HCA Florida Healthcare at Home job in The Villages, FL
Introduction Do you want to join an organization that invests in you as a(an) Physical Therapist Home Health? At HCA Florida Healthcare at Home, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Benefits
HCA Florida Healthcare at Home 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.
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Physical Therapist Home Health like you to be a part of our team.
Job Summary and Qualifications
As a Physical Therapist, you play a vital role in helping patients regain strength, restore mobility, and rebuild confidence following illness, injury, or surgery. Working closely with physicians and the care team, you'll assess each patient's needs and create personalized therapy plans designed around meaningful goals, active engagement, and exceptional patient outcomes. Backed by our national network of clinical expertise, advanced rehabilitation technology, and ongoing professional development, you'll have the opportunity to grow, collaborate, and be a part of our shared mission of improving human life every day.
Your role will include:
Evaluating
patient abilities and developing personalized treatment plans in collaboration with physicians and the care team
Delivering
evidence-based interventions that restore movement, reduce pain, and enhance quality of life
Monitoring
progress, refining therapy plans, and ensuring accurate, timely documentation of outcomes
Educating
patients and families on exercise programs, adaptive techniques, and safe practices that promote independence
Collaborating
across disciplines to ensure cohesive, patient-centered care and smooth transitions throughout recovery
Leading
by example-mentoring therapy assistants or students while upholding HCA Healthcare's values of excellence, compassion, and integrity
What qualifications you will need:
Bachelor of Science in Physical Therapy from an accredited program
Certifications, Licenses, and other Special Requirements
Completion of the National Certification Examination for Registered Physical Therapist
License to practice physical therapy within the state
Ability to work varying hours, including weekends and holidays
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order
Healthcare at Home is a service line from HCA healthcare. We are dedicated to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence. Healthcare at Home raises the bar on what quality healthcare looks like. Just like family, we pull together to care for, support and celebrate with each other being able to provide exceptional, expert care for patients.
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.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Physical Therapist Home Health opening. Qualified candidates will be contacted for interviews.
Submit your resume today to join our community of caring!
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.
$67k-79k yearly est. 2d ago
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Imaging & Radiology - Interventional Radiology
HCA Florida Osceola Hospital 4.5
HCA Florida Osceola Hospital job in Kissimmee, FL
At MedUS Healthcare, our vision is to become a necessary and exemplary partner in the care of our clients, while meeting the employment goals of our healthcare providers and their families. We believe that quality of care and quick delivery to our clients is not optional but, rather, a standard of practice.
We are committed to providing quality care to our clients by recruiting the best healthcare providers in the industry as we, concurrently, fulfill our commitment to our healthcare providers by placing them in the best facilities nationwide! If you are interested in a travel position, please contact us today at ************ or send us an email at info@medusinc.
com.
www.
medusinc.
com
$95k-123k yearly est. 60d+ ago
Analyst, Data
Molina Healthcare 4.4
Orlando, FL job
**JOB DESCRIPTION** **Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers.
+ Sets up process for monitoring, tracking, and trending department data.
+ Prepares any state mandated reports and analysis.
+ Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
+ Implements and uses the analytics software and systems to support the departments goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 years
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: $80,168 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-116.8k yearly 26d ago
Care Manager - Multiple Openings in FL (RN, LBSW, LLMSW, LMSW)
Molina Healthcare 4.4
Orlando, FL job
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• Collaborates with licensed care managers/leadership as needed or required.
• 25- 40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
• Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
Preferred Qualifications
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
#PJHS
#HTF
Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$24-46.8 hourly 2d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Orlando, FL job
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 5d ago
Supervisor, Pharmacy Operations/Call Center
Molina Healthcare 4.4
Orlando, FL job
Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
**Essential Job Duties**
- Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations.
- Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations.
- Ensures that adequate staffing coverage is present at all times of operation.
- Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions.
- Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis.
- Participates, researches, and validates materials for both internal and external program audits.
- Acts as liaison to internal and external customers to ensure prompt resolution of identified issues.
- Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review.
- Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures.
- Participates in the daily workload of the department, performing Representative duties as needed.
- Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership.
- Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership.
- Communicates effectively with practitioners and pharmacists.
- Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs.
- Assists with development of and maintenance of pharmacy policies and procedures
- Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies.
**Required Qualifications**
- At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience.
- Knowledge of prescription drug products, dosage forms and usage.
- Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity.
- Working knowledge of medical/pharmacy terminology
- Excellent verbal and written communication skills.
