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https://molinahealthcare.com
Molina Healthcare
Most recent job postings at Molina Healthcare
via LinkedIn
posted_at: 2 days agoschedule_type: Full-timework_from_home: 1
Job Description
Job Summary...
Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors system analysis
Job Description
Job Summary...
Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions’ primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members. Senior Program Management professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership skills; should be well experienced and comfortable presenting to C level executives; ability to drive structure and organization; extensive working knowledge of portfolio and project management tools and methodologies; ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing, written and verbal communication abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic relationship with Corporate EPMO and IT. Manage the issue escalation/resolution process.
Knowledge/Skills/Abilities
• Manages programs using staff and matrixed resources with oversight from AVP and VP as needed
• Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs
• Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management
• Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy
• Collaborates and facilitates activities with other units at corporate and Molina Plans.
Job Qualifications
Required Education
Bachelor's degree or equivalent combination of education and experience
Required Experience
7-9 years
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
10+ years
Preferred License, Certification, Association
CPHQ
Pay Range: $80,412 - $156,803 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
Job Summary...
Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions’ primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members. Senior Program Management professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership skills; should be well experienced and comfortable presenting to C level executives; ability to drive structure and organization; extensive working knowledge of portfolio and project management tools and methodologies; ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing, written and verbal communication abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic relationship with Corporate EPMO and IT. Manage the issue escalation/resolution process.
Knowledge/Skills/Abilities
• Manages programs using staff and matrixed resources with oversight from AVP and VP as needed
• Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs
• Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management
• Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy
• Collaborates and facilitates activities with other units at corporate and Molina Plans.
Job Qualifications
Required Education
Bachelor's degree or equivalent combination of education and experience
Required Experience
7-9 years
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
10+ years
Preferred License, Certification, Association
CPHQ
Pay Range: $80,412 - $156,803 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
via LinkedIn
posted_at: 2 days agoschedule_type: Full-timework_from_home: 1
Job Description
Job Summary...
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff.
Job Description
Job Summary...
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
Job Duties
• Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
• Plans and directs schedules as well as project budgets.
• Monitors the project from inception through delivery.
• May engage and oversee the work of external vendors.
• Focuses on process improvement, organizational change management, program management and other processes relative to the business.
• Leads and manages team in planning and executing business programs.
• Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
• Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
• Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
• Generate and distribute standard reports on schedule
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree or equivalent combination of education and experience.
Required Experience/Knowledge, Skills & Abilities
• 3-5 years of Program and/or Project management experience.
• Operational Process Improvement experience.
• Healthcare experience.
• Experience with Microsoft Project and Visio.
• Excellent presentation and communication skills.
• Experience partnering with different levels of leadership across the organization.
Preferred Education
Graduate Degree or equivalent combination of education and experience.
Preferred Experience
• 5-7 years of Program and/or Project management experience.
• Managed Care experience.
• Experience working in a cross functional highly matrixed organization.
Preferred License, Certification, Association
• PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework 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.
Pay Range: $66,456 - $129,590 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level Show more details...
Job Summary...
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
Job Duties
• Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
• Plans and directs schedules as well as project budgets.
• Monitors the project from inception through delivery.
• May engage and oversee the work of external vendors.
• Focuses on process improvement, organizational change management, program management and other processes relative to the business.
• Leads and manages team in planning and executing business programs.
• Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
• Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
• Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
• Generate and distribute standard reports on schedule
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree or equivalent combination of education and experience.
Required Experience/Knowledge, Skills & Abilities
• 3-5 years of Program and/or Project management experience.
• Operational Process Improvement experience.
• Healthcare experience.
• Experience with Microsoft Project and Visio.
• Excellent presentation and communication skills.
• Experience partnering with different levels of leadership across the organization.
Preferred Education
Graduate Degree or equivalent combination of education and experience.
Preferred Experience
• 5-7 years of Program and/or Project management experience.
• Managed Care experience.
• Experience working in a cross functional highly matrixed organization.
Preferred License, Certification, Association
• PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework 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.
Pay Range: $66,456 - $129,590 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level Show more details...
via LinkedIn
posted_at: 2 days agoschedule_type: Full-timework_from_home: 1
Job Description
Job Summary...
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers
Job Description
Job Summary...
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions.
