Regional Coding Operations Manager WFH
Operations vice president job at HCA Healthcare
is incentive eligible. Job Summary and Qualifications The Regional Coding Operations Manager (RCOM) is responsible for assisting in the development and evolution of the overall strategy for Physician Services Group (PSG) Coding Operations. The RCOM is responsible for oversight of all PSG coding operational processes and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division relationship management as applicable. The RCOM assists the Regional Coding Operations Director with the oversight and implementation of Coding Operations operational planning, service commitment, budgets, workflow processes and internal controls. As the RCOM, this person serves as a key promoter of Coding Operations and is responsible for setting the tone of Coding Operations as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.
* This position is considered Work from Home and will support our practices in the Fort Lauderdale and Miami markets. This leader must be based in the Miami, Fort Lauderdale or surrounding areas or be willing to relocate to the area in order to support our practices across the division. *
Job Summary and Qualifications
* Provides coding and documentation improvement education to Providers.
* Assists the Director Coding Operations Division Support in reviewing progress against business case expectations and operational metrics to ensure that financial and operational risks are properly managed.
* Works with the division operations team and CCU team on practice implementation/acquisition activities and projects.
* Leads key communication efforts with practice staff, providers, and Division Leadership.
* Provides direction and guidance to the practice management and Division Leadership teams to ensure accurate and efficient coding processes.
* PSG Coding Operations works with Central Coding Unit (CCU) to identify and resolve issues.
* Works collaboratively with each practice and division leadership team to ensure customer satisfaction and efficient coding work processes.
* Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).
* Assumes a lead role for innovation, knowledge sharing and leading best practice identification.
* Manages coding education for practice management and practice/division staff.
* Contributes to the development of strategic direction for Coding Operations.
* Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement".
* Must be willing to be present within physician practices daily to include minimal overnight travel.
EDUCATION:
* Bachelor's Degree preferred.
* Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPCs (American Academy of Professional Coders) Certified Professional Coder (CPC) credential or Certified Professional Coder - Hospital (CPC-H) or Certified Risk Adjustment Coder (CRC)
EXPERIENCE:
* Experience with Cerner and eClinicalWorks (eCW) is strongly preferred.
* Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred.
* Minimum 5 years health care management/leadership experience required.
* Experience leading large organizations preferred.
Benefits
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Regional Coding Operations Manager WFH where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare's graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcares commitment to the care and improvement of human life.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Regional Coding Operations Manager WFH opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
VP, AI Enablement
Columbus, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Chief Operating Officer (COO) - SSC Sarasota
Sarasota, FL jobs
The Chief Operating Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives.
As the Chief Operating Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options
**Essential Functions**
+ Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit.
+ Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow.
+ Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards.
+ Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance.
+ Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC.
+ Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness.
+ Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning.
+ Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
+ **This is a fully remote opportunity. Some travel will be required.**
**Qualifications**
+ Bachelor's Degree in Health Administration, Business Administration, or a related field required
+ Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred
+ More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required
+ 8-10 years Prior experience in a shared services environment preferred
+ Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred
**Knowledge, Skills and Abilities**
+ Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies.
+ Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview.
+ Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth.
+ Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders.
+ Proficiency in operational management software, data analysis tools, and Google Suite.
+ Strong financial acumen, with experience managing budgets and optimizing resource utilization.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Chief Operating Officer (COO) - SSC Sarasota
Remote
The Chief Operations Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives.
As the Chief Operations Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options
Essential Functions
Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit.
Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow.
Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards.
Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance.
Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC.
Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness.
Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning.
Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
This is a fully remote opportunity. Some travel will be required.
Qualifications
Bachelor's Degree in Health Administration, Business Administration, or a related field required
Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred
More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required
8-10 years Prior experience in a shared services environment preferred
Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred
Knowledge, Skills and Abilities
Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies.
Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview.
Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth.
Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders.
Proficiency in operational management software, data analysis tools, and Google Suite.
Strong financial acumen, with experience managing budgets and optimizing resource utilization.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Auto-ApplyVP, Medical Economics
Cleveland, OH jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, Medical Economics
Akron, OH jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, Medical Economics
Dayton, OH jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, Medical Economics
Ohio jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Sr Director of Ambulatory Service Operations
Remote
The Senior Director of Ambulatory Surgery Center (ASC) Operations is a visionary leader responsible for a portfolio of centers across a geographic region. Under the direction of the Chief Operating Officer of ASC Operations, the Senior Director of ASC Operations works collaboratively with the CHS ASC Division, CHS Corporate, Center leadership teams, CHS hospital partners, Boards, and Physicians to ensure the strategic vision and goals for each ASC are established and operationalized, resulting in exceptional financial, clinical, and quality outcomes for all stakeholders.
Essential Functions
Strategic Planning and Growth: Collaborates with each ASC in the portfolio of centers ensuring growth strategies are established and operationalized. Develops and executes innovative initiatives to enhance market share, profitability and operational excellence, resulting in centers meeting and exceeding performance targets. In partnership with CHS, works to grow ASC footprint in designated markets including performing due diligence for potential acquisitions and leading de novo and expansion projects. Coordinates onboarding of new centers.
Leadership Selection and Development: Recruits, selects, orients, mentors, coaches, and performance manages ASC Administrators for centers in the assigned region. Engages ASC leadership teams in the efficient management and continuous improvement of centers ensuring excellence in clinical, quality, and financial outcomes. Maintains an onsite presence as indicated. Functions as Interim Administrator if needed.
Governance: Actively participates in the governance structure of each ASC in the portfolio of centers including Governing Body and Partnership meetings. Develops and maintains strong, collaborative relationships with Board members and physician partners. Instills trust by consistently demonstrating professionalism and integrity. Communicates effectively and articulates complex concepts concisely. Makes sound recommendations in compliance with legal, regulatory, and accreditation requirements.
Physician Relationship Development and Marketing: Proactively develops and sustains positive relationships with physicians, physician partners, and potential new utilizers and/or investors. Works with physicians/partners to pursue new business opportunities and service lines. Addresses any concerns professionally, timely and effectively. Creates strategies to enhance physician engagement.
Financial Optimization: Has overall P&L accountability for all assigned centers. Responsible for growing the revenue and EBITDA in the portfolio of centers to meet and exceed budgeted goals. Employes financial benchmarks for evaluation of performance and development of improvement plans. Assists with creation of the annual operational budget and evaluating capital needs and potential expenditures. Utilizes tools to assess productivity, initiating improvement plans as needed to ensure appropriate levels of staffing. Provides oversight of the revenue cycle process ensuring goals are met. Leads the Monthly Operating Review (MOR) for assigned centers.
