Molina Healthcare jobs in Long Beach, CA - 311 jobs

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.

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. The Director of Quality Operations, Distribution is responsible for leading all quality-related activities for wholesale distribution, 3PL, national brands, and government operations. This role ensures compliance with regulatory standards, drives continuous improvement, and fosters a culture of quality across the organization. The Director will oversee strategic planning, process improvements, quality control systems, and team leadership while collaborating with supply chain, customer service, category management, and sales teams. Key Responsibilities: Quality Assurance & Regulatory Oversight * Ensure regulatory and operational standards are established, executed, and monitored within distribution centers. * Oversee temperature monitoring and documentation for product storage areas. Investigation Leadership * Lead investigations into complaints and CAPA for product and process quality issues, including diversion and illegitimate products. Audit Preparation & Hosting * Prepare distribution centers for regulatory inspections and host external audits from suppliers and regulatory bodies. Data & Analytics * Develop and monitor KPIs, compile compliance reports, and provide recommendations for improvement. Compliance Training Resource * Act as a training resource for cGxP and ISO compliance; maintain up-to-date SOP training records. Minimum Qualifications: Education: Bachelor's degree or higher in Engineering, Science, or related field. Experience: * 10+ years in leadership roles within scientific fields or Quality Assurance in distribution or commercial manufacturing of medical devices/pharmaceuticals. * Clear understanding of cGxPs. * Experience leading FDA, Board of Pharmacy, and/or NABP inspections. Specialized Knowledge & Skills: * Expertise in regulatory requirements for distribution QA (CFR 205, 820, 210, 211, DSCSA, Hazmat, Cold Chain). * Strong verbal and written communication skills. * Organizational, problem-solving, and decision-making abilities. * Strategic thinking and change management skills. Working Conditions: * Traditional office environment. * Significant computer and phone-based work. Travel Requirements: * Up to 50% travel, including overnight and air travel. Compensation: * Estimated Salary Range: $140,000 - $180,000 annually (depending on experience and location). * Eligible for annual performance bonus and comprehensive benefits package including medical, dental, vision, 401(k), and paid time off. Additional Requirements: * Must be authorized to work in the U.S. * Sponsorship is not available for this position. Equal Opportunity Statement: McKesson is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status. Criminal history will not disqualify qualified applicants. Accommodation Notice: If you need a reasonable accommodation for your job search or application, please contact: Disability_Accommodation@McKesson.com. Resumes or CVs sent to this email will not be accepted. We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $128,500 - $214,100 McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

Salary Estimate: 63710.40 - 92414.40 / year Learn more about the benefits offered for this job. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Job Summary and Qualifications The Graduate Medical Education (GME) Program Administrator is responsible for supporting the administrative, operational and financial management functions of the assigned residency/fellowship training program. The GME Program Administrator assists GME leaders in providing an optimal working and learning environment for all trainees. The position requires a comprehensive and detailed understanding of Accreditation Council for Graduation Medical Education (ACGME), hospital policies, as well as a high degree of initiative and independent judgment. The Program Administrator will continually assess and direct a wide range of programmatic issues including long range planning, recruiting trainees, onboarding trainees, developing projects, analyzing administrative workflow, maintaining databases, communicating with faculty and trainees regarding a range of issues, developing faculty and managing internal and external program relations. The Program Administrator supports the education design and leadership of the residency program, and therefore, shares responsibility for the residents, faculty and other colleagues within the program. What you will do in this role: * Manage the day-to-day operations of one or more residency or fellowship training programs. * Coordinate and organize program recruitment efforts and the National Resident Matching Program (NRMP) process. * Understand the program accreditation requirements and assist in ensuring compliance of the program, residents, and faculty with all applicable requirements. * Prepare and maintain all required program/resident documentation. * Coordinate program/resident onboarding and orientation processes. * Serve as the resident/fellow liaison to assure a positive educational experience. * Continuously assess and coordinate a wide range of programmatic events and processes, including curricular activities, onboarding and graduation, periodic assessment, budget planning and maintenance, annual Accreditation Council for Graduate Medical Education (ACGME) program updates and accreditation site visits, and more. What qualifications you will need: * Bachelor's degree preferred * Minimum 3 years of experience in a healthcare setting (preferably in Graduate Medical Education or in some field of education, i.e. teacher/educator) preferred * Training Administrators of Graduate Medical Education (TAGME) certification highly regarded * Knowledge of Residency Management Systems (MedHub or New Innovations) preferred * Proficiency with MS Word, Excel, PowerPoint, PDF software, online meeting platforms, email and other forms of electronic communication * Ability to efficiently and accurately manage multiple tasks and projects * Excellent written and verbal communication skills Benefits Riverside Community 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. Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Program Administrator GME 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! Supporting HCA Healthcares 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance 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 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 Program Administrator GME 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.

Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. KNOWLEDGE/SKILLS/ABILITIES Provides oversight and review of the SIU referral intake and investigation process while giving guidance and direction to team on case investigation steps and actions. Works with leadership to maintain and revise policies and procedures, fraud, waste, and abuse plans, annual audit work plans, including department guidance memos, and educational materials. Identifies opportunities for improvement through the audit process and provide recommendations for system enhancement to augment investigative outcomes and performance. Accurately tracks, reports, and follows up on overpayments and recoveries Leads business requirement process and reporting to ensure proper and timely notification of case activity to the appropriate regulatory and/or law enforcement agency. To serve as the single point of contact with the Department whose job duties are dedicated exclusively to the coordination, management, and oversight of the Contractor's Program Integrity unit to reduce Fraud, Waste, and Abuse of Medicaid services within Kentucky and; Be available and require participation in meetings with the Department by staff as requested by the Department JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 years Required License, Certification, Association Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner (CFE) Preferred Education Master's Degree preferred; will consider previous experience in health plan setting in government programs Preferred Experience 7-9 years Preferred License, Certification, Association Health Care Anti-Fraud Associate (HCAFA) designation 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. #PJCorp #LI-AC1

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.

Hourly Wage Estimate: $68.15 - $80.25 / hour Learn more about the benefits offered ( ************************************************************************* ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Do you have the PRN career opportunities as an Ultrasound Tech PRN you want with your current employer? We have an exciting opportunity for you to join Los Robles Regional Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Los Robles Regional Medical Center, 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 an Ultrasound Tech 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 the Ultrasound Technologist you will performs Ultrasonic imaging and related procedures in one of the following areas: OB/GYN, Abdomen, Neurosonology or Peripheral Vascular. If that is you, come be a part of what makes us great and apply today! + You will obtain information about internal organs, fluid accumulations, disease diagnosis, study of malfunction of organs, prenatal examination of fetuses and placenta, amongst others + You will perform diagnostic ultrasound procedures with knowledge of all pertinent technical and academic areas to produce consistent high-quality ultrasound examinations + You will assist the Radiologist during biopsies, and assume responsibilities for non-technical duties of Radiology when available, such as clerical, transportation, and reception **What qualifications you will need:** + Advanced certification from the American Registry of Diagnostic Medical Sonographers in the categories of ABD, OBGYN and neurosurgery required + Current ARRT certification or Current RVT certification preferred + Current BLS certification + Must be a high school graduate or equivalent (GED) + Satisfactory completion of formal radiologic training in an AMA approved school of Radiologic Technology + Completion of an accredited Ultrasound Tech Program or equivalent + 1-3 years' experience preferred Los Robles Regional Medical Center (****************************** is a 380+ bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties along with the Greater Conejo Valley. We are the only Level II Trauma Center (************************************************************** in East Ventura County. We are known for providing excellent care with **compassion** **and kindness** to each of our patients. In addition, Los Robles Regional Medical Center features a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity, Level III NICU, comprehensive cancer center, heart & cardiovascular center, same day surgery, and rehab center. 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 Ultrasound Tech 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

