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Manager, Projects (Customer Experience) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Project Management, Process Improvement, Organizational Change Management, Operational Cadence Management, Governance Coordination, Risk Management, Issue Management, Performance Reviews, Strategic Planning, Cross Functional Coordination, Data Analysis, Dashboard Management, Execution Enablement, Managed Care, Matrixed Environment Management
Specialization
Candidates must have a bachelor's degree or equivalent experience and 4-7 years of relevant work experience in business or managed care. Proficiency in project management methodologies is required, with PMP or Six Sigma certifications being preferred.
Experience Required
Minimum 5 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.
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)
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.
Housekeeper - Full-time at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Cleaning, Sanitizing, Housekeeping Duties, Inventory Monitoring, Equipment Storage, Laundry Management, Confidentiality, Client Relations, Hipaa Compliance
Specialization
This is an entry-level position, though a high school diploma or equivalent is preferred. One year of professional cleaning experience is also preferred, along with the ability to maintain strict confidentiality regarding sensitive information.
Behavioral Health Technician 2nd Shift Full-time at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Detail Oriented, Verbal Communication, Written Communication, Interpersonal Skills, Multi Tasking, Time Management, Empathy, Non Judgmental Approach, Electronic Medical Records
Specialization
A high school diploma or GED is preferred, along with experience in substance abuse and/or mental health. Candidates should possess strong communication skills, the ability to work under pressure, and a non-judgmental approach to client interactions.
Product Manager (DME, non-software) at BioTAB Healthcare
St. Louis, Missouri, United States - Full Time
Skills Needed
Agile Leadership, Scrum, Kanban, Product Vision, Roadmap Development, Release Planning, User Stories, Project Coordination, Quality Control, Technical Oversight, Cross Functional Collaboration, Regulatory Compliance, Iso 13485, Analytical Skills, Time Management, Hipaa Adherence
Specialization
Candidates need excellent communication skills and deep practical application of Agile frameworks like Scrum or Kanban, proven by leading ceremonies. A minimum of two years of experience in a Product Owner, Scrum Master, or Agile Project role within the healthcare, medical device, or DME industry is required, along with basic engineering understanding.
Experience Required
Minimum 2 year(s)
VP, Government Contracts - WA Health Plan at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Government Contracts, Medicaid, Medicare, Marketplace, Strategy Development, Contract Administration, Leadership, Advocacy, Team Management, Regulatory Submissions, Relationship Management, Strategic Planning, Cross Functional Collaboration, Analytical Reasoning, Communication
Specialization
Candidates must possess at least 12 years of experience in Medicaid, Medicare, and/or Marketplace health insurance programs, with 8 years specifically in government contracts, or an equivalent combination. A minimum of 7 years of management/leadership experience is required, along with deep knowledge of government-sponsored health programs and strong organizational and communication skills.
Experience Required
Minimum 10 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)
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)
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)
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)
Cyber Response Manager (must have both a Cyber & Crisis background) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Cyber Response, Crisis Management, Incident Response, Disaster Response, It Security, Business Continuity, Risk Assessment, Auditing, Documentation, Network Architecture, Vulnerability Management, Encryption, Cloud Computing, Problem Solving, Data Analysis, Project Management
Specialization
Candidates must possess at least six years of operational experience across cybersecurity and crisis management, including three years in corporate cyber response or incident management, along with strong documentation, analytical, and organizational skills. A practical understanding of technical security concepts and hands-on experience in cyber incident response and crisis management are essential.
Experience Required
Minimum 5 year(s)
Supervisor, IRIS Consulting Services Barron WI,Rusk WI, Dunn WI and Chippew at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Leadership, Supervision, Training, Person Centered Practices, Data Analysis, Record Review, Communication, Change Management, Networking, Performance Management, Team Development, Problem Solving, Critical Thinking, Time Management, Hipaa, Microsoft Office
Specialization
Candidates must have at least 5 years in healthcare, preferably care coordination, and 2 years serving the target groups (adults with disabilities or older adults), or equivalent experience. A Bachelor's degree in a related field is required, though significant relevant experience may substitute for the degree, alongside a valid driver's license and demonstrated competencies in leadership and performance management.
Experience Required
Minimum 5 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)
Field Nurse Practitioner (El Centro, CA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Primary Care, Care Coordination, Comprehensive Evaluations, Chronic Disease Management, Acute Care, Medical Diagnosis, Diagnostic Testing, Medical Plan Of Care, Post Discharge Coordination, On Call Coverage, Community Engagement, Cross State Licensing, Medical Records Documentation, Emr Proficiency, Collaboration, Time Management
Specialization
Candidates must possess at least one year of experience as a Nurse Practitioner, hold active national certification (AANP or ANCC), and maintain current, unrestricted state licensure as an FNP along with a DEA license. A valid driver's license, reliable transportation, and the ability to travel extensively are also mandatory requirements.
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, Care Management, Care Coordination, Microsoft Office Suite, Outlook, Excel, Teams, Comprehensive Member Assessments, Waiver Enrollment, Care Plan Development, Motivational Interviewing, Interdisciplinary Care Team, Medication Reconciliation, Time Management
Specialization
Candidates must be a licensed Registered Nurse (RN) with at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations needing long-term services and supports (LTSS). A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
HR Coordinator at Evoraa Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Human Resources, Employee Relations, Performance Reviews, Training Coordination, Hr Compliance, Hr Reports, Interpersonal Skills, Attention To Detail, Hris Proficiency, Microsoft Office Suite, Judgment, Organization, Healthcare Experience, Process Improvements, Policy Updates
Specialization
Candidates must have a bachelor's degree in Human Resources or a related field and a minimum of 2 years of HR experience, preferably in the healthcare industry. Knowledge of HR compliance and proficiency with HRIS platforms and Microsoft Office Suite are also required.
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)
Analyst, Business at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Regulatory Requirements Interpretation, Systems Solutions Development, Stakeholder Coordination, Requirement Documentation, Regulatory Monitoring, Root Cause Analysis, Problem Management, Requirement Communication, Solution Traceability, Reporting, Compliance Issues Review, Interpersonal Communication, Analytical Skills, Problem Solving Skills, Data Organization, Self Motivation
Specialization
Required qualifications include at least one year of experience in Medical Billing and coding, knowledge of policy/government legislative review, strong analytical and problem-solving skills, and proficiency in the Office Product Suite. Preferred qualifications include project implementation experience and knowledge of federal regulatory policy resources like CMS and the ACA.
Manager, Projects (Customer Experience) - REMOTE at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