Quality and Process Improvement: Ensures the delivery of high quality, cost efficient care in assigned centers utilizing clinical benchmarking to evaluate results. Reviews clinical outcomes, collaborates with corporate and local resources as needed, assists with root cause analysis as appropriate. Supports peer review process and corrective action. Ensures CHS ASC policies and procedures are developed, reviewed, approved, and implemented. Validates federal, state and accreditation regulations, requirements, and standards are consistently met. Fully supports the Quality, Risk, Compliance, Privacy, Infection Control, Credentialing and Peer Review processes and programs.
Contractual Management: Assists Administrators with contract evaluation and execution utilizing CHS Corporate resources as appropriate including Legal, Finance, and Materials Management. Participates in RFP processes as needed.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
Bachelor's Degree in Nursing, Business or Healthcare Administration required
Master's Degree in job related field preferred
4-6 years experience as a ASC Administrator with 2+ years of responsibility over multiple centers required
Less than 2 years experience as a Regional Director of ASC Operations or Senior Director of ASC Operations preferred
Knowledge, Skills and Abilities
Proficiency in Microsoft Office (Excel, Word, Power point)
Licenses and Certifications
CASC - Certified Administrator Surgery Center preferred
RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
Auto-ApplyDirector, Cyber Recovery - REMOTE
Columbus, OH jobs
The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology services to all customers working closely with the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities supporting the overall Business Continuity Management process, by ensuring that the required technical and services facilities (including computer systems, networks applications, telecommunications, technical support and Service Desk) can be recovered within required, and agreed, business timescales. The functions covered are: 1. Development, 2. PMO, 3. Testing, 4. Maintenance, 5. Service Training, 6. Awareness & Communications. This role includes leading a matrixed team that delivers Cyber Recovery to all employees.
**Knowledge/Skills/Abilities**
+ Strong knowledge of IT technologies, application architecture, and business workflows.
+ Skilled in process automation with PowerShell, Ansible, and Terraform.
+ Experience and familiarity with AI tools to enhance efficiency and handle repetitive tasks.
+ Solid understanding of networking, Active Directory, IAM, security controls, firewalls, and encryption.
+ Expert in Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services.
+ Proficient in data analysis and report generation.
+ Experienced with performance and simulation tools like JMeter, Load Runner, Observability, and Splunk.
+ Effective at managing technical teams for optimal performance.
+ Capable of communicating clearly with executives and technology staff.
+ Experienced in project management to meet deadlines and budget targets.
+ Able to deliver formal training on Cyber Recovery Program to stakeholders.
**Essential Job Responsibilities:**
+ Maintain, manage, and oversee the architecture of the Cyber Recovery Environment to support the Cyber Recovery and Chaos Engineering Programs.
+ Conduct annual validation of all Tier 0 through Tier 2 Applications for recoverability and functionality within the Cyber Recovery Environment, utilizing automation tools and technologies.
+ Execute Tier 1 applications in the Chaos Engineering Program to analyze application performance, business processes, dependencies, potential failure points, thresholds, monitoring systems, and automated failover opportunities.
+ Coordinate with IT resources to perform recovery tests in the Cyber Recovery Environment.
+ Compile and deliver weekly status reports summarizing test results, enhancement recommendations, completed activities, and planned actions.
+ Develop test plans, exercise reports, and after-action item reports for each conducted exercise.
+ Ensure completion of IT Runbooks, Technical Diagrams, Business Process Flow Diagrams, and Gap Analysis Reports for each Cyber Recovery and Chaos Engineering Test.
+ Organize and facilitate Cyber Recovery Tabletop Exercises as required.
+ Verify IT Teams receive appropriate training and certification on Cyber Incident Recovery Processes and Protocols.
+ Confirm that all Tier 1 third-party partners have effective Cyber Recovery Response Plans and participate in Molina Cyber Recovery Testing when needed.
+ Integrate new components, technologies, processes, and procedures related to Tier 0 or Tier 1 applications and critical business processes into Cyber and Chaos Engineering Test Programs.
+ Work collaboratively with IT and Business Teams to collect requirements, review processes, and gather input for development and validation of recovery solutions.
+ Monitor and resolve open after-action items in a timely manner.
+ Record meeting minutes for sessions involving IT Teams, vendors, and partners.
+ Assist IT Teams in developing automation and orchestration scripts to improve and streamline recovery and validation processes.
+ Collaborate with IT Vendors to understand new technologies implemented within environments or those that could enhance resiliency capabilities.
+ Partner with Incident Response Teams to align IT Cyber Recovery processes with overall operational requirements.
+ Provide documentation and responses for audit requirements as necessary.
+ Ensure recovery components deployed during testing are removed promptly following the test.
+ Create diagrams, presentations, process descriptions, and procedures as needed.
+ Present technical solutions, ideas, and concepts to both IT Teams and Business Leaders.
**Job Qualifications**
**Required Education**
Bachelor's degree in the field of computer science or engineering or equivalent experience required.
**Required Experience**
+ 5-7 years managing IT Operations in Azure Cloud, disaster recovery, business continuity, team leadership, and project management.
+ Strong knowledge of application, network, and security architecture and deployment in Azure using IaaS, containers, PaaS, and automation tools (DevOps, Terraform, Ansible, PowerShell).
+ Experience with Microsoft Azure technologies such as SQL/Postgres databases, Azure Site Recovery, NetApp Files, Kubernetes Services, Data Factory, Logic Apps, backup solutions, Data Bricks, and Kafka.
+ Proficiency with ServiceNow, Microsoft Office, and business continuity apps.
+ Skilled in preparing technical diagrams and presentations.
+ Solid understanding of project management and handling multiple projects.
+ Ability to align technology solutions with business needs and demonstrate sound business acumen.
+ Demonstrated business acumen and the ability to apply technology solutions to solve business problems.
+ Strong interpersonal, oral, and written communication skills.
+ Ability to quickly build rapport and gain the respect and cooperation of both technology and business leaders.
+ Ability to deal with ambiguity and make quality decisions in a dynamic, fast paced environment.
+ Action oriented and driven to achieve results in a positive manner, displaying ethical behavior, integrity, and building trust.
+ Excellent leadership skills required, as well as the ability to lead and work as part of a team.
+ Strong teamwork and interpersonal skills; ability to communicate and persuade at all management levels and thrive in a cross-functional matrix environment.
+ Ability to motivate in a team-oriented, collaborative environment.
+ Ability to articulate ideas to both technical and non-technical addressees.
+ Able to work independently, plan workloads and deliver on commitments.
+ Superior analytical, evaluative, and problem-solving abilities.
+ Proven project management, time management, and conflict resolution/management skills.
+ Ability to set priorities and objectives, then plan and organize the team to meet them.
+ Proven ability to build rapport, lead teams, and collaborate across functions.
+ Comfortable making decisions in fast-paced, ambiguous environments with integrity.