**Candidates for this position must live in or near the following areas, , McAllen, Mission, Edinburg, or Pharr Texas.** Are you passionate about serving your community? Do you have established relationships within the community? Come join our growing Community Engagement team at Molina Healthcare! Community Engagement is more than just participating in events-at Molina, we focus on making an impact on people's lives! This role involves working with a wide variety of community partners to grow Molina's membership and improve the health and well-being of the Community. Under limited supervision, you will be responsible for carrying out enrollment events and activities to help grow Molina Healthcare as the choice Medicaid provider in the community. You will do this by hosting and attending community events, delivering presentations, attending meetings, distributing educational materials, health fairs and more. This is a Field-Based position. You will be in the field engaging with CBO's (Community Based Organizations) 75% or more of the time (Molina reimburses mileage). This position offers great flexibility and allows for you to manage your territory and schedule to meet business needs. Knowledge of the Medicaid market. State Medicaid programs such as CHIP, STAR, and STAR PLUS programs highly desired. KNOWLEDGE/SKILLS/ABILITIES Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages Under limited supervision, responsible for carrying out enrollment events and achieving assigned membership growth targets through a combination of direct and indirect marketing activities, with the primary responsibility of improving the plan's overall “choice” rate. Works collaboratively with other key departments to increase the Medicaid assignment percentage for Molina. Works closely with other team members and management to develop/maintain/deepen relationships with key business leaders, community-based organizations (CBOs) and providers, ensuring all efforts are directed towards building membership for Medicaid and related programs. Effectively moves relationships through the “enrollment” pipeline. Responsible for achieving monthly, quarterly, and annual enrollment goals, and growth and choice targets, as established by management. Schedules, coordinates & participates in enrollment events, encourages key partners to participate, and assists where feasible. Works cohesively with Provider Services to ensure providers within assigned territory are aware of Molina products and services. Establishes simple referral processes for providers and CBOs to refer clients who may be eligible for other Molina products. Viewed as a “subject matter expert” (SME) by community and influencers on the health care delivery system and wellness topics. Delivers presentations, attends meetings and distributes educational materials to both members and potential members. Assists with all incoming calls and assist perspective members or members with health access related questions. Identify partnerships with key sponsorship opportunities and provide justification to determine Molina's participation. Identify and promote Molina's programs out in the community and creates opportunities for employees to participate. Responsible for managing their own daily schedule in alignment with department goals and initiatives as assigned by regions. Key in the development of SMART goals and provide input on department priorities. **Candidates for this position must live in or near the following areas, McAllen, Mission, Edinburg, or Pharr Texas.** Bilingual (Spanish) Highly Desired JOB QUALIFICATIONS Required Education: Bachelor's Degree or equivalent, job-related experience. Preferred Education: Bachelor's Degree in Marketing or related discipline. Required Experience: Min. 3 years of related experience (e.g., marketing, business development, community engagement, healthcare industry). Demonstrated exceptional networking and negotiations skills. Demonstrated strong public speaking and presentations skills. Demonstrated ability to work in a fast-paced, team-oriented environment with little supervision. Must be able to attend public events in outdoor venues in all weather conditions. Must be able to sit and stand for long periods. Must be able to drive up to 3 hours to attend events. Must be able to lift 30 pounds. Required License, Certification, Association: Completion of Molina /DHS/MRMIB Marketing Certification Program/Covered CA Certified. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. Preferred Experience: Solid understanding of Health Care Markets, primarily Medicaid. Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus. 5 years of outreach experience serving low-income populations. 3 - 5 years project management experience, preferably in a health care or outreach setting. Experience presenting to influencer and low-income audiences. Experience in sales or marketing techniques. Fluency in a second language highly desirable. Preferred License, Certification, Association: Active Life & Health Insurance Market Place Certified 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. Key Words: CHIP, STAR, Medicare, Medicaid, Star Plus, health coach, community health advisor, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, housing counselor, human service worker, Navigator, Assistor, Connecter, Promotora, Marketing,

Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements. * Schedules high-quality member appointments daily to meet departmental goals. * Completes assigned hand-dial lists and member research requirements with accuracy and efficiency. * Provides basic support and guidance to members with empathy and professionalism. * Participates in ongoing training sessions to enhance service quality and knowledge. Job Qualifications REQUIRED QUALIFICATIONS: * At least 1 year experience in a healthcare service environment, or equivalent combination of relevant education and experience. * High attention to detail and ability to follow member interaction scripting. * Flexible and adaptive to changing priorities and workflows. * Compassionate and service oriented. * Bilingual (English and at least one additional language, as required). * Strong verbal and written communication skills. PREFERRED QUALIFICATIONS: * Healthcare administrative support experience in roles such as Medical Office Assistant, Patient Services Representative, Medical Receptionist, Front Desk Coordinator, or Scheduler. 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: $20.25 - $30.39 / HOURLY * 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.