- Microsoft Office suite, and applicable software program(s) proficiency.
**Preferred Qualifications**
- Supervisory/leadership experience.
- Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
- Call center experience.
- Managed care experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $55,706.51 - $80,464.96 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$55.7k-80.5k yearly 23d ago
Associate Specialist, Appeals & Grievances
Molina Healthcare 4.4
Longwood, FL job
Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).
Essential Job Duties
• Enters denials and requests for appeals into information system and prepares documentation for further review.
• Researches claims issues utilizing systems and other available resources.
• Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines.
• Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.
• Determines appropriate language for letters and prepares responses to member appeals and grievances.
• Elevates appropriate appeals to the next level for review.
• Generates and mails denial letters.
• Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and timely manner.
• Creates and/or maintains appeals and grievances related statistics and reporting.
• Collaborates with provider and member services to resolve balance bill issues and other member/provider complaints.
Required Qualifications
• At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience.
• Customer service experience.
• Organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Effective verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience.
• Completion of a health care related vocational program (i.e., certified coder, billing, or medical assistant).
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.
$31k-64k yearly est. Auto-Apply 14d ago
Lead Analyst, Configuration Information Management - QNXT
Molina Healthcare Inc. 4.4
Orlando, FL job
Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each database, validating data to be housed on databases, and ensuing adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.
Essential Job Duties
* Analyzes and interprets data to determine appropriate configuration changes.
* Accurately interprets specific state and/or federal benefits, in addition to other business requirements, and converts terms to configuration parameters.
* Manages coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables in the user interface.
* Applies experience and knowledge to research and resolve claim/encounter issues and pended claims, and updates system(s) as necessary.
* Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems.
* Participates in defect resolution for assigned component(s).
* Participates in the implementation and conversion of new and existing health plans.
* Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans.
* Assists with development of configuration standards and best practices, and suggests improvement processes to ensure systems are working efficiently and enhance quality.
* Creates reporting tools to enhance communication on configuration updates and initiatives.
* Negotiates expected configuration information management completion dates with health plans.
* Collaborates with internal and external stakeholders to understand business objectives and processes.
* Solutions with health plans and corporate functions to ensure all end-to-end business requirements have been documented.
* Assists leadership in establishing standards, guidelines, and best practices for the configuration information management team.
* Represents as a departmental configuration information management subject matter expert.
* Supports various department-wide configuration information management projects.
* Provides training and support to new and existing configuration information management team members, including configuration functionality, enhancements and updates
* Manages fluctuating volumes of work, and prioritizes work to meet deadlines and needs of the configuration department and user community.
Required Qualifications
* At least 5 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs, or equivalent combination of relevant education and experience.
* Advanced experience using a claims processing system.
* Advanced experienced verifying documentation related to updates/changes within a claims processing system.
* Advanced experience validating and confirming information related to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements.
* Analytical and critical-thinking skills.
* Flexibility to meet changing business requirements, and commitment to high-quality/on-time delivery
* High attention to detail.
* Effective verbal and written communication skills.
* Microsoft Office suite proficiency, including intermediate to advanced Excel abilities (VLOOKUP/Pivot Tables, etc.), and applicable software programs proficiency.
#PJCore
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: $66,456 - $129,590 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$66.5k-129.6k yearly 22d ago
Care Review Clinician (RN)
Molina Healthcare 4.4
Orlando, FL job
For this position we are seeking a RN with a current active license for state of KY and or compact licensure
The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services for the KY Medicaid behavioral health population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital, Behavioral Health Facility. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good analytical thought process is important to be successful in this role. Prefer candidates that have experience doing prior authorizations for outpatient services preferrable within Behavioral Health Population.
WORK SCHEDULE: Monday thru Friday 8:00 AM to 5:00 PM EST - Training Schedule (30 to 60 days)
Permanent schedule will require you to work 4 to 5 days a week - with one weekend day required (Saturday, Sunday (either one or both))
This is a Remote position, home office with internet connectivity of high speed required.
Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
• Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
• Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
• Processes requests within required timelines.
• Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
• Requests additional information from members or providers as needed.
• Makes appropriate referrals to other clinical programs.
• Collaborates with multidisciplinary teams to promote the Molina care model.
• Adheres to utilization management (UM) policies and procedures.
Required Qualifications
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational, problem-solving and critical-thinking skills.
• Strong written and verbal communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Certified Professional in Healthcare Management (CPHM).