+ Strong analytical, organizational, and problem-solving capabilities.
+ **Preferred Experience** 10 years + of IT Data Center Operations, Project Management, Cyber Recovery, Business Continuity Planning. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ CBCP or MBCP
+ ITIL Certification
+ Agile Certifications
+ PMP Certification or equivalent.
+ Security Certification.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: $107,028 - $208,705 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, AI Enablement
Akron, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Regional Corporate IP Coding Manager - Remote based in the US
Dallas, TX jobs
Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
The Regional Corporate Coding Manager functions under the direction of the Director of Corporate Coding. Provides regional coding management oversight of coding operations for multiple Tenet Hospitals/Markets. Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding. Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard. In addition, the Regional Corporate Coding Manager ensures all facilities are properly staffed and productive in order to meet and sustain Tenet DNFC goal. Position will support Tenet corporate located in Texas.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
* Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard.
* Responsible for the scheduling of Coders, DNFC Specialists, Leads, and Coding Coordinators to ensure metrics for coder productivity and DNFC are met.
* Responsible for ensuring coding team meets and maintains the Tenet standard for coding quality. Provides performance management/corrective action for productivity and quality to all direct reports.
* Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding.
* Attends facility DNFC/B meetings and reports on DNFC performance. Accountable for DNFC performance, reporting, and follow-up to leadership.
Required:
* Associates Degree in Health Information Management or associated healthcare field of study.
* Minimum of four years of inpatient coding experience.
* One year of coding leadership experience.
* RHIT and/or CCS credential.
* Thorough knowledge of ICD- 10-CM and ICD-10-PCS coding principles associated with Official Coding Guidelines and regulatory requirements. Working knowledge of disease processes, anatomy and physiology, pharmacology, and knowledge of DRG classification and reimbursement structure.
* Effective written and verbal communication skills.
* Experience with encoders and computerized abstracting systems.
* Coding proficiency demonstrated by successful completion of Tenet coding exercise.
* Organizational skills for initiation and maintenance of efficient workflow.
* Capacity to work independently.
Preferred:
* Bachelor's Degree in Health Information Management or associated healthcare field of study.
* Five or more years of inpatient coding experience.
* Five or more years of directly leading large coding teams in a complex health system.
* RHIA and CCS
Compensation
* Pay: $85,280-$135,000 annually. Compensation depends on location, qualifications, and experience.
* Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
The following benefits are available, subject to employment status:
* Medical, dental, vision, disability, life, AD&D and business travel insurance
* Manager Time Off - 20 days per year
* Discretionary 401k match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
* For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act
#LI-CM7
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Regional Corporate IP Coding Manager - Remote based in the US
Remote
The Regional Corporate Coding Manager functions under the direction of the Director of Corporate Coding. Provides regional coding management oversight of coding operations for multiple Tenet Hospitals/Markets. Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding. Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard. In addition, the Regional Corporate Coding Manager ensures all facilities are properly staffed and productive in order to meet and sustain Tenet DNFC goal. Position will support Tenet corporate located in Texas.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard.
Responsible for the scheduling of Coders, DNFC Specialists, Leads, and Coding Coordinators to ensure metrics for coder productivity and DNFC are met.
Responsible for ensuring coding team meets and maintains the Tenet standard for coding quality. Provides performance management/corrective action for productivity and quality to all direct reports.
Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding.
Attends facility DNFC/B meetings and reports on DNFC performance. Accountable for DNFC performance, reporting, and follow-up to leadership.
Required:
Associates Degree in Health Information Management or associated healthcare field of study.
Minimum of four years of inpatient coding experience.
One year of coding leadership experience.
RHIT and/or CCS credential.
Thorough knowledge of ICD- 10-CM and ICD-10-PCS coding principles associated with Official Coding Guidelines and regulatory requirements. Working knowledge of disease processes, anatomy and physiology, pharmacology, and knowledge of DRG classification and reimbursement structure.
Effective written and verbal communication skills.
Experience with encoders and computerized abstracting systems.
Coding proficiency demonstrated by successful completion of Tenet coding exercise.
Organizational skills for initiation and maintenance of efficient workflow.
Capacity to work independently.
Preferred:
Bachelor's Degree in Health Information Management or associated healthcare field of study.
Five or more years of inpatient coding experience.
Five or more years of directly leading large coding teams in a complex health system.
RHIA and CCS
Compensation
Pay: $85,280-$135,000 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, life, AD&D and business travel insurance
Manager Time Off - 20 days per year
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act
#LI-CM7
Auto-ApplyVP, AI Enablement
Ohio jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Director, Cyber Recovery - REMOTE
Long Beach, CA jobs
The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology services to all customers working closely with the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities supporting the overall Business Continuity Management process, by ensuring that the required technical and services facilities (including computer systems, networks applications, telecommunications, technical support and Service Desk) can be recovered within required, and agreed, business timescales. The functions covered are: 1. Development, 2. PMO, 3. Testing, 4. Maintenance, 5. Service Training, 6. Awareness & Communications. This role includes leading a matrixed team that delivers Cyber Recovery to all employees.
Knowledge/Skills/Abilities
Strong knowledge of IT technologies, application architecture, and business workflows.
Skilled in process automation with PowerShell, Ansible, and Terraform.
Experience and familiarity with AI tools to enhance efficiency and handle repetitive tasks.
Solid understanding of networking, Active Directory, IAM, security controls, firewalls, and encryption.
Expert in Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services.
Proficient in data analysis and report generation.
Experienced with performance and simulation tools like JMeter, Load Runner, Observability, and Splunk.
Effective at managing technical teams for optimal performance.
Capable of communicating clearly with executives and technology staff.
Experienced in project management to meet deadlines and budget targets.
Able to deliver formal training on Cyber Recovery Program to stakeholders.
Essential Job Responsibilities:
Maintain, manage, and oversee the architecture of the Cyber Recovery Environment to support the Cyber Recovery and Chaos Engineering Programs.
Conduct annual validation of all Tier 0 through Tier 2 Applications for recoverability and functionality within the Cyber Recovery Environment, utilizing automation tools and technologies.
Execute Tier 1 applications in the Chaos Engineering Program to analyze application performance, business processes, dependencies, potential failure points, thresholds, monitoring systems, and automated failover opportunities.
Coordinate with IT resources to perform recovery tests in the Cyber Recovery Environment.
Compile and deliver weekly status reports summarizing test results, enhancement recommendations, completed activities, and planned actions.
Develop test plans, exercise reports, and after-action item reports for each conducted exercise.
Ensure completion of IT Runbooks, Technical Diagrams, Business Process Flow Diagrams, and Gap Analysis Reports for each Cyber Recovery and Chaos Engineering Test.
