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Senior Specialist, Government Contracts (MA State Health Plan) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Government Contracting, Regulatory Compliance, Medicaid, Medicare, Marketplace Programs, Data Analysis, Report Writing, Project Management, Cross Functional Collaboration, Microsoft Office, Sharepoint, Auditing, Contract Administration, Interpersonal Communication, Analytical Reasoning, Time Management
Specialization
Requires at least 3 years of experience in government health insurance programs and 1 year of experience in government contracts. Candidates must be proficient in data analysis, report creation, and working within a matrixed environment.
Experience Required
Minimum 2 year(s)
Director of Operations - Behavioral Health at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Operations Management, Staff Supervision, Scheduling, Strategic Planning, Regulatory Compliance, Risk Mitigation, Microsoft Office, Collaborative Leadership, Intake Process Management, Facility Maintenance
Specialization
Requires a high school diploma with a bachelor's degree preferred and at least three years of experience in operations management. Candidates must be proficient in Microsoft Office and possess strong multi-tasking and collaborative skills.
Experience Required
Minimum 2 year(s)
Facilities Technician (HVAC/Building System) at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Hvac Troubleshooting, Preventative Maintenance, Building Automation Systems, Plumbing Repair, Electrical Repair, Cmms, Blueprint Reading, Facility Inspections, Drywall And Painting, Carpentry, Customer Service, Time Management
Specialization
Requires a high school diploma and preferred experience in commercial facilities maintenance, specifically with HVAC troubleshooting in a healthcare setting. EPA Section 608 certification and a valid driver's license are highly desired or required.
Experience Required
Minimum 5 year(s)
Senior Theatre Practitioner - Scrub at Horder Healthcare
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Revenue Cycle & Patient Access Manager at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Revenue Cycle Management, Patient Access, Medical Billing, Medical Coding, Accounts Receivable, Insurance Verification, Denial Management, Financial Performance Monitoring, Team Leadership, Compliance Auditing, Patient Registration, Ehr Systems, Practice Management Systems, Analytical Skills, Organizational Skills, Communication Skills
Specialization
Requires a bachelor's degree in a related field and 5-7 years of healthcare revenue cycle experience, including at least 2 years of leadership. Proficiency in medical billing, coding, and EHR systems is essential.
Experience Required
Minimum 5 year(s)
Surgical Technician at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Surgical Asepsis, Patient Safety, Scrubbing, Patient Positioning, Sterile Field Management, Medication Mixing, Instrument Counting, Basic Life Support, Patient Care, Hipaa Compliance, Infection Control, Universal Precautions
Specialization
Requires a high school diploma, ORT certification, and BLS certification. Preference is given to graduates of accredited surgical technologist schools with at least two years of operating room or ambulatory surgery experience.
Experience Required
Minimum 2 year(s)
Community Connector - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Member Advocacy, Case Management, Community Outreach, Customer Service, Time Management, Verbal Communication, Written Communication, Microsoft Office, Social Services Navigation, Healthcare Navigation
Specialization
Requires at least one year of healthcare experience, preferably with underserved populations, and a valid driver's license with reliable transportation. Proficiency in Microsoft Office and strong communication skills are essential.
Health Home Care Coordinator (RN) -Hybrid Lewis County, WA at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Coordination, Comprehensive Assessments, Care Planning, Motivational Interviewing, Medication Reconciliation, Case Management, Interdisciplinary Collaboration, Emr Proficiency, Hipaa Compliance, Time Management, Problem Solving, Critical Thinking, Written Communication, Verbal Communication, Microsoft Office, Patient Advocacy