• Recent hospital experience in an intensive care unit (ICU) or emergency room.
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: $26.41 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$26.4-61.8 hourly 2d ago
Adjudicator, Provider Claims-On the phone
Molina Healthcare 4.4
Orlando, FL job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
- Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
- Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
- Assists in reviews of state and federal complaints related to claims.
- Collaborates with other internal departments to determine appropriate resolution of claims issues.
- Researches claims tracers, adjustments, and resubmissions of claims.
- Adjudicates or readjudicates high volumes of claims in a timely manner.
- Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
- Meets claims department quality and production standards.
- Supports claims department initiatives to improve overall claims function efficiency.
- Completes basic claims projects as assigned.
**Required Qualifications**
- At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
- Research and data analysis skills.
- Organizational skills and attention to detail.
-Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
- Customer service experience.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
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: $21.65 - $38.37 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-38.4 hourly 23d ago
Strategy Advancement Director
Molina Healthcare Inc. 4.4
Orlando, FL job
The Strategy Advancement Director is responsible for advancing Molina's growth strategy and positioning the company for success in Medicaid, CHIP, DSNP, and Marketplace procurements. Reporting to the Vice President, Business Development, this position plays a pivotal role in the pre-RFP and procurement phases, guiding and organizing the project, ensuring deliverables are met, conducting research, tracking Business Development and/or Health Plan steps and projects, owning the governance structure for every opportunity, pulling together all the supporting team activities and pieces and connecting the dots between winning strategy and the relationships and partnerships developed by the VP, Business Development.
This role requires a deep understanding of Medicaid programs, the regulatory environment, and the unique challenges of populations (i.e. TANF, ABD, DSNP, Foster Care, and DD/IDD). The Strategy Advancement Director works collaboratively across departments, including Product Development, Business Development, and Health Plans, to ensure that strategic initiatives align with state-specific priorities and are positioned for success in competitive procurements. The Director partners with the VP Market Development to provide thought leadership and subject matter expertise, identifying trends, providing insights, and continuously innovating to strengthen Molina's market position.
Job Duties
* Strategy Development & Innovation
* Collaborate on the development of state-specific strategies aligned with state priorities, procurement objectives, and evolving Medicaid needs. Translate state regulatory requirements into actionable go-to-market strategies that are innovative and differentiate Molina in competitive procurements
* Collaborate with Product Development, Health Plan leaders, Growth Leaders and cross-functional teams to support integration of innovative care models, operational efficiencies, and value-based care solutions tailored to the unique needs of market specific Medicaid populations, especially high-risk or vulnerable groups such as dual-eligible members, foster care, and ABD
* Conduct market research, analyze industry trends, and monitor competitor activities to identify innovation opportunities. Propose solutions that address Medicaid ecosystem pain points and enhance Molina's value proposition
* Use insights from market research and competitive analysis to stay informed on state Medicaid trends, regulatory changes, and market conditions, and to guide strategic adjustments and future market positioning
* Drive the development of win themes and strategy recommendations that align with state priorities, competitive dynamics, and the latest Medicaid trends, positioning Molina as a leader in Medicaid managed care
* Track regulatory compliance and address any operational concerns or state-specific issues identified during the pre-procurement phase. Escalate issues when necessary and work to resolve them proactively
* Market Development and Strategy Execution
* Collaborate on the development of pre-RFP strategy and market readiness, creating and tracking playbooks, plans, and deliverables for Molina's strategy two to three years before RFP release. Ensure alignment with organizational goals and state requirements by collaborating with Market VPs, AVPs, and stakeholders
* Identify and engage in thought leadership opportunities by representing Molina at state and national Medicaid conferences, industry forums, and other key events that enhance Molina's brand and expertise in Medicaid care delivery
* Stakeholder Engagement & Thought Leadership
* Support and track the development of relationships with state agencies, legislative leaders, regulatory bodies, and community organizations to enhance Molina's reputation and strengthen partnerships that could influence procurement outcomes
* Represent Molina in strategic discussions with external partners and internal leadership, ensuring clear communication of strategy, innovation, and value propositions
* Collaborate with internal stakeholders to influence thought leadership materials and content that showcase Molina's innovative approaches to Medicaid, particularly in high-needs areas like DSNP, ABD, and complex populations