Organize and facilitate Cyber Recovery Tabletop Exercises as required.
Verify IT Teams receive appropriate training and certification on Cyber Incident Recovery Processes and Protocols.
Confirm that all Tier 1 third-party partners have effective Cyber Recovery Response Plans and participate in Molina Cyber Recovery Testing when needed.
Integrate new components, technologies, processes, and procedures related to Tier 0 or Tier 1 applications and critical business processes into Cyber and Chaos Engineering Test Programs.
Work collaboratively with IT and Business Teams to collect requirements, review processes, and gather input for development and validation of recovery solutions.
Monitor and resolve open after-action items in a timely manner.
Record meeting minutes for sessions involving IT Teams, vendors, and partners.
Assist IT Teams in developing automation and orchestration scripts to improve and streamline recovery and validation processes.
Collaborate with IT Vendors to understand new technologies implemented within environments or those that could enhance resiliency capabilities.
Partner with Incident Response Teams to align IT Cyber Recovery processes with overall operational requirements.
Provide documentation and responses for audit requirements as necessary.
Ensure recovery components deployed during testing are removed promptly following the test.
Create diagrams, presentations, process descriptions, and procedures as needed.
Present technical solutions, ideas, and concepts to both IT Teams and Business Leaders.
Job Qualifications
Required Education
Bachelor's degree in the field of computer science or engineering or equivalent experience required.
Required Experience
5-7 years managing IT Operations in Azure Cloud, disaster recovery, business continuity, team leadership, and project management.
Strong knowledge of application, network, and security architecture and deployment in Azure using IaaS, containers, PaaS, and automation tools (DevOps, Terraform, Ansible, PowerShell).
Experience with Microsoft Azure technologies such as SQL/Postgres databases, Azure Site Recovery, NetApp Files, Kubernetes Services, Data Factory, Logic Apps, backup solutions, Data Bricks, and Kafka.
Proficiency with ServiceNow, Microsoft Office, and business continuity apps.
Skilled in preparing technical diagrams and presentations.
Solid understanding of project management and handling multiple projects.
Ability to align technology solutions with business needs and demonstrate sound business acumen.
Demonstrated business acumen and the ability to apply technology solutions to solve business problems.
Strong interpersonal, oral, and written communication skills.
Ability to quickly build rapport and gain the respect and cooperation of both technology and business leaders.
Ability to deal with ambiguity and make quality decisions in a dynamic, fast paced environment.
Action oriented and driven to achieve results in a positive manner, displaying ethical behavior, integrity, and building trust.
Excellent leadership skills required, as well as the ability to lead and work as part of a team.
Strong teamwork and interpersonal skills; ability to communicate and persuade at all management levels and thrive in a cross-functional matrix environment.
Ability to motivate in a team-oriented, collaborative environment.
Ability to articulate ideas to both technical and non-technical addressees.
Able to work independently, plan workloads and deliver on commitments.
Superior analytical, evaluative, and problem-solving abilities.
Proven project management, time management, and conflict resolution/management skills.
Ability to set priorities and objectives, then plan and organize the team to meet them.
Proven ability to build rapport, lead teams, and collaborate across functions.
Comfortable making decisions in fast-paced, ambiguous environments with integrity.
Strong analytical, organizational, and problem-solving capabilities.
Preferred Experience
10 years + of IT Data Center Operations, Project Management, Cyber Recovery, Business Continuity Planning.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
CBCP or MBCP
ITIL Certification
Agile Certifications
PMP Certification or equivalent.
Security Certification.
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.
Auto-ApplyDirector, Cyber Recovery - REMOTE
Ohio jobs
The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology services to all customers working closely with the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities supporting the overall Business Continuity Management process, by ensuring that the required technical and services facilities (including computer systems, networks applications, telecommunications, technical support and Service Desk) can be recovered within required, and agreed, business timescales. The functions covered are: 1. Development, 2. PMO, 3. Testing, 4. Maintenance, 5. Service Training, 6. Awareness & Communications. This role includes leading a matrixed team that delivers Cyber Recovery to all employees.
**Knowledge/Skills/Abilities**
+ Strong knowledge of IT technologies, application architecture, and business workflows.
+ Skilled in process automation with PowerShell, Ansible, and Terraform.
+ Experience and familiarity with AI tools to enhance efficiency and handle repetitive tasks.
+ Solid understanding of networking, Active Directory, IAM, security controls, firewalls, and encryption.
+ Expert in Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services.
+ Proficient in data analysis and report generation.
+ Experienced with performance and simulation tools like JMeter, Load Runner, Observability, and Splunk.
+ Effective at managing technical teams for optimal performance.
+ Capable of communicating clearly with executives and technology staff.
+ Experienced in project management to meet deadlines and budget targets.
+ Able to deliver formal training on Cyber Recovery Program to stakeholders.
**Essential Job Responsibilities:**
+ Maintain, manage, and oversee the architecture of the Cyber Recovery Environment to support the Cyber Recovery and Chaos Engineering Programs.
+ Conduct annual validation of all Tier 0 through Tier 2 Applications for recoverability and functionality within the Cyber Recovery Environment, utilizing automation tools and technologies.
+ Execute Tier 1 applications in the Chaos Engineering Program to analyze application performance, business processes, dependencies, potential failure points, thresholds, monitoring systems, and automated failover opportunities.
+ Coordinate with IT resources to perform recovery tests in the Cyber Recovery Environment.
+ Compile and deliver weekly status reports summarizing test results, enhancement recommendations, completed activities, and planned actions.
+ Develop test plans, exercise reports, and after-action item reports for each conducted exercise.
+ Ensure completion of IT Runbooks, Technical Diagrams, Business Process Flow Diagrams, and Gap Analysis Reports for each Cyber Recovery and Chaos Engineering Test.
+ Organize and facilitate Cyber Recovery Tabletop Exercises as required.
+ Verify IT Teams receive appropriate training and certification on Cyber Incident Recovery Processes and Protocols.
+ Confirm that all Tier 1 third-party partners have effective Cyber Recovery Response Plans and participate in Molina Cyber Recovery Testing when needed.
+ Integrate new components, technologies, processes, and procedures related to Tier 0 or Tier 1 applications and critical business processes into Cyber and Chaos Engineering Test Programs.
+ Work collaboratively with IT and Business Teams to collect requirements, review processes, and gather input for development and validation of recovery solutions.
+ Monitor and resolve open after-action items in a timely manner.
+ Record meeting minutes for sessions involving IT Teams, vendors, and partners.
+ Assist IT Teams in developing automation and orchestration scripts to improve and streamline recovery and validation processes.
+ Collaborate with IT Vendors to understand new technologies implemented within environments or those that could enhance resiliency capabilities.