Job Duties
• Extracts and compiles information from large data sets from various systems to identify and analyze outliers.
• Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers.
• Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
• Implements and uses analytics software and systems to support department goals.
• Tracks trends related to various feeds, with focus on membership, revenue, and commissions.
• Identify any deficiencies within the process, strategize and design improvements where possible.
Job Qualifications
REQUIRED EDUCATION:
Associate’s degree or equivalent combination of education and experience
Required Experience
• 1-3 years related experience
• Proficiency in MS SQL queries and database development.
• Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots).
• Intermediate proficiency with complex SQL queries, and stored procedures.
• Strong critical thinking and attention to detail.
• Ability to effectively communicate with technical and non-technical stakeholders.
• Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines
Preferred Education
Bachelor’s degree or equivalent combination of education and experience
Preferred Experience
2 – 4 years related experience
Physical Demands
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
Pay Range: $54,922 - $107,099
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
Job Summary...
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions.
Job Duties
• Extracts and compiles information from large data sets from various systems to identify and analyze outliers.
• Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers.
• Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
• Implements and uses analytics software and systems to support department goals.
• Tracks trends related to various feeds, with focus on membership, revenue, and commissions.
• Identify any deficiencies within the process, strategize and design improvements where possible.
Job Qualifications
REQUIRED EDUCATION:
Associate’s degree or equivalent combination of education and experience
Required Experience
• 1-3 years related experience
• Proficiency in MS SQL queries and database development.
• Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots).
• Intermediate proficiency with complex SQL queries, and stored procedures.
• Strong critical thinking and attention to detail.
• Ability to effectively communicate with technical and non-technical stakeholders.
• Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines
Preferred Education
Bachelor’s degree or equivalent combination of education and experience
Preferred Experience
2 – 4 years related experience
Physical Demands
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
Pay Range: $54,922 - $107,099
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
via Oracle
posted_at: 2 days agoschedule_type: Full-time
JOB DESCRIPTION
Job Summary...
Provides application technical support and design on clinical information systems. Applies system knowledge to create workflows, change management processes, and ensure enhancements and defects are resolved effectively.
KNOWLEDGE/SKILLS/ABILITIES
• Serves as a technical leader for all applications, including the development and support of clinical, practice management and operational workflows.
• Provides strategic
JOB DESCRIPTION
Job Summary...
Provides application technical support and design on clinical information systems. Applies system knowledge to create workflows, change management processes, and ensure enhancements and defects are resolved effectively.
KNOWLEDGE/SKILLS/ABILITIES
• Serves as a technical leader for all applications, including the development and support of clinical, practice management and operational workflows.
• Provides strategic approach for workflow analysis, device integration, planning and implementation as it relates to clinical systems.
• Responsible for participating in the planning, development, implementation, testing, training, and maintenance of the electronic medical record application.
• Assists in problem/issue resolution and executes formal Change Management process for the business.
JOB QUALIFICATIONS
Required Education
HS Diploma or GED
Required Experience
4+ years of system implementation experience
Preferred Education
Bachelor's degree in Healthcare, Business,
Information Technology or related field preferred
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 Show more details...
Job Summary...
Provides application technical support and design on clinical information systems. Applies system knowledge to create workflows, change management processes, and ensure enhancements and defects are resolved effectively.
KNOWLEDGE/SKILLS/ABILITIES
• Serves as a technical leader for all applications, including the development and support of clinical, practice management and operational workflows.
• Provides strategic approach for workflow analysis, device integration, planning and implementation as it relates to clinical systems.
• Responsible for participating in the planning, development, implementation, testing, training, and maintenance of the electronic medical record application.
• Assists in problem/issue resolution and executes formal Change Management process for the business.
JOB QUALIFICATIONS
Required Education
HS Diploma or GED
Required Experience
4+ years of system implementation experience
Preferred Education
Bachelor's degree in Healthcare, Business,
Information Technology or related field preferred
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 Show more details...
via LinkedIn
posted_at: 2 days agoschedule_type: Full-timework_from_home: 1
Job Description
Ideal candidate will have 3+ years Kronos experience, Oracle experience is a Plus...
Job Summary
Individual Contributor role responsible for administering & processing of company payroll as part of the corporate payroll team.