* Proposal Support & Competitive Differentiation
* Serve as an expert on the pre-procurement process for the proposal team and closely collaborate with the Proposal Director to ensure consistency between market strategy, capture strategy and proposal content. Collaborate with the Proposal Director to ensure consistency between market strategy and RFP content
* Track and support the execution of win strategy and strategic recommendations being incorporated throughout the proposal, ensuring Molina's proposals are differentiated and align with state-specific priorities and the competitive landscape
* Actively participate in blue, pink, and red team reviews, providing strategic feedback to ensure proposal materials effectively communicate Molina's competitive advantages and compliance with RFP requirements
* Support orals preparation, working across matrix partners to refine materials and messaging for presentations to state agencies
* Operational Excellence & Cross-Functional Coordination
* Use tools (i.e. Salesforce) to document market intelligence, track engagement activities, and share insights across departments. Ensure that data-driven insights are leveraged in proposal content development and strategic planning
* Collaborate with the Growth Strategy, Competitive Intelligence and other stakeholders to leverage the competitive intelligence repository that informs decision-making and provides a strategic edge in Medicaid procurements
* Develop project plans and roadmaps to guide the timely execution of pre-RFP and procurement activities, ensuring effective collaboration and alignment across functional teams
* Facilitate cross-functional coordination for market entry, retention, and development strategies, ensuring that all teams are aligned and executing efficiently
* Supports the VP Business Development as a SME during the "warranty period" post award through implementation to the IMO and health plan leadership
* Mentorship & Team Development
* Mentor junior staff and interns within the Business Development teams, fostering skills in strategic thinking, market research, and pre-procurement planning
* Participate in business development activities on an ad-hoc basis, contributing to team knowledge and providing strategic insights to senior leadership
* 50% or more Travel required
Job Qualifications
REQUIRED QUALIFICATIONS:
* Bachelor's degree in business, Public Policy, Healthcare Administration or a related field or equivalent combination of education and experience
* 7 years in market strategy, business development, or healthcare consulting, specifically within Medicaid managed care or equivalent related field
* Proven experience in pre-RFP strategy development, with a strong understanding of Medicaid programs, including TANF, ABD, DSNP, and CHIP populations
* Demonstrated ability to drive innovative solutions in the Medicaid space, leveraging market research and industry trends to inform strategic decisions
* Experience with Salesforce or similar tools to track market insights, engagement activities, and manage data
* Strong experience in stakeholder engagement, particularly with state Medicaid agencies, regulatory bodies, and community-based organizations
* Advanced proficiency in Microsoft Office tools (Excel, PowerPoint, Word), including for strategy development, data analysis, and presentation creation
PREFERRED QUALIFICATIONS:
* Master's degree (MBA, MPH, MPA) in business, public policy, or healthcare administration
* 7+ years in business development and Medicaid procurements, particularly with complex populations (e.g., DD/IDD, Foster Care, Dual-Eligible Members)
* Experience with Salesforce or similar tools to track market insights, engagement activities, and manage data
* Conference management experience and participation in industry forums
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.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$107k-208.7k yearly 7d ago
Registered Respiratory Therapist
Healthtrust Workforce Solutions 4.2
Sanford, FL job
Position Name: RRT (Registered Respiratory Therapist) - Full-Time
Available Shifts: Nights (Rotating Weekends)
HCA Florida Lake Monroe Hospital is a 221-bed acute care hospital. We serve the communities of Seminole and West Volusia County. At HCA Healthcare, we are committed to the care and improvement of human life. We are a Level II Trauma Center. We provide the only full-service cardiovascular program. Our program offers open-heart surgery and interventional cardiology. Electrophysiology, cardiac rehabilitation, and comprehensive diagnostic services are also offered by this program. Other services that we provide include orthopedic and spine care, as well as robotic surgery. We offer acute inpatient medical rehabilitation and complete imaging services.
Job Summary and Qualifications:
The Respiratory Therapist coordinates and delivers high-quality, patient-centered respiratory care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. As a vital part of the patient care team, the Respiratory Therapist performs a variety of diagnostic tests and therapeutic procedures and monitors patients receiving invasive and noninvasive mechanical ventilation. Our
offers a unique opportunity to elevate your skills in the Vascular Access arena!
What you will do in this role:
· You will perform and document patient assessment, including breath sounds, airway patency, and cuff pressure. You will conduct diagnostic procedures to evaluate the need for, and response to, respiratory therapy.
· You will administer respiratory care therapies, including oxygen delivery, aerosol medication delivery, and chest physiotherapy.
· You will assist with placement of artificial airways. You will initiate, monitor, and maintain mechanical ventilation.