+ Partner with Incident Response Teams to align IT Cyber Recovery processes with overall operational requirements.
+ Provide documentation and responses for audit requirements as necessary.
+ Ensure recovery components deployed during testing are removed promptly following the test.
+ Create diagrams, presentations, process descriptions, and procedures as needed.
+ Present technical solutions, ideas, and concepts to both IT Teams and Business Leaders.
**Job Qualifications**
**Required Education**
Bachelor's degree in the field of computer science or engineering or equivalent experience required.
**Required Experience**
+ 5-7 years managing IT Operations in Azure Cloud, disaster recovery, business continuity, team leadership, and project management.
+ Strong knowledge of application, network, and security architecture and deployment in Azure using IaaS, containers, PaaS, and automation tools (DevOps, Terraform, Ansible, PowerShell).
+ Experience with Microsoft Azure technologies such as SQL/Postgres databases, Azure Site Recovery, NetApp Files, Kubernetes Services, Data Factory, Logic Apps, backup solutions, Data Bricks, and Kafka.
+ Proficiency with ServiceNow, Microsoft Office, and business continuity apps.
+ Skilled in preparing technical diagrams and presentations.
+ Solid understanding of project management and handling multiple projects.
+ Ability to align technology solutions with business needs and demonstrate sound business acumen.
+ Demonstrated business acumen and the ability to apply technology solutions to solve business problems.
+ Strong interpersonal, oral, and written communication skills.
+ Ability to quickly build rapport and gain the respect and cooperation of both technology and business leaders.
+ Ability to deal with ambiguity and make quality decisions in a dynamic, fast paced environment.
+ Action oriented and driven to achieve results in a positive manner, displaying ethical behavior, integrity, and building trust.
+ Excellent leadership skills required, as well as the ability to lead and work as part of a team.
+ Strong teamwork and interpersonal skills; ability to communicate and persuade at all management levels and thrive in a cross-functional matrix environment.
+ Ability to motivate in a team-oriented, collaborative environment.
+ Ability to articulate ideas to both technical and non-technical addressees.
+ Able to work independently, plan workloads and deliver on commitments.
+ Superior analytical, evaluative, and problem-solving abilities.
+ Proven project management, time management, and conflict resolution/management skills.
+ Ability to set priorities and objectives, then plan and organize the team to meet them.
+ Proven ability to build rapport, lead teams, and collaborate across functions.
+ Comfortable making decisions in fast-paced, ambiguous environments with integrity.
+ Strong analytical, organizational, and problem-solving capabilities.
+ **Preferred Experience** 10 years + of IT Data Center Operations, Project Management, Cyber Recovery, Business Continuity Planning. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ CBCP or MBCP
+ ITIL Certification
+ Agile Certifications
+ PMP Certification or equivalent.
+ Security Certification.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: $107,028 - $208,705 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Director, Cyber Recovery - REMOTE
Dayton, OH jobs
The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology services to all customers working closely with the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities supporting the overall Business Continuity Management process, by ensuring that the required technical and services facilities (including computer systems, networks applications, telecommunications, technical support and Service Desk) can be recovered within required, and agreed, business timescales. The functions covered are: 1. Development, 2. PMO, 3. Testing, 4. Maintenance, 5. Service Training, 6. Awareness & Communications. This role includes leading a matrixed team that delivers Cyber Recovery to all employees.
**Knowledge/Skills/Abilities**
+ Strong knowledge of IT technologies, application architecture, and business workflows.
+ Skilled in process automation with PowerShell, Ansible, and Terraform.
+ Experience and familiarity with AI tools to enhance efficiency and handle repetitive tasks.
+ Solid understanding of networking, Active Directory, IAM, security controls, firewalls, and encryption.
+ Expert in Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services.
+ Proficient in data analysis and report generation.
+ Experienced with performance and simulation tools like JMeter, Load Runner, Observability, and Splunk.
+ Effective at managing technical teams for optimal performance.
+ Capable of communicating clearly with executives and technology staff.
+ Experienced in project management to meet deadlines and budget targets.
+ Able to deliver formal training on Cyber Recovery Program to stakeholders.
**Essential Job Responsibilities:**
+ Maintain, manage, and oversee the architecture of the Cyber Recovery Environment to support the Cyber Recovery and Chaos Engineering Programs.
+ Conduct annual validation of all Tier 0 through Tier 2 Applications for recoverability and functionality within the Cyber Recovery Environment, utilizing automation tools and technologies.
+ Execute Tier 1 applications in the Chaos Engineering Program to analyze application performance, business processes, dependencies, potential failure points, thresholds, monitoring systems, and automated failover opportunities.
+ Coordinate with IT resources to perform recovery tests in the Cyber Recovery Environment.
+ Compile and deliver weekly status reports summarizing test results, enhancement recommendations, completed activities, and planned actions.
+ Develop test plans, exercise reports, and after-action item reports for each conducted exercise.
+ Ensure completion of IT Runbooks, Technical Diagrams, Business Process Flow Diagrams, and Gap Analysis Reports for each Cyber Recovery and Chaos Engineering Test.
+ Organize and facilitate Cyber Recovery Tabletop Exercises as required.
+ Verify IT Teams receive appropriate training and certification on Cyber Incident Recovery Processes and Protocols.
+ Confirm that all Tier 1 third-party partners have effective Cyber Recovery Response Plans and participate in Molina Cyber Recovery Testing when needed.
+ Integrate new components, technologies, processes, and procedures related to Tier 0 or Tier 1 applications and critical business processes into Cyber and Chaos Engineering Test Programs.
+ Work collaboratively with IT and Business Teams to collect requirements, review processes, and gather input for development and validation of recovery solutions.
+ Monitor and resolve open after-action items in a timely manner.
+ Record meeting minutes for sessions involving IT Teams, vendors, and partners.
+ Assist IT Teams in developing automation and orchestration scripts to improve and streamline recovery and validation processes.
+ Collaborate with IT Vendors to understand new technologies implemented within environments or those that could enhance resiliency capabilities.
+ Partner with Incident Response Teams to align IT Cyber Recovery processes with overall operational requirements.
+ Provide documentation and responses for audit requirements as necessary.
+ Ensure recovery components deployed during testing are removed promptly following the test.
+ Create diagrams, presentations, process descriptions, and procedures as needed.
+ Present technical solutions, ideas, and concepts to both IT Teams and Business Leaders.
**Job Qualifications**
**Required Education**
Bachelor's degree in the field of computer science or engineering or equivalent experience required.
**Required Experience**
+ 5-7 years managing IT Operations in Azure Cloud, disaster recovery, business continuity, team leadership, and project management.
