with disabilities or chronic conditions. A valid driver's license, reliable transportation, proficiency in Microsoft Office Suite, and bilingual capabilities are also required.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse (Rn), Care Management, Managed Care, Waiver Assessments, Care Planning, Interdisciplinary Care Team (Ict), Motivational Interviewing, Microsoft Office Suite, Outlook, Excel, Teams, Time Management, Problem Solving, Critical Thinking, Communication Skills
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations with disabilities or chronic conditions. A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are mandatory.
Experience Required
Minimum 2 year(s)
Market CFO, CA Health Plan – Remote at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Financial Analysis, Strategy Development, Leadership, Profitability Initiatives, Rate Advocacy, Risk Adjustment, Provider Agreements, Medical Expense Management, Staffing Models, Budgeting, Forecasting, Data Analytics, Reporting Standardization, Stakeholder Collaboration, Critical Thinking, Time Management
Specialization
Candidates must possess at least 12 years of progressive finance or analytical experience, including 5 years in managed care/Medicaid and 3 years in programming/database/financial analysis, along with 7 years of management experience and a Bachelor's degree in finance or accounting. Strong skills in relationship building, decision-making, executive-level presentation, and advanced Excel proficiency are required.
Experience Required
Minimum 10 year(s)
Nursing Manager at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Compassion, Nursing Judgment, Communication Skills, Problem Solving, Customer Service, Leadership, Policy Management, Regulation Compliance, Teamwork, Patient Care, Documentation, Infection Control, Therapy, Mental Health, Behavioral Health, Training
Specialization
Candidates must be graduates of an accredited nursing school with a BSN and hold a current RN license in Georgia. They should have at least three years of nursing experience, including one year in a supervisory role, along with strong communication and problem-solving skills.
Experience Required
Minimum 2 year(s)
Representative, Dialer Administration at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Dialer Administration, Predictive Dialer, Data Analytics, Statistical Analysis, Training, Reporting, Telephony Design, Campaign Management, Performance Monitoring, Problem Identification, Collaboration, Documentation, Outbound Calls, Contact Center Experience, User Support, Campaign Strategy
Specialization
An Associate's Degree or equivalent experience is required, along with 1-3 years of outbound dialer and contact center experience. Preferred qualifications include a Bachelor's Degree and 3-5 years of relevant experience.
Experience Required
Minimum 2 year(s)
Director, Healthcare Analytics (CA Health Plan) - REMOTE at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

07 May, 26

Salary

0.0

Posted On

06 Feb, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Healthcare Analytics, SQL, Data Analysis, Cost Containment, Utilization Management, Mentoring, Coaching, Regulatory Compliance, Reporting, Finance, Database Development, Care Coordination, Risk Adjustment, Quality Analysis, Subject Matter Expert, Project Collaboration