Specialization
Candidates must be a Registered Nurse (RN) with an active license and at least 2 years of experience in healthcare or care management. A valid driver's license and reliable transportation are required for field visits in Lewis County.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Ltss, Member Assessment, Care Planning, Waiver Enrollment, Motivational Interviewing, Interdisciplinary Care Team Facilitation, Case Management, Community Resource Knowledge, Microsoft Office, Problem Solving, Time Management, Written Communication, Verbal Communication, Clinical Licensure
Specialization
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel requirements.
Experience Required
Minimum 2 year(s)
Behavioral Health Technician at Evoraa Healthcare
Norcross, Georgia, United States - Full Time
Skills Needed
De Escalation, Client Supervision, Emotional Support, Electronic Medical Records (Emr), Interpersonal Communication, Time Management, Crisis Management, Detail Oriented, Professional Judgment, Patient Monitoring
Specialization
A high school diploma or GED is preferred, along with a valid state driver's license and a clean driving record. Experience in substance abuse or mental health settings is preferred.
Assistant Management Accountant at HCA Healthcare UK
London, England, United Kingdom - Full Time
Skills Needed
Excel, Pivot Tables, Financial Reconciliation, Journal Preparation, Invoicing, Communication Skills, Management Accounting, Analytical Skills
Specialization
Previous experience in a similar role and proficiency in Excel, specifically with formulas and pivot tables, are required. Candidates should be proactive team players and may be working towards a relevant accounting qualification.
Experience Required
Minimum 2 year(s)
Chef de Partie at Rachen Healthcare
Berlin, Berlin, Germany - Full Time
Skills Needed
N/A
Supervisor, Housekeeping at Halton Healthcare
Canada, Al Mafjar, Canada - Full Time
Skills Needed
N/A
General Practitioner Aesthetic at Ontime Healthcare
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Marketing Executive at Ontime Healthcare
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Assistant Manager HR Services at Parker Healthcare
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Care Manager, LTSS (RN) - Pediatrics at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Pediatrics, Member Assessment, Care Planning, Waiver Enrollment, Medical Necessity Assessment, Motivational Interviewing, Medication Reconciliation, Interdisciplinary Care Team Facilitation, Case Management, Time Management, Problem Solving, Critical Thinking, Microsoft Office, Communication Skills
Specialization
Requires a Registered Nurse (RN) license and at least 2 years of healthcare experience, including 1 year in care management and 1 year working with persons with disabilities or LTSS. A valid driver's license and reliable transportation are mandatory for local travel requirements.
Experience Required
Minimum 2 year(s)
Care Manager (RN) - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Clinical Assessment, Motivational Interviewing, Medication Reconciliation, Case Management, Electronic Medical Records, Hipaa Compliance, Interdisciplinary Collaboration, Time Management, Problem Solving, Critical Thinking, Written Communication, Verbal Communication, Microsoft Office, Patient Education
Specialization
Requires a Registered Nurse (RN) license and at least 2 years of experience in healthcare or care management. Must possess a valid driver's license and demonstrate proficiency in EMR systems and HIPAA regulations.
Experience Required
Minimum 2 year(s)
Care Assistant at Center Healthcare
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing, Case Management, Interdisciplinary Team Collaboration, Medical Necessity Assessment, Community Resource Knowledge, Time Management, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Crisis Intervention, Waiver Enrollment
Specialization
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel requirements.
Experience Required
Minimum 2 year(s)
Senior Specialist, Government Contracts (MA State Health Plan) at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