+ Strong knowledge of application, network, and security architecture and deployment in Azure using IaaS, containers, PaaS, and automation tools (DevOps, Terraform, Ansible, PowerShell).
+ Experience with Microsoft Azure technologies such as SQL/Postgres databases, Azure Site Recovery, NetApp Files, Kubernetes Services, Data Factory, Logic Apps, backup solutions, Data Bricks, and Kafka.
+ Proficiency with ServiceNow, Microsoft Office, and business continuity apps.
+ Skilled in preparing technical diagrams and presentations.
+ Solid understanding of project management and handling multiple projects.
+ Ability to align technology solutions with business needs and demonstrate sound business acumen.
+ Demonstrated business acumen and the ability to apply technology solutions to solve business problems.
+ Strong interpersonal, oral, and written communication skills.
+ Ability to quickly build rapport and gain the respect and cooperation of both technology and business leaders.
+ Ability to deal with ambiguity and make quality decisions in a dynamic, fast paced environment.
+ Action oriented and driven to achieve results in a positive manner, displaying ethical behavior, integrity, and building trust.
+ Excellent leadership skills required, as well as the ability to lead and work as part of a team.
+ Strong teamwork and interpersonal skills; ability to communicate and persuade at all management levels and thrive in a cross-functional matrix environment.
+ Ability to motivate in a team-oriented, collaborative environment.
+ Ability to articulate ideas to both technical and non-technical addressees.
+ Able to work independently, plan workloads and deliver on commitments.
+ Superior analytical, evaluative, and problem-solving abilities.
+ Proven project management, time management, and conflict resolution/management skills.
+ Ability to set priorities and objectives, then plan and organize the team to meet them.
+ Proven ability to build rapport, lead teams, and collaborate across functions.
+ Comfortable making decisions in fast-paced, ambiguous environments with integrity.
+ Strong analytical, organizational, and problem-solving capabilities.
+ **Preferred Experience** 10 years + of IT Data Center Operations, Project Management, Cyber Recovery, Business Continuity Planning. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ CBCP or MBCP
+ ITIL Certification
+ Agile Certifications
+ PMP Certification or equivalent.
+ Security Certification.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: $107,028 - $208,705 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Director, Cyber Recovery - REMOTE
Akron, OH jobs
The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology services to all customers working closely with the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities supporting the overall Business Continuity Management process, by ensuring that the required technical and services facilities (including computer systems, networks applications, telecommunications, technical support and Service Desk) can be recovered within required, and agreed, business timescales. The functions covered are: 1. Development, 2. PMO, 3. Testing, 4. Maintenance, 5. Service Training, 6. Awareness & Communications. This role includes leading a matrixed team that delivers Cyber Recovery to all employees.
**Knowledge/Skills/Abilities**
+ Strong knowledge of IT technologies, application architecture, and business workflows.
+ Skilled in process automation with PowerShell, Ansible, and Terraform.
+ Experience and familiarity with AI tools to enhance efficiency and handle repetitive tasks.
+ Solid understanding of networking, Active Directory, IAM, security controls, firewalls, and encryption.
+ Expert in Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services.
+ Proficient in data analysis and report generation.
+ Experienced with performance and simulation tools like JMeter, Load Runner, Observability, and Splunk.
+ Effective at managing technical teams for optimal performance.
+ Capable of communicating clearly with executives and technology staff.
+ Experienced in project management to meet deadlines and budget targets.
+ Able to deliver formal training on Cyber Recovery Program to stakeholders.
**Essential Job Responsibilities:**
+ Maintain, manage, and oversee the architecture of the Cyber Recovery Environment to support the Cyber Recovery and Chaos Engineering Programs.
+ Conduct annual validation of all Tier 0 through Tier 2 Applications for recoverability and functionality within the Cyber Recovery Environment, utilizing automation tools and technologies.
+ Execute Tier 1 applications in the Chaos Engineering Program to analyze application performance, business processes, dependencies, potential failure points, thresholds, monitoring systems, and automated failover opportunities.
+ Coordinate with IT resources to perform recovery tests in the Cyber Recovery Environment.
+ Compile and deliver weekly status reports summarizing test results, enhancement recommendations, completed activities, and planned actions.
+ Develop test plans, exercise reports, and after-action item reports for each conducted exercise.
+ Ensure completion of IT Runbooks, Technical Diagrams, Business Process Flow Diagrams, and Gap Analysis Reports for each Cyber Recovery and Chaos Engineering Test.
+ Organize and facilitate Cyber Recovery Tabletop Exercises as required.
+ Verify IT Teams receive appropriate training and certification on Cyber Incident Recovery Processes and Protocols.
+ Confirm that all Tier 1 third-party partners have effective Cyber Recovery Response Plans and participate in Molina Cyber Recovery Testing when needed.
+ Integrate new components, technologies, processes, and procedures related to Tier 0 or Tier 1 applications and critical business processes into Cyber and Chaos Engineering Test Programs.
+ Work collaboratively with IT and Business Teams to collect requirements, review processes, and gather input for development and validation of recovery solutions.
+ Monitor and resolve open after-action items in a timely manner.
+ Record meeting minutes for sessions involving IT Teams, vendors, and partners.
+ Assist IT Teams in developing automation and orchestration scripts to improve and streamline recovery and validation processes.
+ Collaborate with IT Vendors to understand new technologies implemented within environments or those that could enhance resiliency capabilities.
+ Partner with Incident Response Teams to align IT Cyber Recovery processes with overall operational requirements.
+ Provide documentation and responses for audit requirements as necessary.
+ Ensure recovery components deployed during testing are removed promptly following the test.
+ Create diagrams, presentations, process descriptions, and procedures as needed.
+ Present technical solutions, ideas, and concepts to both IT Teams and Business Leaders.
**Job Qualifications**
**Required Education**
Bachelor's degree in the field of computer science or engineering or equivalent experience required.
**Required Experience**
+ 5-7 years managing IT Operations in Azure Cloud, disaster recovery, business continuity, team leadership, and project management.
+ Strong knowledge of application, network, and security architecture and deployment in Azure using IaaS, containers, PaaS, and automation tools (DevOps, Terraform, Ansible, PowerShell).
+ Experience with Microsoft Azure technologies such as SQL/Postgres databases, Azure Site Recovery, NetApp Files, Kubernetes Services, Data Factory, Logic Apps, backup solutions, Data Bricks, and Kafka.
+ Proficiency with ServiceNow, Microsoft Office, and business continuity apps.
+ Skilled in preparing technical diagrams and presentations.
+ Solid understanding of project management and handling multiple projects.
+ Ability to align technology solutions with business needs and demonstrate sound business acumen.
+ Demonstrated business acumen and the ability to apply technology solutions to solve business problems.
+ Strong interpersonal, oral, and written communication skills.