13 Jul, 26

Salary

142548.59

Posted On

14 Apr, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Project management, Process improvement, Organizational change management, Operational cadence management, Governance coordination, Risk management, Issue management, Performance reviews, Strategic planning, Cross-functional coordination, Data analysis, Dashboard management, Execution enablement, Managed care, Matrixed environment management

Industry

Hospitals and Health Care

Description
Job Description    Job Summary Focuses on process improvement, organizational change management, project management and operational cadence management and execution enablement relative to the business. Project management includes estimating, scheduling, costing, planning, governance coordination, and issue/risk management, supporting consistent execution of enterprise growth and retention initiatives across health plans.   Knowledge/Skills/Abilities * Ability to manage multiple complex, challenging projects simultaneously). Deep understanding of multiple projects and relationships between projects.  * Supports recurring governance forums (e.g., performance reviews, planning sessions, pilot tracking) by preparing materials, tracking outcomes, and ensuring follow-through on actions. * Expert knowledge of methods and techniques involved in project management initiatives. Able to learn new dashboards with little to no instruction within a short period and instruct others on its functionality and apply tools to support governance cadence, tracking, and execution visibility. * Proactively assesses projects for potential problem areas. Investigates, develops, evaluates solutions to a wide range of complex problems spanning multiple projects, surfacing risks early and supporting escalation paths for unresolved issues. * Translates enterprise strategies and initiatives into practical execution tools, including job aids, checklists, and standardized materials to support consistent deployment across teams.   Job Qualifications Required Education Bachelor's degree or equivalent combination of education and experience and at least 1 PM course required Required Experience 4-7 years of relevant work experience in business, managed care in lieu of degree acceptable, including experience supporting cross-functional program coordination, governance cadence, and execution tracking in a matrixed environment Preferred Education Additional formal training in PM preferred. Preferred License, Certification, Association PMP or Six Sigma Green Belt Certification desired.   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 manager will oversee process improvement, organizational change, and project management initiatives to support enterprise growth and retention. They are responsible for maintaining operational cadence, managing governance forums, and ensuring consistent execution across health plans.
Manager, Projects (Customer Experience) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Project Management, Process Improvement, Organizational Change Management, Operational Cadence Management, Governance Coordination, Risk Management, Issue Management, Performance Reviews, Strategic Planning, Cross Functional Coordination, Data Analysis, Dashboard Management, Execution Enablement, Managed Care, Matrixed Environment Management
Specialization
Candidates must have a bachelor's degree or equivalent experience and 4-7 years of relevant work experience in business or managed care. Proficiency in project management methodologies is required, with PMP or Six Sigma certifications being preferred.
Experience Required
Minimum 5 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.
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)
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.
Housekeeper - Full-time at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Cleaning, Sanitizing, Housekeeping Duties, Inventory Monitoring, Equipment Storage, Laundry Management, Confidentiality, Client Relations, Hipaa Compliance
Specialization
This is an entry-level position, though a high school diploma or equivalent is preferred. One year of professional cleaning experience is also preferred, along with the ability to maintain strict confidentiality regarding sensitive information.
Behavioral Health Technician 2nd Shift Full-time at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Detail Oriented, Verbal Communication, Written Communication, Interpersonal Skills, Multi Tasking, Time Management, Empathy, Non Judgmental Approach, Electronic Medical Records
Specialization
A high school diploma or GED is preferred, along with experience in substance abuse and/or mental health. Candidates should possess strong communication skills, the ability to work under pressure, and a non-judgmental approach to client interactions.
Product Manager (DME, non-software) at BioTAB Healthcare
St. Louis, Missouri, United States - Full Time
Skills Needed
Agile Leadership, Scrum, Kanban, Product Vision, Roadmap Development, Release Planning, User Stories, Project Coordination, Quality Control, Technical Oversight, Cross Functional Collaboration, Regulatory Compliance, Iso 13485, Analytical Skills, Time Management, Hipaa Adherence
Specialization
Candidates need excellent communication skills and deep practical application of Agile frameworks like Scrum or Kanban, proven by leading ceremonies. A minimum of two years of experience in a Product Owner, Scrum Master, or Agile Project role within the healthcare, medical device, or DME industry is required, along with basic engineering understanding.
Experience Required
Minimum 2 year(s)