26 Sep, 26

Salary

101788.0

Posted On

28 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Government Contracting, Regulatory Compliance, Medicaid, Medicare, Marketplace Programs, Data Analysis, Report Writing, Project Management, Cross-functional Collaboration, Microsoft Office, Sharepoint, Auditing, Contract Administration, Interpersonal Communication, Analytical Reasoning, Time Management

Industry

Hospitals and Health Care

Description
JOB DESCRIPTION Job Summary Provides senior level support for government regulatory contracts activities.  Responsible for the development and administration of contracts with state and/or federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations in designated Molina markets.   Essential Job Duties • Supports regulatory government contracts activities including coordinating, conducting and/or responding to research requests pertaining to government health care programs, preparing and submitting regulatory reports for filings, audiring, reviewing plan submissions for quality, accuracy and timeliness, and ensuring plan meets contractual and regulatory requirements. • Reviews provider agreements, evidence of coverage (EOC), member handbook, provider directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. • Assesses information received from government contracting agencies and regulators and disseminates to impacted plan staff. • Participates in meetings related to Molina government run programs with state agencies and Molina corporate departments and disseminates relevant information to staff and leadership. • Oversees/maintains the department’s documentation and archive system - ensuring submitted reports are archived for historical and audit purposes; ensures system is updated and complete. • Conducts structured evidence reviews/audits of new regulatory mandates contract amendments and other operational implementations, and verifies that Molina business units have implemented required changes. Required Qualifications • At least 3 years of experience in Medicaid, Medicare, and/or Marketplace health insurance/government programs, and at least 1 year of experience in government contracts, or equivalent combination of relevant education and experience. • Knowledge of Medicaid, Medicare, Marketplace and/or other government-sponsored programs and program compliance. • Organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. • Detail oriented and analytical reasoning abilities. • Proficient in analyzing and compiling data, creating reports, and presenting information. • Ability to work cross-functionally in a highly matrixed environment. • Effective verbal, written, and interpersonal communication skills, including ability to communicate and present to internal and external stakeholders. • Microsoft Office suite and applicable software programs proficiency.   Preferred Qualifications • Compliance-related experience. • Regulatory and Compliance background •  Sharepoint experience     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
Provides senior-level support for the development and administration of government regulatory contracts for Medicaid, Medicare, and Marketplace programs. Responsibilities include conducting research, submitting regulatory reports, and ensuring compliance with contractual requirements.
Senior Specialist, Government Contracts (MA State Health Plan) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Government Contracting, Regulatory Compliance, Medicaid, Medicare, Marketplace Programs, Data Analysis, Report Writing, Project Management, Cross Functional Collaboration, Microsoft Office, Sharepoint, Auditing, Contract Administration, Interpersonal Communication, Analytical Reasoning, Time Management
Specialization
Requires at least 3 years of experience in government health insurance programs and 1 year of experience in government contracts. Candidates must be proficient in data analysis, report creation, and working within a matrixed environment.
Experience Required
Minimum 2 year(s)
Director of Operations - Behavioral Health at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Operations Management, Staff Supervision, Scheduling, Strategic Planning, Regulatory Compliance, Risk Mitigation, Microsoft Office, Collaborative Leadership, Intake Process Management, Facility Maintenance
Specialization
Requires a high school diploma with a bachelor's degree preferred and at least three years of experience in operations management. Candidates must be proficient in Microsoft Office and possess strong multi-tasking and collaborative skills.
Experience Required
Minimum 2 year(s)
Facilities Technician (HVAC/Building System) at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Hvac Troubleshooting, Preventative Maintenance, Building Automation Systems, Plumbing Repair, Electrical Repair, Cmms, Blueprint Reading, Facility Inspections, Drywall And Painting, Carpentry, Customer Service, Time Management
Specialization
Requires a high school diploma and preferred experience in commercial facilities maintenance, specifically with HVAC troubleshooting in a healthcare setting. EPA Section 608 certification and a valid driver's license are highly desired or required.
Experience Required
Minimum 5 year(s)
Senior Theatre Practitioner - Scrub at Horder Healthcare
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Revenue Cycle & Patient Access Manager at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Revenue Cycle Management, Patient Access, Medical Billing, Medical Coding, Accounts Receivable, Insurance Verification, Denial Management, Financial Performance Monitoring, Team Leadership, Compliance Auditing, Patient Registration, Ehr Systems, Practice Management Systems, Analytical Skills, Organizational Skills, Communication Skills
Specialization