Job Duties
• Kronos timekeeping application – update historical edits on manager requests. Review timecard audit reports and reach out to managers with needed changes. Review process improvements and assist
Job Description
Ideal candidate will have 3+ years Kronos experience, Oracle experience is a Plus...
Job Summary
Individual Contributor role responsible for administering & processing of company payroll as part of the corporate payroll team.
Job Duties
• Kronos timekeeping application – update historical edits on manager requests. Review timecard audit reports and reach out to managers with needed changes. Review process improvements and assist with testing.
• Accurate calculation and payment processing of employee wages, commissions and bonus payments; ensure accurate benefit deductions are made and compliant taxation occurs. Assists in responding to emails, phone calls, and ticketing system received in the payroll department regarding the tasks and other payroll related questions as necessary. Communication with all levels of Molina personnel.
• Run standard and ad hoc payroll reports to audit and validate payroll compliance; maintains updated payroll compliance & legislative knowledge base; support batch balancing of export and imported files prior to payroll submission
• Support fulfillment of standard and adhoc report requests from internal stakeholders and internal/external auditors and government agencies.
• Validate proper set up, maintenance, and reporting of employee / employer work and resident state taxation
• Work in partnership with accounting and finance to reconcile payroll expense and liabilities.
• Help identify opportunities to streamline payroll and timekeeping requirements and optimize payroll processing
• Calculate and process on-demand payroll checks for terminations and off cycle payments
• Assists with special projects, as assigned. Any and all other duties and assignments deemed appropriate by leadership.
Job Qualifications
REQUIRED EDUCATION:
Associate's Degree or equivalent combination of education and experience
Required Experience/Knowledge, Skills & Abilities
• Min 3 + years of Kronos Timekeeping, multi state payroll and multiple Federal and state tax ID’s, Vertex Tax Application; ADP Tax Manager.
• MS Suite - Intermediate Excel skills required
• Knowledge of ADP Tax Manager, ADP Smart Compliance, ADP Year End, ADP W2c Manager, Vertex Tax
Preferred Experience
JDE Payroll; Oracle Cloud Payroll; Ticketing System
Pay Range: $19.84 - $38.69 an hour*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
Ideal candidate will have 3+ years Kronos experience, Oracle experience is a Plus...
Job Summary
Individual Contributor role responsible for administering & processing of company payroll as part of the corporate payroll team.
Job Duties
• Kronos timekeeping application – update historical edits on manager requests. Review timecard audit reports and reach out to managers with needed changes. Review process improvements and assist with testing.
• Accurate calculation and payment processing of employee wages, commissions and bonus payments; ensure accurate benefit deductions are made and compliant taxation occurs. Assists in responding to emails, phone calls, and ticketing system received in the payroll department regarding the tasks and other payroll related questions as necessary. Communication with all levels of Molina personnel.
• Run standard and ad hoc payroll reports to audit and validate payroll compliance; maintains updated payroll compliance & legislative knowledge base; support batch balancing of export and imported files prior to payroll submission
• Support fulfillment of standard and adhoc report requests from internal stakeholders and internal/external auditors and government agencies.
• Validate proper set up, maintenance, and reporting of employee / employer work and resident state taxation
• Work in partnership with accounting and finance to reconcile payroll expense and liabilities.
• Help identify opportunities to streamline payroll and timekeeping requirements and optimize payroll processing
• Calculate and process on-demand payroll checks for terminations and off cycle payments
• Assists with special projects, as assigned. Any and all other duties and assignments deemed appropriate by leadership.
Job Qualifications
REQUIRED EDUCATION:
Associate's Degree or equivalent combination of education and experience
Required Experience/Knowledge, Skills & Abilities
• Min 3 + years of Kronos Timekeeping, multi state payroll and multiple Federal and state tax ID’s, Vertex Tax Application; ADP Tax Manager.
• MS Suite - Intermediate Excel skills required
• Knowledge of ADP Tax Manager, ADP Smart Compliance, ADP Year End, ADP W2c Manager, Vertex Tax
Preferred Experience
JDE Payroll; Oracle Cloud Payroll; Ticketing System
Pay Range: $19.84 - $38.69 an hour*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
via LinkedIn
posted_at: 2 days agoschedule_type: Full-timework_from_home: 1
Job Description
Job Description Under the direction of the Manager of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and maintenance of critical business reports based on data stored in multiple sources. This role will support the Care Connections team with data extraction, validation, and analysis as it relates... to measuring and monitoring department initiatives.