· You will monitor patient for therapeutic response. You will notify provider and intervene as appropriate in the event of an unintended response.
· You will assist with transportation of ventilator-dependent patients.
· You will respond to emergent patient situations and ensure airway integrity and adequate ventilation during resuscitation as required.
What qualifications you will need:
· Flexible on RRT Experience. We are willing to take new grads. (ONLY if just passed the boards or waiting on official license, with NO respiratory experience) *CRT EXPERIENCE WILL NOT QUALIFY
· NBRC and State Registered Respiratory Therapist (RRT)
· Completion of a two-year AMA approved respiratory care program (Associate's Degree or equivalent)
· BCLS - Basic Cardiac Life Support, or BCLS Instructor must be obtained within 30 days of employment start date
· ACLS - Advanced Cardiac Life Support, or ACLS Instructor must be obtained within 6 months of employment start date
· PALS - Pediatric Advanced Life Support, or PALS Instructor must be obtained within 6 months of employment start date
· NRP - Neonate Resuscitate must be obtained within 6 months of employment start date
Benefits:
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.
$61k-80k yearly est. 2d ago
Phlebotomist
HCA Healthcare 4.5
HCA Healthcare job in Kissimmee, FL
HCA Florida Osceola Hospital 700 West Oak St Kissimmee, FL 34741 Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Phlebotomist with HCA Florida Osceola Hospital you can be a part of an organization that is devoted to giving back!
HCA Florida Osceola Hospital is a Joint Commission accredited 404-bed hospital accredited by the Joint Commission and are designated as a Level II Trauma Center. We are also a teaching hospital in collaboration with UCF College of Medicine.
Benefits
HCA Florida Osceola Hospital 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._**
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the HCA Florida Osceola Hospital family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Phlebotomist to help us reach our goals. Unlock your potential!
Position Summary: Assures that receiving and processing of specimens in the Laboratory is in compliance with the College of American Pathologists Standards and HCA, The Healthcare Company, Laboratory Billing Compliance Plan Policies and Procedures. This position requires the full understanding and active participation in fulfilling the mission of Osceola Regional Medical Center. It is expected that the employee will demonstrate behavior consistent with the core values. The employee shall support Osceola Regional Medical Center's strategic plan and the goals and direction of the Performance Improvement Plan (PIP).
Education/Training/Experience: High school graduate or equivalent and phlebotomist training. Minimum of one year working as a phlebotomist and experience as a clinical laboratory assistant in a hospital setting is desirable.
Licenses/Certifications: Current BLS certification is required and must be obtained within the first 90 days of employment.
HCA Florida Osceola Hospital is a 404-bed tertiary care hospital. We are accredited by the Joint Commission and are a Level II Trauma Center. We are a teaching hospital in collaboration with UCF College of Medicine. Our hospital is conveniently and centrally located in the Heart of Kissimmee. We are only minutes from Orlando, St. Cloud, Celebration, and Poinciana. We are committed to enhancing the standard of healthcare by providing services including Emergency Care, Trauma Care, Pediatric ER, Heart & Vascular Institute, and Comprehensive Stroke Center. Other services include The Baby Suites Maternity Care, Neonatal Intensive Care Unit Level II, Women's Services, Behavioral Health, Orthopedics & Spine, and a Graduate Medical Education Program. We expand our care to the community with our freestanding Emergency Department at Hunter's Creek ER.
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.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Phlebotomist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
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.
$29k-35k yearly est. 60d+ ago
Radiology Student Intern PRN
HCA Healthcare 4.5
HCA Healthcare job in Kissimmee, FL
**Introduction** Do you have the PRN career opportunities as a(an) Radiology Student Intern PRN you want with your current employer? We have an exciting opportunity for you to join HCA Florida Osceola Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.
**Benefits**
HCA Florida Osceola Hospital, 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 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.
+ Fertility and family building benefits through Progyny
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ Family support, including adoption assistance, child and elder care resources and consumer discounts
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan
+ Retirement readiness and rollover 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)
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) Radiology Student Intern PRN 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!
**Job Summary and Qualifications**
As an Imaging Student Extern, you will build valuable hands-on experience by learning from experienced team members who are committed to your growth. You'll be a valued, respected part of the team, contributing your insights and helping deliver care that keeps patients comfortable and confident throughout their imaging experience.