+ Ability to quickly build rapport and gain the respect and cooperation of both technology and business leaders.
+ Ability to deal with ambiguity and make quality decisions in a dynamic, fast paced environment.
+ Action oriented and driven to achieve results in a positive manner, displaying ethical behavior, integrity, and building trust.
+ Excellent leadership skills required, as well as the ability to lead and work as part of a team.
+ Strong teamwork and interpersonal skills; ability to communicate and persuade at all management levels and thrive in a cross-functional matrix environment.
+ Ability to motivate in a team-oriented, collaborative environment.
+ Ability to articulate ideas to both technical and non-technical addressees.
+ Able to work independently, plan workloads and deliver on commitments.
+ Superior analytical, evaluative, and problem-solving abilities.
+ Proven project management, time management, and conflict resolution/management skills.
+ Ability to set priorities and objectives, then plan and organize the team to meet them.
+ Proven ability to build rapport, lead teams, and collaborate across functions.
+ Comfortable making decisions in fast-paced, ambiguous environments with integrity.
+ Strong analytical, organizational, and problem-solving capabilities.
+ **Preferred Experience** 10 years + of IT Data Center Operations, Project Management, Cyber Recovery, Business Continuity Planning. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ CBCP or MBCP
+ ITIL Certification
+ Agile Certifications
+ PMP Certification or equivalent.
+ Security Certification.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: $107,028 - $208,705 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Director, Cyber Recovery - REMOTE
Cincinnati, OH jobs
The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology services to all customers working closely with the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities supporting the overall Business Continuity Management process, by ensuring that the required technical and services facilities (including computer systems, networks applications, telecommunications, technical support and Service Desk) can be recovered within required, and agreed, business timescales. The functions covered are: 1. Development, 2. PMO, 3. Testing, 4. Maintenance, 5. Service Training, 6. Awareness & Communications. This role includes leading a matrixed team that delivers Cyber Recovery to all employees.
**Knowledge/Skills/Abilities**
+ Strong knowledge of IT technologies, application architecture, and business workflows.
+ Skilled in process automation with PowerShell, Ansible, and Terraform.
+ Experience and familiarity with AI tools to enhance efficiency and handle repetitive tasks.
+ Solid understanding of networking, Active Directory, IAM, security controls, firewalls, and encryption.
+ Expert in Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services.
+ Proficient in data analysis and report generation.
+ Experienced with performance and simulation tools like JMeter, Load Runner, Observability, and Splunk.
+ Effective at managing technical teams for optimal performance.
+ Capable of communicating clearly with executives and technology staff.
+ Experienced in project management to meet deadlines and budget targets.
+ Able to deliver formal training on Cyber Recovery Program to stakeholders.
**Essential Job Responsibilities:**
+ Maintain, manage, and oversee the architecture of the Cyber Recovery Environment to support the Cyber Recovery and Chaos Engineering Programs.
+ Conduct annual validation of all Tier 0 through Tier 2 Applications for recoverability and functionality within the Cyber Recovery Environment, utilizing automation tools and technologies.
+ Execute Tier 1 applications in the Chaos Engineering Program to analyze application performance, business processes, dependencies, potential failure points, thresholds, monitoring systems, and automated failover opportunities.
+ Coordinate with IT resources to perform recovery tests in the Cyber Recovery Environment.
+ Compile and deliver weekly status reports summarizing test results, enhancement recommendations, completed activities, and planned actions.
+ Develop test plans, exercise reports, and after-action item reports for each conducted exercise.
+ Ensure completion of IT Runbooks, Technical Diagrams, Business Process Flow Diagrams, and Gap Analysis Reports for each Cyber Recovery and Chaos Engineering Test.
+ Organize and facilitate Cyber Recovery Tabletop Exercises as required.
+ Verify IT Teams receive appropriate training and certification on Cyber Incident Recovery Processes and Protocols.
+ Confirm that all Tier 1 third-party partners have effective Cyber Recovery Response Plans and participate in Molina Cyber Recovery Testing when needed.
+ Integrate new components, technologies, processes, and procedures related to Tier 0 or Tier 1 applications and critical business processes into Cyber and Chaos Engineering Test Programs.
+ Work collaboratively with IT and Business Teams to collect requirements, review processes, and gather input for development and validation of recovery solutions.
+ Monitor and resolve open after-action items in a timely manner.
+ Record meeting minutes for sessions involving IT Teams, vendors, and partners.
+ Assist IT Teams in developing automation and orchestration scripts to improve and streamline recovery and validation processes.
+ Collaborate with IT Vendors to understand new technologies implemented within environments or those that could enhance resiliency capabilities.
+ Partner with Incident Response Teams to align IT Cyber Recovery processes with overall operational requirements.
+ Provide documentation and responses for audit requirements as necessary.
+ Ensure recovery components deployed during testing are removed promptly following the test.
+ Create diagrams, presentations, process descriptions, and procedures as needed.
+ Present technical solutions, ideas, and concepts to both IT Teams and Business Leaders.
**Job Qualifications**
**Required Education**
Bachelor's degree in the field of computer science or engineering or equivalent experience required.
**Required Experience**
+ 5-7 years managing IT Operations in Azure Cloud, disaster recovery, business continuity, team leadership, and project management.
+ Strong knowledge of application, network, and security architecture and deployment in Azure using IaaS, containers, PaaS, and automation tools (DevOps, Terraform, Ansible, PowerShell).
+ Experience with Microsoft Azure technologies such as SQL/Postgres databases, Azure Site Recovery, NetApp Files, Kubernetes Services, Data Factory, Logic Apps, backup solutions, Data Bricks, and Kafka.
+ Proficiency with ServiceNow, Microsoft Office, and business continuity apps.
+ Skilled in preparing technical diagrams and presentations.
+ Solid understanding of project management and handling multiple projects.
+ Ability to align technology solutions with business needs and demonstrate sound business acumen.
+ Demonstrated business acumen and the ability to apply technology solutions to solve business problems.
+ Strong interpersonal, oral, and written communication skills.
+ Ability to quickly build rapport and gain the respect and cooperation of both technology and business leaders.
+ Ability to deal with ambiguity and make quality decisions in a dynamic, fast paced environment.
+ Action oriented and driven to achieve results in a positive manner, displaying ethical behavior, integrity, and building trust.
+ Excellent leadership skills required, as well as the ability to lead and work as part of a team.
+ Strong teamwork and interpersonal skills; ability to communicate and persuade at all management levels and thrive in a cross-functional matrix environment.
+ Ability to motivate in a team-oriented, collaborative environment.
+ Ability to articulate ideas to both technical and non-technical addressees.
+ Able to work independently, plan workloads and deliver on commitments.