Job Description
Job Description Under the direction of the Manager of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and maintenance of critical business reports based on data stored in multiple sources. This role will support the Care Connections team with data extraction, validation, and analysis as it relates... to measuring and monitoring department initiatives. The Clinical Informatics Data Analyst also participates in the planning, development, and implementation of new build/upgrades of the electronic medical record application, Epic.
Responsibilities
• Develop and maintain centralized reports that empower decision making
• Manage internal and external data load processes
• Effectively collaborate with other team members to identify and resolve problems
• Leverage BI tools to drive strategic initiatives
• Maintain the integrity of all data used in departmental reporting and integration into Epic
• Perform ad hoc analyses to address inquiries and resolve anomalies
• Integrate external data sources and identify opportunities for automation in data extraction processes
• Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision makers
• Maintain code utilizing Azure DevOps as the version control application
• Ensure departmental and individual performance goals are met
• Develop and maintain documentation for all assigned areas of responsibility
• Perform all other duties as assigned
Knowledge/Skills/Abilities
• Proficiency with SQL
• Experience developing reports with SSRS and Power BI
• Experience with Databricks
• Experience with ETL/ELT tools like SSIS or Azure Data Factory
• Strong critical thinking and attention to detail
• Ability to question, review, and identify data gaps in reports or processes
• Ability to communicate effectively with technical and non-technical stakeholders
• Healthy curiosity, creative thinking, and willingness to learn new tools/platforms
• Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines
• Familiarity with version control applications such as TFS or Azure DevOps
• Ability to work independently, within a team, and collaboratively across teams
Job Qualifications
Required Education
Bachelor’s degree or equivalent work experience
Required Experience
• 3-5 years of SQL Programming
• 2-3 years of BI Engineer Experience
• 2-3 years of Business Intelligence Development
Preferred Education
Bachelor's degree in Healthcare, Business Administration,
Information Technology, Computer Science, or related field preferred
Pay Range: $ 49,929 - $ 97,362 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
Job Description Under the direction of the Manager of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and maintenance of critical business reports based on data stored in multiple sources. This role will support the Care Connections team with data extraction, validation, and analysis as it relates... to measuring and monitoring department initiatives. The Clinical Informatics Data Analyst also participates in the planning, development, and implementation of new build/upgrades of the electronic medical record application, Epic.
Responsibilities
• Develop and maintain centralized reports that empower decision making
• Manage internal and external data load processes
• Effectively collaborate with other team members to identify and resolve problems
• Leverage BI tools to drive strategic initiatives
• Maintain the integrity of all data used in departmental reporting and integration into Epic
• Perform ad hoc analyses to address inquiries and resolve anomalies
• Integrate external data sources and identify opportunities for automation in data extraction processes
• Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision makers
• Maintain code utilizing Azure DevOps as the version control application
• Ensure departmental and individual performance goals are met
• Develop and maintain documentation for all assigned areas of responsibility
• Perform all other duties as assigned
Knowledge/Skills/Abilities
• Proficiency with SQL
• Experience developing reports with SSRS and Power BI
• Experience with Databricks
• Experience with ETL/ELT tools like SSIS or Azure Data Factory
• Strong critical thinking and attention to detail
• Ability to question, review, and identify data gaps in reports or processes
• Ability to communicate effectively with technical and non-technical stakeholders
• Healthy curiosity, creative thinking, and willingness to learn new tools/platforms
• Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines
• Familiarity with version control applications such as TFS or Azure DevOps
• Ability to work independently, within a team, and collaboratively across teams
Job Qualifications
Required Education
Bachelor’s degree or equivalent work experience
Required Experience
• 3-5 years of SQL Programming
• 2-3 years of BI Engineer Experience
• 2-3 years of Business Intelligence Development
Preferred Education
Bachelor's degree in Healthcare, Business Administration,
Information Technology, Computer Science, or related field preferred
Pay Range: $ 49,929 - $ 97,362 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
via LinkedIn
posted_at: 7 days agoschedule_type: Full-timework_from_home: 1
Job Description
Job Summary...
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective
Job Description
Job Summary...