+ Prepare patients for imaging by obtaining histories, verifying identities, and assisting with positioning communicating clearly and compassionately
+ Safely transport patients between areas, supporting their comfort and emotional needs during procedures
+ Set up imaging rooms, manage turnover, and organize supplies to maintain a clean, safe, and efficient environment
+ Serve as a vital connection between patients, technologists, and the care team by communicating needs and concerns promptly
+ Take ownership of your growth by participating in learning opportunities and following safety and confidentiality standards
**What qualifications you will need:**
+ Basic Cardiac Life Support must be obtained within 30 days of employment start date
+ High School Graduate / GED
+ Must be in the second year of an approved Radiographer program
HCA Florida Osceola Hospital is a 404-bed tertiary care hospital. We are accredited by the Joint Commission and are a Level II Trauma Center. We are a teaching hospital in collaboration with UCF College of Medicine. Our hospital is conveniently and centrally located in the Heart of Kissimmee. We are only minutes from Orlando, St. Cloud, Celebration, and Poinciana. We are committed to enhancing the standard of healthcare by providing services including Emergency Care, Trauma Care, Pediatric ER, Heart & Vascular Institute, and Comprehensive Stroke Center. Other services include The Baby Suites Maternity Care, Neonatal Intensive Care Unit Level II, Women's Services, Behavioral Health, Orthopedics & Spine, and a Graduate Medical Education Program. We expand our care to the community with our freestanding Emergency Department at Hunter's Creek ER.
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 Radiology Student Intern PRN opening. We review all applications. 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
$28k-37k yearly est. 60d+ ago
Clinical Nurse Coord FSED Champions Gate CNC
HCA 4.5
HCA job in Kissimmee, FL
Introduction Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Clinical Nurse Coord FSED Champions Gate CNC with HCA Florida Poinciana Hospital, you can be a manager in an organization that is devoted to giving!
Benefits
HCA Florida Poinciana Hospital, 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.
Come join our team as a(an) Clinical Nurse Coord FSED Champions Gate CNC. We care for our communities and employees! HCA Hope Fund in fourteen years reached a historic milestone: 50 million in help to our colleagues in need. Last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance.
What you will do in this role:
* Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.
* Participates in the ongoing assessment of the quality of patient care services provided in the unit, in collaboration with other members of the management team.
* Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.
* Supports a patient-first philosophy and engages in service recovery when necessary.
* Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including employee rounding, hourly rounds, and other initiatives.
* Provides recommendations related to interviewing, selecting, and training new staff. Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.
* Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.
* Supports proper inventory control and assists with managing supplies and equipment.
What qualifications you will need:
* Neonate Resuscitate must be obtained within 30 days of employment start date
* NIH Stroke Scale must be obtained within 30 days of employment start date
* Nonviolent Crisis Intervention must be obtained within 30 days of employment start date
* (RN) Registered Nurse
* Registered Nurse Diploma
* Advanced Cardiac Life Spt must be obtained within 6 months of employment start date
* Basic Cardiac Life Support must be obtained within 30 days of employment start date
* PALS Pediatric Adv Life Supt must be obtained within 30 days of employment start date
HCA Florida Poinciana Hospital is a purpose-guided healthcare provider. We are a four-story, 150,000-square-foot hospital. We have 70 private beds and a six-bed private ICU. We provide a full range of acute care services including emergency services, inpatient and outpatient diagnostic imaging, and inpatient and outpatient surgery. Other services include cardiac catheterization, laboratory, pharmacy, and a full range of support services. Our Emergency Department (ED) is approximately 14,500 square feet. Our ED consists of 22 private treatment rooms, an EMS entrance, and a helicopter pad.
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.
"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Become a manager with an organization that invests in your career while giving to the community. We are seeking distinguished applicants for our Clinical Nurse Coord FSED Champions Gate CNC opening. Help HCA Healthcare create healthier tomorrows for patients and communities.
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.
$61k-75k yearly est. 60d+ ago
Manager, IT Services
Molina Healthcare 4.4
Orlando, FL job
Responsible for all information technology operations activities, including computer operations, data and operations support. Monitor budgets and expenses within department and accountable for meeting budget goals. Recommends input to policy principles and budget constraints. Provides expertise to departments regarding policies and procedures, problem resolution, and methods.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Analyzes, reviews and measures service level performance against agreed upon service level agreements (Service Level Agreements) with the business and operating-level agreements with service providers (internal and external).
+ Works closely with the business and service providers to negotiate and agree on service level requirements off any proposed new services and changes to existing services.