VP, Government Contracts - WA Health Plan at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Government Contracts, Medicaid, Medicare, Marketplace, Strategy Development, Contract Administration, Leadership, Advocacy, Team Management, Regulatory Submissions, Relationship Management, Strategic Planning, Cross Functional Collaboration, Analytical Reasoning, Communication
Specialization
Candidates must possess at least 12 years of experience in Medicaid, Medicare, and/or Marketplace health insurance programs, with 8 years specifically in government contracts, or an equivalent combination. A minimum of 7 years of management/leadership experience is required, along with deep knowledge of government-sponsored health programs and strong organizational and communication skills.
Experience Required
Minimum 10 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)
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)
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)
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)
Cyber Response Manager (must have both a Cyber & Crisis background) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Cyber Response, Crisis Management, Incident Response, Disaster Response, It Security, Business Continuity, Risk Assessment, Auditing, Documentation, Network Architecture, Vulnerability Management, Encryption, Cloud Computing, Problem Solving, Data Analysis, Project Management
Specialization
Candidates must possess at least six years of operational experience across cybersecurity and crisis management, including three years in corporate cyber response or incident management, along with strong documentation, analytical, and organizational skills. A practical understanding of technical security concepts and hands-on experience in cyber incident response and crisis management are essential.
Experience Required
Minimum 5 year(s)
Supervisor, IRIS Consulting Services Barron WI,Rusk WI, Dunn WI and Chippew at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Leadership, Supervision, Training, Person Centered Practices, Data Analysis, Record Review, Communication, Change Management, Networking, Performance Management, Team Development, Problem Solving, Critical Thinking, Time Management, Hipaa, Microsoft Office
Specialization
Candidates must have at least 5 years in healthcare, preferably care coordination, and 2 years serving the target groups (adults with disabilities or older adults), or equivalent experience. A Bachelor's degree in a related field is required, though significant relevant experience may substitute for the degree, alongside a valid driver's license and demonstrated competencies in leadership and performance management.
Experience Required
Minimum 5 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)
Field Nurse Practitioner (El Centro, CA) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Primary Care, Care Coordination, Comprehensive Evaluations, Chronic Disease Management, Acute Care, Medical Diagnosis, Diagnostic Testing, Medical Plan Of Care, Post Discharge Coordination, On Call Coverage, Community Engagement, Cross State Licensing, Medical Records Documentation, Emr Proficiency, Collaboration, Time Management
Specialization
Candidates must possess at least one year of experience as a Nurse Practitioner, hold active national certification (AANP or ANCC), and maintain current, unrestricted state licensure as an FNP along with a DEA license. A valid driver's license, reliable transportation, and the ability to travel extensively are also mandatory requirements.
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, Care Management, Care Coordination, Microsoft Office Suite, Outlook, Excel, Teams, Comprehensive Member Assessments, Waiver Enrollment, Care Plan Development, Motivational Interviewing, Interdisciplinary Care Team, Medication Reconciliation, Time Management
Specialization
Candidates must be a licensed Registered Nurse (RN) with at least two years of healthcare experience, including one year in care management or managed care, and one year working with populations needing long-term services and supports (LTSS). A valid driver's license, reliable transportation, and proficiency in Microsoft Office Suite are also required.
Experience Required
Minimum 2 year(s)
HR Coordinator at Evoraa Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Human Resources, Employee Relations, Performance Reviews, Training Coordination, Hr Compliance, Hr Reports, Interpersonal Skills, Attention To Detail, Hris Proficiency, Microsoft Office Suite, Judgment, Organization, Healthcare Experience, Process Improvements, Policy Updates
Specialization
Candidates must have a bachelor's degree in Human Resources or a related field and a minimum of 2 years of HR experience, preferably in the healthcare industry. Knowledge of HR compliance and proficiency with HRIS platforms and Microsoft Office Suite are also required.
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)
Analyst, Business at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Regulatory Requirements Interpretation, Systems Solutions Development, Stakeholder Coordination, Requirement Documentation, Regulatory Monitoring, Root Cause Analysis, Problem Management, Requirement Communication, Solution Traceability, Reporting, Compliance Issues Review, Interpersonal Communication, Analytical Skills, Problem Solving Skills, Data Organization, Self Motivation
Specialization
Required qualifications include at least one year of experience in Medical Billing and coding, knowledge of policy/government legislative review, strong analytical and problem-solving skills, and proficiency in the Office Product Suite. Preferred qualifications include project implementation experience and knowledge of federal regulatory policy resources like CMS and the ACA.