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Knowledge/Skills/Abilities
• Provides telephone, clerical, and data entry support for the Case Management team.
• Responsible for initial review of assigned case levels to assist in Case Management assignment.
• Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan.
• Schedules member visits with team members as needed.
• Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services.
• Coordinates required services in accordance with member benefit plan.
• Promotes communication, both internally and externally to enhance effectiveness of case management services.
• Processes member and provider correspondence.
Job Qualifications
Required Education
HS Diploma or GED
Required Experience
1-3 years’ experience in an administrative support role in healthcare.
Preferred Education
Associate degree
Preferred Experience
3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Pay Range: $31,002.32 - $60,454.52 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Show more details...
Job Summary...
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Knowledge/Skills/Abilities
• Provides telephone, clerical, and data entry support for the Case Management team.
• Responsible for initial review of assigned case levels to assist in Case Management assignment.
• Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan.
• Schedules member visits with team members as needed.
• Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services.
• Coordinates required services in accordance with member benefit plan.
• Promotes communication, both internally and externally to enhance effectiveness of case management services.
• Processes member and provider correspondence.
Job Qualifications
Required Education
HS Diploma or GED
Required Experience
1-3 years’ experience in an administrative support role in healthcare.
Preferred Education
Associate degree
Preferred Experience
3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Pay Range: $31,002.32 - $60,454.52 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Show more details...
via LinkedIn
posted_at: 5 days agoschedule_type: Full-timework_from_home: 1
Job Description
Job Summary...
Troubleshoots hardware and software problems, assists users with desktop applications and provides user training. Utilizes applications such as Altiris to track user requests from trouble-ticket generation through problem resolution. Escalates a problem to other network or system support personnel when the problem is not easily identified and corrected.
Knowledge/Skills/Abilities
• Provides level 2 support for any
Job Description
Job Summary...
Troubleshoots hardware and software problems, assists users with desktop applications and provides user training. Utilizes applications such as Altiris to track user requests from trouble-ticket generation through problem resolution. Escalates a problem to other network or system support personnel when the problem is not easily identified and corrected.
Knowledge/Skills/Abilities
• Provides level 2 support for any computer or network problems that should arise within MMS.
• Works with Help Desk and Network Operations staff as appropriate to determine and resolve problems received from clients.
• Works closely with various system owners and provides ongoing support.
• Installs new/rebuild existing servers and configure hardware, peripherals, services, settings, directories, storage, etc. in accordance with standards and project/operational requirements.
• Works with vendor support contacts to resolve technical problems with desktop computing equipment and software applications.
• Performs daily system monitoring, verifying the integrity and availability of all hardware, server resources, systems and key processes, reviewing system and application logs, and verifying completion of scheduled jobs such as backups.
• Performs daily backup operations, ensuring all required file systems and system data are successfully backed up to the appropriate media, recovery tapes or disks are created, and media is recycled and sent off site as necessary.
• Applies OS patches and upgrades on a regular basis, and upgrades administrative tools and utilities. Configures /adds new services as necessary..
Job Qualifications
Required Education
Associate's Degree or equivalent experience
Required Experience
4-6 years experience supporting a LAN in a medium to large size environment. 2 years experience supporting Windows XP or Windows Vista. Working knowledge of MS Office, Symantec Antivirus, Internet Explorer, VPN, and remote access.
Required License, Certification, Association
A+ or Server+
Network + or equivalent
Security + or equivalent
Microsoft Certification
Preferred Education
Bachelor's Degree in MIS or Computer Science
Preferred Experience
Working knowledge of Virtualization technologies, IIS, SharePoint, and SQL Server.
Preferred License, Certification, Association
Systems Administration/System Engineer certification in Microsoft, VMware, and/or Unix
Hardware / Software Vendor Certifications.
i.e. Cisco, Checkpoint, Nortel, etc.
PMP and CISSP also helpful
Pay Range: $54,922 - $107,099 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
Job Summary...
Troubleshoots hardware and software problems, assists users with desktop applications and provides user training. Utilizes applications such as Altiris to track user requests from trouble-ticket generation through problem resolution. Escalates a problem to other network or system support personnel when the problem is not easily identified and corrected.
Knowledge/Skills/Abilities
• Provides level 2 support for any computer or network problems that should arise within MMS.
• Works with Help Desk and Network Operations staff as appropriate to determine and resolve problems received from clients.