+ Works with the business and service providers to define the proper metrics and KPIs in evaluating service delivery quality and performance levels. Produces regular reports on service performance and achievement to stakeholders.
+ Organizes and maintains the service level review process with the business and service providers. Initiates any actions required to maintain or improve service levels.
+ Acts as a change agent to implement and manage quality improvement processes in service delivery management.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
5-7 years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
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: $80,412 - $188,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.4k-188.2k yearly 2d ago
Analyst, Compliance (Sales)
Molina Healthcare 4.4
Orlando, FL job
**(Sales) Compliance Analyst** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** is primarily responsible for Sales Oversight.
· Provide regulatory expertise to the Sales Organization: both State and Federal
· Have working knowledge of federal and state guidelines pertaining to Sales and Marketing.
· Perform internal Sales/Marketing Compliance Reporting.
· Perform internal Sales/Marketing monitoring.
· Detailed oriented to conduct thorough Sales allegations investigations.
· Recommend applicable corrective action(s) when applicable to business partners.
· Process improvement driven.
· Create, update, and retire P&Ps, Standard Operating Procedures and Training documents.
· Lead regularly scheduled Sales & Compliance leadership meetings.
· Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications.
· Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports.
· Review and interpret internal Sales dashboards for outliers and deeper dive research.
· Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found.
· Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.).
· Leads projects to achieve Sales compliance objectives.
· Interprets and analyzes state and federal regulatory manuals and revisions.
· Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight.
· Interact with Molina external customers, via verbal and written communication.
· Ability to work independently and set priorities.
**Experience**
· 2-4 years' related compliance work experience
· Exceptional communication skills, including presentation capabilities, both written and verbal.
· Excellent interpersonal communication and oral and written communication skills.
· High level Interaction with Leadership.
· Sales Allegation Investigations
· Policy & Procedures
Pay Range: $80,168 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-116.8k yearly 26d ago
National Contracting Director (Large Hospital Systems)
Molina Healthcare 4.4
Orlando, FL job
Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina Healthcare successfully establish and maintain distinct high performing networks of compassionate and culturally sensitive providers who:
- Are aligned with our mission to provide quality health services to financially vulnerable families and individuals covered by government programs;
- Help meet or exceed applicable access criteria and adequacy standards for covered services;
- Agree to sign standard provider services agreements approved by applicable state/federal agencies and built on Molina's business standards that include sustainable value-based reimbursements; and
- Are committed to providing quality healthcare for low income Members in an efficient and caring manner.'
**Knowledge/Skills/Abilities**
- Under the leadership of the AVP, Provider Network Management & Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic locations upon which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership.
- Develops and maintains a standard provider reimbursement strategy consistent with reimbursement tolerance parameters (across multiple specialties/geographies). Obtains input from Corporate, Legal and other stakeholders regarding new reimbursement models and oversees their development.
- Develops and maintains a system to track contract negotiation activity on an ongoing basis throughout the year; utilizes and oversees departmental training on the enterprise contract management system (Emptoris).
- Directs the preparation of provider contracts and oversees negotiation of contracts in concert with established company templates and guidelines with physicians, hospitals, and other health care providers.
- Contributes as a key member of the department's leadership team and participates in committees addressing the department's strategic goals and organization.
- Oversees the maintenance of all provider contract information and provider contract templates and ensures that contracts can be configured within the QNXT system. Works with Legal, Corporate and other stakeholders as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.
- Monitors and reports network adequacy for Medicare and Medicaid services.
- Develops strategies to improve EDI/MASS rates.
- Educates and works with assigned state Health Plans on any corporate changes or initiatives as necessary.
- Works with assigned national vendors to improve contractual terms and maintain positive relationships.
- Provides national contracts support for other Molina departments/functions, including: Provider Services (and activities with provider association(s) and Joint Operating Committee management); Delegation Oversight; Provider Network Administration (provider information management and business analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member Appeals and Grievances.
- Coordinates with Corporate and Business Development teams to ensure that Molina grows faster (profitable growth) than our competitors in target new markets and expansion opportunities.
- Provides training and guidance as needed to the Contract Managers and Contract Specialist(s).
- Helps develop and utilize standardized contract templates and Pay for Performance strategies.
- Utilizes sound reporting and analytical tools to develop and refine strategic work plans..
**Job Qualifications**
**Required Education**
Bachelor's Degree in a related field (Business Administration, etc.) or equivalent experience.