Industry

Hospitals and Health Care

Description
Job Description Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities Directs Health Plan strategic analysis and planning coordinating across business units to meet data analysis and database development needs. Includes Utilization Management data needs, facilitating care coordination. • Mentors, coaches, and provides guidance regarding finance and analysis. • Identifies and sets departmental priorities in alignment with the operating plan, budget, and regulatory requirements. • Implements strategies to ensure service level benchmarks for report turn-around are met. Reporting includes Healthcare Analysis, Quality Analysis, Risk Adjustment, Finance and other departments. Demonstrates best practices and collaboration on projects. • Reviews high priority analyses, reports, SQL programming and other Finance projects for accuracy, completeness, return on investment, and compliance with regulatory requirements. • Functions as subject matter expert on finance and healthcare analytics topics. Able to teach financial/technical information. • Reviews regulatory contract requirements and reporting requirements applicable to the Finance Department. Implements strategies and infrastructure to ensure compliance with regulatory requirements.. Job Qualifications Required Education • Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems or related field Required Experience • 5 years experience leading healthcare analytics function • 12 years work experience preferable in claims processing environment and/or healthcare environment • Strong knowledge of SQL 2005/2008 SSRS report development • Familiar with relational database concepts, and SDLC concepts Preferred Education • Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems or related field. Preferred Experience 5 – 7 years supervisory experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Responsibilities
The Director performs research and analysis of complex healthcare claims, pharmacy, and lab data to evaluate network utilization and cost containment. They also mentor staff, set departmental priorities, and ensure compliance with regulatory requirements.
Director, Healthcare Analytics (CA Health Plan) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Healthcare Analytics, Sql, Data Analysis, Cost Containment, Utilization Management, Mentoring, Coaching, Regulatory Compliance, Reporting, Finance, Database Development, Care Coordination, Risk Adjustment, Quality Analysis, Subject Matter Expert, Project Collaboration
Specialization
A Bachelor's Degree in a relevant field and 5 years of experience leading healthcare analytics are required. Additionally, 12 years of work experience in a claims processing or healthcare environment is preferred.
Experience Required
Minimum 10 year(s)
Business Office at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Customer Service, Communication, Detailed Oriented, Microsoft Office Suite, Medical Office Registration, Insurance Verification, Authorizations, Administrative Support, Data Entry, Billing, Registration System, Eligibility Systems, Financial Analysis, Record Keeping, Check In/Check Out, Decision Making
Specialization
Candidates must be detailed oriented and capable of multi-tasking, possessing previous medical office and registration experience. Essential duties involve professional communication, accurate data entry into the registration system, determining insurance benefits, completing financial analysis, and maintaining patient records.
Experience Required
Minimum 2 year(s)
Behavioral Health Technician Full-time at Evoraa Healthcare
Norcross, Georgia, United States - Full Time
Skills Needed
Client Safety, De Escalation, Communication, Interpersonal Skills, Time Management, Decision Making, Empathy, Emr Familiarity, Record Keeping, Problem Solving, Boundary Setting, Professional Judgment, Attention To Detail, Flexibility, Dependability, Reporting
Specialization
Minimum qualifications include a High School Graduate or GED preference, and preferred experience in substance abuse and/or mental health settings. Candidates must possess a valid state driving license without major violations in the last five years.
Patient Services Supervisor at BioTAB Healthcare
St. Louis, Missouri, United States - Full Time
Skills Needed
Supervision, Training, Performance Monitoring, Issue Resolution, Compliance, Process Improvement, Timecard Management, Customer Service Acumen, Quality Control, Patient Intake, Insurance Verification, Prior Authorizations, Case Processing, Crm, Hipaa, Salesforce
Specialization
Candidates must possess proven leadership experience in healthcare operations or customer service, along with a strong understanding of healthcare regulations and insurance processes. The role requires exceptional communication, organizational skills, attention to detail, and proficiency with relevant software like Salesforce or Epic.