• Works closely with various system owners and provides ongoing support.
• Installs new/rebuild existing servers and configure hardware, peripherals, services, settings, directories, storage, etc. in accordance with standards and project/operational requirements.
• Works with vendor support contacts to resolve technical problems with desktop computing equipment and software applications.
• Performs daily system monitoring, verifying the integrity and availability of all hardware, server resources, systems and key processes, reviewing system and application logs, and verifying completion of scheduled jobs such as backups.
• Performs daily backup operations, ensuring all required file systems and system data are successfully backed up to the appropriate media, recovery tapes or disks are created, and media is recycled and sent off site as necessary.
• Applies OS patches and upgrades on a regular basis, and upgrades administrative tools and utilities. Configures /adds new services as necessary..
Job Qualifications
Required Education
Associate's Degree or equivalent experience
Required Experience
4-6 years experience supporting a LAN in a medium to large size environment. 2 years experience supporting Windows XP or Windows Vista. Working knowledge of MS Office, Symantec Antivirus, Internet Explorer, VPN, and remote access.
Required License, Certification, Association
A+ or Server+
Network + or equivalent
Security + or equivalent
Microsoft Certification
Preferred Education
Bachelor's Degree in MIS or Computer Science
Preferred Experience
Working knowledge of Virtualization technologies, IIS, SharePoint, and SQL Server.
Preferred License, Certification, Association
Systems Administration/System Engineer certification in Microsoft, VMware, and/or Unix
Hardware / Software Vendor Certifications.
i.e. Cisco, Checkpoint, Nortel, etc.
PMP and CISSP also helpful
Pay Range: $54,922 - $107,099 a year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
via LinkedIn
posted_at: 5 days agoschedule_type: Full-timework_from_home: 1
Job Description
Job Summary...
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
• Supervises employees responsible for generating
Job Description
Job Summary...
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
• Supervises employees responsible for generating and preparing provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/ Inquiry Research & Resolution, Provider Contracting/ Provider Relationship Management).
• Responsible for working with plan representatives to ensure quality provider demographics are received.
• Educates health plan representatives regarding appropriate provider record set up.
• Conducts and documents monthly Provider Network operational meetings.
• Works with team members to develop standard reports for audit purposes.
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
• Min. 4 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
• 3+ years’ experience in Medical Terminology, CPT, ICD-9 codes, etc.
• Previous experience organizing or leading people, projects or workflow and demonstrating strong communication skills.
Preferred Education
Bachelor's Degree
Preferred Experience
• 5+ years managed care experience
• QNXT; SQL experience
• Crystal Reports for data extraction
• Access and Excel – intermediate plus skill level
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.
Pay Range: $45,390 - $88,511/year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level Show more details...
Job Summary...
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
• Supervises employees responsible for generating and preparing provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/ Inquiry Research & Resolution, Provider Contracting/ Provider Relationship Management).
• Responsible for working with plan representatives to ensure quality provider demographics are received.
• Educates health plan representatives regarding appropriate provider record set up.
• Conducts and documents monthly Provider Network operational meetings.
• Works with team members to develop standard reports for audit purposes.
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
• Min. 4 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
• 3+ years’ experience in Medical Terminology, CPT, ICD-9 codes, etc.
• Previous experience organizing or leading people, projects or workflow and demonstrating strong communication skills.
Preferred Education
Bachelor's Degree
Preferred Experience
• 5+ years managed care experience
• QNXT; SQL experience
• Crystal Reports for data extraction
• Access and Excel – intermediate plus skill level
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.
Pay Range: $45,390 - $88,511/year*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level Show more details...
via LinkedIn
posted_at: 6 days agoschedule_type: Full-timework_from_home: 1
Job Description
Telephonic opportunity open nationwide to licensed clinicians to conduct health assessments. Schedule is Monday - Friday, 830 AM - 5 PM in your time zone. Preference will be given to LPNs and LVNs who have experience completing assessments and experienced working remotely...
Job Summary
The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care experience to clinically
Job Description
Telephonic opportunity open nationwide to licensed clinicians to conduct health assessments. Schedule is Monday - Friday, 830 AM - 5 PM in your time zone. Preference will be given to LPNs and LVNs who have experience completing assessments and experienced working remotely...