+ Superior analytical, evaluative, and problem-solving abilities.
+ Proven project management, time management, and conflict resolution/management skills.
+ Ability to set priorities and objectives, then plan and organize the team to meet them.
+ Proven ability to build rapport, lead teams, and collaborate across functions.
+ Comfortable making decisions in fast-paced, ambiguous environments with integrity.
+ Strong analytical, organizational, and problem-solving capabilities.
+ **Preferred Experience** 10 years + of IT Data Center Operations, Project Management, Cyber Recovery, Business Continuity Planning. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ CBCP or MBCP
+ ITIL Certification
+ Agile Certifications
+ PMP Certification or equivalent.
+ Security Certification.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: $107,028 - $208,705 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Director, Cyber Recovery - REMOTE
Cleveland, OH jobs
The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology services to all customers working closely with the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities supporting the overall Business Continuity Management process, by ensuring that the required technical and services facilities (including computer systems, networks applications, telecommunications, technical support and Service Desk) can be recovered within required, and agreed, business timescales. The functions covered are: 1. Development, 2. PMO, 3. Testing, 4. Maintenance, 5. Service Training, 6. Awareness & Communications. This role includes leading a matrixed team that delivers Cyber Recovery to all employees.
**Knowledge/Skills/Abilities**
+ Strong knowledge of IT technologies, application architecture, and business workflows.
+ Skilled in process automation with PowerShell, Ansible, and Terraform.
+ Experience and familiarity with AI tools to enhance efficiency and handle repetitive tasks.
+ Solid understanding of networking, Active Directory, IAM, security controls, firewalls, and encryption.
+ Expert in Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services.
+ Proficient in data analysis and report generation.
+ Experienced with performance and simulation tools like JMeter, Load Runner, Observability, and Splunk.
+ Effective at managing technical teams for optimal performance.
+ Capable of communicating clearly with executives and technology staff.
+ Experienced in project management to meet deadlines and budget targets.
+ Able to deliver formal training on Cyber Recovery Program to stakeholders.
**Essential Job Responsibilities:**
+ Maintain, manage, and oversee the architecture of the Cyber Recovery Environment to support the Cyber Recovery and Chaos Engineering Programs.
+ Conduct annual validation of all Tier 0 through Tier 2 Applications for recoverability and functionality within the Cyber Recovery Environment, utilizing automation tools and technologies.
+ Execute Tier 1 applications in the Chaos Engineering Program to analyze application performance, business processes, dependencies, potential failure points, thresholds, monitoring systems, and automated failover opportunities.
+ Coordinate with IT resources to perform recovery tests in the Cyber Recovery Environment.
+ Compile and deliver weekly status reports summarizing test results, enhancement recommendations, completed activities, and planned actions.
+ Develop test plans, exercise reports, and after-action item reports for each conducted exercise.
+ Ensure completion of IT Runbooks, Technical Diagrams, Business Process Flow Diagrams, and Gap Analysis Reports for each Cyber Recovery and Chaos Engineering Test.
+ Organize and facilitate Cyber Recovery Tabletop Exercises as required.
+ Verify IT Teams receive appropriate training and certification on Cyber Incident Recovery Processes and Protocols.
+ Confirm that all Tier 1 third-party partners have effective Cyber Recovery Response Plans and participate in Molina Cyber Recovery Testing when needed.
+ Integrate new components, technologies, processes, and procedures related to Tier 0 or Tier 1 applications and critical business processes into Cyber and Chaos Engineering Test Programs.
+ Work collaboratively with IT and Business Teams to collect requirements, review processes, and gather input for development and validation of recovery solutions.
+ Monitor and resolve open after-action items in a timely manner.
+ Record meeting minutes for sessions involving IT Teams, vendors, and partners.
+ Assist IT Teams in developing automation and orchestration scripts to improve and streamline recovery and validation processes.
+ Collaborate with IT Vendors to understand new technologies implemented within environments or those that could enhance resiliency capabilities.
+ Partner with Incident Response Teams to align IT Cyber Recovery processes with overall operational requirements.
+ Provide documentation and responses for audit requirements as necessary.
+ Ensure recovery components deployed during testing are removed promptly following the test.
+ Create diagrams, presentations, process descriptions, and procedures as needed.
+ Present technical solutions, ideas, and concepts to both IT Teams and Business Leaders.
**Job Qualifications**
**Required Education**
Bachelor's degree in the field of computer science or engineering or equivalent experience required.
**Required Experience**
+ 5-7 years managing IT Operations in Azure Cloud, disaster recovery, business continuity, team leadership, and project management.
+ Strong knowledge of application, network, and security architecture and deployment in Azure using IaaS, containers, PaaS, and automation tools (DevOps, Terraform, Ansible, PowerShell).
+ Experience with Microsoft Azure technologies such as SQL/Postgres databases, Azure Site Recovery, NetApp Files, Kubernetes Services, Data Factory, Logic Apps, backup solutions, Data Bricks, and Kafka.
+ Proficiency with ServiceNow, Microsoft Office, and business continuity apps.
+ Skilled in preparing technical diagrams and presentations.
+ Solid understanding of project management and handling multiple projects.
+ Ability to align technology solutions with business needs and demonstrate sound business acumen.
+ Demonstrated business acumen and the ability to apply technology solutions to solve business problems.
+ Strong interpersonal, oral, and written communication skills.
+ Ability to quickly build rapport and gain the respect and cooperation of both technology and business leaders.
+ Ability to deal with ambiguity and make quality decisions in a dynamic, fast paced environment.
+ Action oriented and driven to achieve results in a positive manner, displaying ethical behavior, integrity, and building trust.
+ Excellent leadership skills required, as well as the ability to lead and work as part of a team.
+ Strong teamwork and interpersonal skills; ability to communicate and persuade at all management levels and thrive in a cross-functional matrix environment.
+ Ability to motivate in a team-oriented, collaborative environment.
+ Ability to articulate ideas to both technical and non-technical addressees.
+ Able to work independently, plan workloads and deliver on commitments.
+ Superior analytical, evaluative, and problem-solving abilities.
+ Proven project management, time management, and conflict resolution/management skills.
+ Ability to set priorities and objectives, then plan and organize the team to meet them.
+ Proven ability to build rapport, lead teams, and collaborate across functions.
+ Comfortable making decisions in fast-paced, ambiguous environments with integrity.
+ Strong analytical, organizational, and problem-solving capabilities.
+ **Preferred Experience** 10 years + of IT Data Center Operations, Project Management, Cyber Recovery, Business Continuity Planning. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ CBCP or MBCP
+ ITIL Certification
+ Agile Certifications
+ PMP Certification or equivalent.
+ Security Certification.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: $107,028 - $208,705 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.