Requires a bachelor's degree in a related field and 5-7 years of healthcare revenue cycle experience, including at least 2 years of leadership. Proficiency in medical billing, coding, and EHR systems is essential.
Experience Required
Minimum 5 year(s)
Surgical Technician at MEDRVA Healthcare
Richmond, Virginia, United States - Full Time
Skills Needed
Surgical Asepsis, Patient Safety, Scrubbing, Patient Positioning, Sterile Field Management, Medication Mixing, Instrument Counting, Basic Life Support, Patient Care, Hipaa Compliance, Infection Control, Universal Precautions
Specialization
Requires a high school diploma, ORT certification, and BLS certification. Preference is given to graduates of accredited surgical technologist schools with at least two years of operating room or ambulatory surgery experience.
Experience Required
Minimum 2 year(s)
Community Connector - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Member Advocacy, Case Management, Community Outreach, Customer Service, Time Management, Verbal Communication, Written Communication, Microsoft Office, Social Services Navigation, Healthcare Navigation
Specialization
Requires at least one year of healthcare experience, preferably with underserved populations, and a valid driver's license with reliable transportation. Proficiency in Microsoft Office and strong communication skills are essential.
Health Home Care Coordinator (RN) -Hybrid Lewis County, WA at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Coordination, Comprehensive Assessments, Care Planning, Motivational Interviewing, Medication Reconciliation, Case Management, Interdisciplinary Collaboration, Emr Proficiency, Hipaa Compliance, Time Management, Problem Solving, Critical Thinking, Written Communication, Verbal Communication, Microsoft Office, Patient Advocacy
Specialization
Candidates must be a Registered Nurse (RN) with an active license and at least 2 years of experience in healthcare or care management. A valid driver's license and reliable transportation are required for field visits in Lewis County.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Ltss, Member Assessment, Care Planning, Waiver Enrollment, Motivational Interviewing, Interdisciplinary Care Team Facilitation, Case Management, Community Resource Knowledge, Microsoft Office, Problem Solving, Time Management, Written Communication, Verbal Communication, Clinical Licensure
Specialization
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel requirements.
Experience Required
Minimum 2 year(s)
Behavioral Health Technician at Evoraa Healthcare
Norcross, Georgia, United States - Full Time
Skills Needed
De Escalation, Client Supervision, Emotional Support, Electronic Medical Records (Emr), Interpersonal Communication, Time Management, Crisis Management, Detail Oriented, Professional Judgment, Patient Monitoring
Specialization
A high school diploma or GED is preferred, along with a valid state driver's license and a clean driving record. Experience in substance abuse or mental health settings is preferred.
Assistant Management Accountant at HCA Healthcare UK
London, England, United Kingdom - Full Time
Skills Needed
Excel, Pivot Tables, Financial Reconciliation, Journal Preparation, Invoicing, Communication Skills, Management Accounting, Analytical Skills
Specialization
Previous experience in a similar role and proficiency in Excel, specifically with formulas and pivot tables, are required. Candidates should be proactive team players and may be working towards a relevant accounting qualification.
Experience Required
Minimum 2 year(s)
Chef de Partie at Rachen Healthcare
Berlin, Berlin, Germany - Full Time
Skills Needed
N/A
Supervisor, Housekeeping at Halton Healthcare
Canada, Al Mafjar, Canada - Full Time
Skills Needed
N/A
General Practitioner Aesthetic at Ontime Healthcare
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Marketing Executive at Ontime Healthcare
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Assistant Manager HR Services at Parker Healthcare
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Care Manager, LTSS (RN) - Pediatrics at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Pediatrics, Member Assessment, Care Planning, Waiver Enrollment, Medical Necessity Assessment, Motivational Interviewing, Medication Reconciliation, Interdisciplinary Care Team Facilitation, Case Management, Time Management, Problem Solving, Critical Thinking, Microsoft Office, Communication Skills
Specialization
Requires a Registered Nurse (RN) license and at least 2 years of healthcare experience, including 1 year in care management and 1 year working with persons with disabilities or LTSS. A valid driver's license and reliable transportation are mandatory for local travel requirements.
Experience Required
Minimum 2 year(s)
Care Manager (RN) - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Clinical Assessment, Motivational Interviewing, Medication Reconciliation, Case Management, Electronic Medical Records, Hipaa Compliance, Interdisciplinary Collaboration, Time Management, Problem Solving, Critical Thinking, Written Communication, Verbal Communication, Microsoft Office, Patient Education
Specialization
Requires a Registered Nurse (RN) license and at least 2 years of experience in healthcare or care management. Must possess a valid driver's license and demonstrate proficiency in EMR systems and HIPAA regulations.
Experience Required
Minimum 2 year(s)
Care Assistant at Center Healthcare
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing, Case Management, Interdisciplinary Team Collaboration, Medical Necessity Assessment, Community Resource Knowledge, Time Management, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Crisis Intervention, Waiver Enrollment
Specialization
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel requirements.
Experience Required
Minimum 2 year(s)