Job Summary
The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care experience to clinically evaluate the member based on formal assessment and determine the next step(s) for care. Care is then provided directly or referred / escalated. HM CM staff work to ensure that members progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Job Duties
• Based on clinical assessment and member reported health care concerns, use clinical judgment to provide care management or refer members to a higher level of care.
• Identify patient needs, close health care gaps, develop action plan and prioritize goals and educate patients best practice to manage medical needs.
• Provide condition specific education designed to assist members and their families in better understanding specific chronic health conditions, how to manage symptoms to prevent conditions from progressing and adopting healthy lifestyle behaviors.
• Provide general member education to assist with self-management goals; disease management or acute condition and provide indicated contingency plan.
• Assess for barriers to care, provides care coordination and assistance to member to address concerns.
• Act as an advocate for patients to guide them through the health care system for transition planning and longitudinal care.
• Reinforce medication adherence and education. Monitor patient reactions to medications and treatments.
• Engage patient, family, and caregivers telephonically to assure that a well-coordinated action plan is established and continually assess health status.
• Perform ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintain ongoing member case load for regular outreach and management.
• Use motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• May facilitate interdisciplinary care team meetings and informal ICT collaboration.
• Collaborate with RN case managers/supervisors as needed or required
Job Qualifications
REQUIRED EDUCATION:
LVN/LPN/LCSW/LPC/LCPC licensure, Registered Dietician OR equivalent direct hands on clinical experience with a Master’s degree in social science, psychology, gerontology, public health, social work or related area
Required Experience/Knowledge, Skills & Abilities
1-3 years in direct patient care, case management, disease management, managed care in medical or behavioral health settings.
Required License, Certification, Association
LVN/LPN/LCSW/LPC/LCPC licensure, Registered Dietician OR equivalent direct hands on clinical experience with a Master’s degree in social science, psychology, gerontology, public health, social work or related area
Preferred Experience
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, Association
Certified Case Manager (CCM)
Pay Range: $24.00 – 46.81 per hour*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
Telephonic opportunity open nationwide to licensed clinicians to conduct health assessments. Schedule is Monday - Friday, 830 AM - 5 PM in your time zone. Preference will be given to LPNs and LVNs who have experience completing assessments and experienced working remotely...
Job Summary
The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care experience to clinically evaluate the member based on formal assessment and determine the next step(s) for care. Care is then provided directly or referred / escalated. HM CM staff work to ensure that members progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Job Duties
• Based on clinical assessment and member reported health care concerns, use clinical judgment to provide care management or refer members to a higher level of care.
• Identify patient needs, close health care gaps, develop action plan and prioritize goals and educate patients best practice to manage medical needs.
• Provide condition specific education designed to assist members and their families in better understanding specific chronic health conditions, how to manage symptoms to prevent conditions from progressing and adopting healthy lifestyle behaviors.
• Provide general member education to assist with self-management goals; disease management or acute condition and provide indicated contingency plan.
• Assess for barriers to care, provides care coordination and assistance to member to address concerns.
• Act as an advocate for patients to guide them through the health care system for transition planning and longitudinal care.
• Reinforce medication adherence and education. Monitor patient reactions to medications and treatments.
• Engage patient, family, and caregivers telephonically to assure that a well-coordinated action plan is established and continually assess health status.
• Perform ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintain ongoing member case load for regular outreach and management.
• Use motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• May facilitate interdisciplinary care team meetings and informal ICT collaboration.
• Collaborate with RN case managers/supervisors as needed or required
Job Qualifications
REQUIRED EDUCATION:
LVN/LPN/LCSW/LPC/LCPC licensure, Registered Dietician OR equivalent direct hands on clinical experience with a Master’s degree in social science, psychology, gerontology, public health, social work or related area
Required Experience/Knowledge, Skills & Abilities
1-3 years in direct patient care, case management, disease management, managed care in medical or behavioral health settings.
Required License, Certification, Association
LVN/LPN/LCSW/LPC/LCPC licensure, Registered Dietician OR equivalent direct hands on clinical experience with a Master’s degree in social science, psychology, gerontology, public health, social work or related area
Preferred Experience
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, Association
Certified Case Manager (CCM)
Pay Range: $24.00 – 46.81 per hour*
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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 Show more details...
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