Nursing Facilities Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Facility Case Management, Mds Assessments, Microsoft Office Suite, Outlook, Excel, Teams, Care Management, Care Coordination, Waiver Enrollment, Care Planning, Motivational Interviewing, Medication Reconciliation, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must be a licensed Registered Nurse (RN) in Texas, residing in the Dallas service delivery area, with at least two years of healthcare experience, including one year in care management or a related setting, and one year working with persons with disabilities or chronic conditions. A valid driver's license and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
Principal Physicist (MR-Linac Planning) at HCA Healthcare UK
London W1G 8BJ, , United Kingdom - Full Time
Skills Needed
Line Management Experience, Physics
Qualification
Graduate
Representative, Support Center III - Remote (Bilingual Preferred) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Customer Service, Call Center Operations, Problem Resolution, Data Processing, Time Management, Communication Skills, Hipaa Compliance, Microsoft Office, Salesforce, Crm, Managed Care, Insurance Knowledge, Medicaid, Medicare, Marketplace, Conflict Resolution
Specialization
Requires at least 2 years of customer service, call center, or sales experience in a high-volume environment. Candidates must have an understanding of insurance products like Medicaid and Medicare and possess strong data processing and communication skills.
Experience Required
Minimum 2 year(s)
Provider Credentialing and HR Manager at Maxmed Healthcare
San Antonio, Texas, United States - Full Time
Skills Needed
Credentialing, Privileging, Human Resources, Primary Source Verification, Healthcare Administration, Onboarding, Employee Relations, Compliance, Hris, Timekeeping, Performance Management, Data Management, Reporting, Microsoft Office 365, Background Checks
Specialization
Candidates must possess a bachelor's degree in a relevant field and at least 3-5 years of experience in healthcare credentialing. Additionally, 3+ years of HR generalist experience and familiarity with federal healthcare or Defense Health Agency environments are required.
Experience Required
Minimum 2 year(s)
Behavioral Health Technician 2nd Shift Full-time at Evoraa Healthcare
, Georgia, United States - Full Time
Skills Needed
Behavioral Health Support, Client Supervision, De Escalation, Documentation, Safety Monitoring, Interpersonal Skills, Time Management, Multi Tasking, Electronic Medical Records, Communication Skills, Crisis Intervention, Patient Care
Specialization
Candidates should have a high school diploma or GED and experience in substance abuse or mental health settings is preferred. A valid state driver's license with a clean driving record is required.
Director of Nursing at Evoraa Healthcare
Kingston, Georgia, United States - Full Time
Skills Needed
Nursing Leadership, Policy Management, Infection Control, Budgeting, Financial Processes, Patient Treatment Planning, Record Keeping, Staff Management, Problem Solving, Communication, Customer Service, Bls Certification, Joint Commission Accreditation, Behavioral Health Experience
Specialization
Candidates must be a graduate of an accredited nursing school with at least a BSN and hold an active, non-disciplinary RN license in the facility's state. Required experience includes a minimum of 2 years of direct supervisory experience, knowledge of policy management, financial reporting, and regulatory compliance, along with an active BLS certificate.
Experience Required
Minimum 5 year(s)
Associate Specialist, Appeals & Grievances at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Claims Review, Appeals Processing, Grievance Resolution, Medical Records Request, Documentation, Research, Communication, Time Management, Organizational Skills, Microsoft Office Suite
Specialization
Candidates must possess at least one year of experience in claims or customer/provider service within a healthcare setting, along with proven customer service skills. Essential requirements include strong organizational, time management, and effective verbal and written communication abilities, plus proficiency in Microsoft Office.
Remote Lead, Healthcare Services - Data-Driven Responsibilities - Texas ONL at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Managed Care, Hedis Measures, Quality Improvement, Compliance, Data Extraction, Microsoft Office Suite, Microsoft Word, Microsoft Outlook, Microsoft Teams, Microsoft Excel, Clinical Support, Utilization Management, Care Transitions, Behavioral Health, Communication Skills
Specialization
Candidates must have at least 4 years of healthcare experience, including 2 years in managed care, and hold an active clinical license such as RN, LVN, LPN, LCSW, LMFT, LPCC, or LMSW. Proficiency in Microsoft Office Suite, particularly Excel, and strong communication and problem-solving skills are required.
Experience Required
Minimum 2 year(s)
Behavioral Care Review Clinician (RN) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Behavioral Health, Concurrent Review, Prior Authorization, Mcg, Utilization Management, Clinical Assessment, Medical Necessity, Care Coordination, Microsoft Office, Sharepoint, Multitasking, Regulatory Compliance, Asam Certification, Rn Licensure
Specialization