**Required Experience**
7 - 10 years minimum experience in Healthcare Administration, Managed Care, and/or Provider Network Mgmt & Operations with an emphasis on value based provider contracting.
**Required License, Certification, Association**
N/A
**Preferred Education**
Master's Degree
**Preferred Experience**
3-5 years minimum experience in contracting with hospitals, physician groups, high volume specialists and ancillary providers.
**Preferred License, Certification, Association**
N/A
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 - $250,446 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$61k-95k yearly est. 9d ago
Surgical Tech First Asst PRN
HCA 4.5
HCA job in Kissimmee, FL
Introduction Do you have the PRN career opportunities as a(an) Surgical Tech First Asst PRN you want with your current employer? We have an exciting opportunity for you to join HCA Florida Poinciana Hospital which is part of the nations leading provider of healthcare services, HCA Healthcare.
Benefits
HCA Florida Poinciana Hospital, 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 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.
* Fertility and family building benefits through Progyny
* Free counseling services and resources for emotional, physical and financial wellbeing
* Family support, including adoption assistance, child and elder care resources and consumer discounts
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan
* Retirement readiness and rollover 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)
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) Surgical Tech First Asst PRN 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!
Job Summary and Qualifications
Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Surgical Tech First Asst PRN 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!
Job Summary and Qualifications
What qualifications you will need:
* (CSFA) Certified Surgical First Assistant, required
* Vocational School Graduate
* Basic Cardiac Life Support, or BCLS Instructor must be obtained within 30 days of employment start date
* 2 years experience Required Years of Experience
HCA Florida Poinciana Hospital is a purpose-guided healthcare provider. We are a four-story, 150,000-square-foot hospital. We have 70 private beds and a six-bed private ICU. We provide a full range of acute care services including emergency services, inpatient and outpatient diagnostic imaging, and inpatient and outpatient surgery. Other services include cardiac catheterization, laboratory, pharmacy, and a full range of support services. Our Emergency Department (ED) is approximately 14,500 square feet. Our ED consists of 22 private treatment rooms, an EMS entrance, and a helicopter pad.
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 Surgical Tech First Asst PRN opening. We review all applications. 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
$58k-71k yearly est. 60d+ ago
Laboratory Assistant PRN
HCA Healthcare 4.5
HCA Healthcare job in Kissimmee, FL
HCA Florida Poinciana Hospital 325 Cypress Pkwy Kissimmee, FL 34758 Do you have the PRN career opportunities as a Laboratory Assistant PRN you want with your current employer? We have an exciting opportunity for you to join HCA Florida Poinciana Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.
HCA Florida Poinciana Hospital is a four-story, 177,000 square foot hospital with 70 private beds and a six-bed private ICU. We provide a full range of acute care services and a full range of support services.
Benefits
HCA Florida Poinciana Hospital, 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 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.
+ Fertility and family building benefits through Progyny
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ Family support, including adoption assistance, child and elder care resources and consumer discounts
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan
+ Retirement readiness and rollover 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)
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 Laboratory Assistant PRN 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!
As a Lab Assistant/Phlebotomist, you will be responsible for:
+ Specimen collection and testing requirements and understanding specimen rejection
+ Collecting blood specimens through venipuncture methods and skin puncture practices on pediatric, neonatal, adults and geriatric patients
+ Completing appropriate specimen collection documentation
+ Following established procedures for patient identification and specimen collection based test orders
+ Educating patient and/or family regarding specimen collection procedures prior to obtaining specimen
+ Using our computer information system relative to job functions
+ Clerical duties (i.e., faxing, phones, pneumatic tube system, reports)
+ Reviewing Outstanding Specimen Report (OSR) and pending specimen collections/accessioning issues; take action as appropriate
Requirements:
+ A completed high school diploma or GED
+ A vocational/technical diploma
+ A phlebotomy certificate is beneficial
+ Less than 1 year of experience in a clinical laboratory setting
+ Time management and customer service skills
HCA Healthcare Laboratory Services is a full-service provider of clinical laboratory and anatomic pathology services, providing hospitals, physicians, and clients with timely diagnostic information for patient care. Our infrastructure includes a fully automated esoteric core laboratory in Fort Lauderdale, a histology and microbiology operation in Largo, Florida, and a network of hospital-based rapid-response laboratories present in four HCA Healthcare divisions in Florida. Our core laboratories support more than 250 acute and rehab hospitals, physician practices, surgery centers, and commercial accounts.
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 costs 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 Laboratory Assistant PRN opening. We review all applications. 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