Candidates must have at least 2 years of MCG experience and a background in Behavioral Health Concurrent Review and Prior Authorization within an MCO setting. A valid RN license in Nevada and ASAM certification are required upon hire.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS - MUST RESIDE IN IL at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Long Term Services And Supports, Multidisciplinary Team Collaboration, Member Assessments, Waiver Enrollment, Care Plan Development, Service Plan Implementation, Medical Necessity Assessment, Benefit Evaluation, Motivational Interviewing, Barrier Assessment, Incident Identification, Time Management, Problem Solving, Critical Thinking
Specialization
Candidates must have at least two years of healthcare experience, including one year working with persons with disabilities/chronic conditions in long-term services and supports or care management. A Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) license is required, and the role mandates having a valid and unrestricted driver's license and reliable transportation for required travel.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS- MUST Reside in ID at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Case Management, Motivational Interviewing, Medication Reconciliation, Assessment, Care Planning, Interdisciplinary Care Team Facilitation, Documentation, Time Management, Problem Solving, Critical Thinking, Communication, Microsoft Office, Clinical Guideposts
Specialization
Candidates must be a Registered Nurse (RN) with at least 2 years of healthcare experience, including 1 year in care management or a related field. A valid driver's license and the ability to reside in Idaho are mandatory requirements for this role.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse, Care Management, Waiver Assessments, Care Coordination, Microsoft Office Suite, Outlook, Excel, Teams, Motivational Interviewing, Medication Reconciliation, Time Management, Problem Solving, Critical Thinking, Bilingual, Valid Driver's License
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations with disabilities or chronic conditions. A valid driver's license, reliable transportation, proficiency in Microsoft Office Suite, and bilingual capabilities are also required.
Experience Required
Minimum 2 year(s)
Field Care Manager, LTSS (RN) - Local Travel Required at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Registered Nurse (Rn), Care Management, Managed Care, Waiver Assessments, Care Planning, Interdisciplinary Care Team (Ict), Motivational Interviewing, Microsoft Office Suite, Outlook, Excel, Teams, Time Management, Problem Solving, Critical Thinking, Communication Skills
Specialization
Candidates must be a Registered Nurse (RN) with an active and unrestricted license, possessing at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations with disabilities or chronic conditions. A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are mandatory.
Experience Required
Minimum 2 year(s)
Market CFO, CA Health Plan – Remote at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Financial Analysis, Strategy Development, Leadership, Profitability Initiatives, Rate Advocacy, Risk Adjustment, Provider Agreements, Medical Expense Management, Staffing Models, Budgeting, Forecasting, Data Analytics, Reporting Standardization, Stakeholder Collaboration, Critical Thinking, Time Management
Specialization
Candidates must possess at least 12 years of progressive finance or analytical experience, including 5 years in managed care/Medicaid and 3 years in programming/database/financial analysis, along with 7 years of management experience and a Bachelor's degree in finance or accounting. Strong skills in relationship building, decision-making, executive-level presentation, and advanced Excel proficiency are required.
Experience Required
Minimum 10 year(s)
Nursing Manager at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Compassion, Nursing Judgment, Communication Skills, Problem Solving, Customer Service, Leadership, Policy Management, Regulation Compliance, Teamwork, Patient Care, Documentation, Infection Control, Therapy, Mental Health, Behavioral Health, Training
Specialization
Candidates must be graduates of an accredited nursing school with a BSN and hold a current RN license in Georgia. They should have at least three years of nursing experience, including one year in a supervisory role, along with strong communication and problem-solving skills.
Experience Required
Minimum 2 year(s)
Representative, Dialer Administration at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Dialer Administration, Predictive Dialer, Data Analytics, Statistical Analysis, Training, Reporting, Telephony Design, Campaign Management, Performance Monitoring, Problem Identification, Collaboration, Documentation, Outbound Calls, Contact Center Experience, User Support, Campaign Strategy
Specialization
An Associate's Degree or equivalent experience is required, along with 1-3 years of outbound dialer and contact center experience. Preferred qualifications include a Bachelor's Degree and 3-5 years of relevant experience.
Experience Required
Minimum 2 year(s)