Hourly Wage Estimate: $24.99 - $34.98 / hour Learn more about the benefits offered ( ************************************************************************* ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Do you have the PRN career opportunities as a Certified Sterile Proc Tech II PRN you want with your current employer? We have an exciting opportunity for you to join Thousand Oaks Surgical Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Thousand Oaks Surgical 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 Certified Sterile Proc Tech II 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 a Certified Sterile Processing Technician, you will play a critical role in protecting patient safety and supporting life-saving care through precision and attention to detail. In this rewarding role, you will be a vital part of our team - helping surgical staff deliver safe, effective care by ensuring every instrument and supply is clean, prepared, and ready when it is needed most. Your responsibilities will include: + Cleaning, inspecting, assembling, and sterilizing surgical instruments and trays to ensure they are sterile, complete, labeled, and ready for use + Managing sterilization equipment and keeping accurate records to support patient safety and infection prevention + Preparing customized surgical sets and case carts based on daily schedules and specific procedure needs + Managing inventory and supplies in OR storage and specialty lockers, working with the surgical team to meet needs and keep operations running smoothly + Responding quickly to instrument requests during surgeries and helping solve urgent equipment needs **What qualifications you will need:** + High School graduate or equivalent + Advanced knowledge of general surgical instruments and medical equipment preferred + A minimum of 2 years Central Service/Sterile Processing experience preferred + (CSPDT) Cert Sterile Processing and Distribution Technician, or (CRCST) Certified Registered Central Service Technician Required Los Robles Regional Medical Center (****************************** is a 380+ bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties along with the Greater Conejo Valley. We are the only Level II Trauma Center (************************************************************** in East Ventura County. We are known for providing excellent care with **compassion** **and kindness** to each of our patients. In addition, Los Robles Regional Medical Center features a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity, Level III NICU, comprehensive cancer center, heart & cardiovascular center, same day surgery, and rehab center. 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 Certified Sterile Proc Tech II 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

The Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easier for them to connect to the care they need. The MFE conducts interviews and screens potentially eligible recipients for enrollment into Government Programs such as Medicaid/Medicaid Managed Care, Child Health Plus and Essential Plan. Additionally, the MFE will assist in enrollment into Qualified Health Plans. The MFE must offer all plans and all products. MFEs assist families with their applications, provides assistance with completing the application, gathers the necessary documentation, and assists in selection of the appropriate health plan. The Enroller provides information on managed care programs and how to access care. The MFE is responsible for processing paperwork completely and accurately, including follow up visit documentation and other necessary reports. The MFE is also responsible for assisting current members with recertification with their plan. MFEs must source, develop and maintain professional, congenial relationships with local community agencies as well as county and state agency personnel who refer potentially eligible recipients. KNOWLEDGE/SKILLS/ABILITIES Responsible for achieving monthly, quarterly, and annual enrollment goals and growth targets, as established by management. Interview, screen and assist potentially eligible recipients with the enrollment process into Medicaid/Medicaid Managed Care, Child Health Plus the Essential Plan and Qualified Health Plans for Molina and other plans who operate in our service area Meet with consumers at various sites throughout the communities Provide education and support to individuals who are navigating a complex system by assisting consumers with the application process, explaining requirements and necessary documentation Identify and educate potential members on all aspects of the plan including answering questions regarding plan's features and benefits and walking client through the required disclosures Educate members on their options to make premium payments, including due dates Assist clients with choosing a plan and primary care physician Submit all completed applications, adhering to submission deadline dates as imposed by NYSOH and Molina enrollment guidelines and requirements Responsible for identifying and assisting current members who are due to re-certify their healthcare coverage by completing the annual recertification application including adding on additional eligible family members Respond to inquiries from prospective members and members within the marketing guidelines Must adhere to all NYSOH rules and regulations as applicable for MFE functions Outreach Projects Participate in events and community outreach projects to other agencies as assigned by Management for a minimum of 8 hours per week Establish and maintain good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted Develop and strengthen relations to generate new opportunities Attend external meetings as required Attend community health fairs and events as required Occasional weekend or evening availability for special events. JOB QUALIFICATIONS Required Education HS Diploma Required Experience Minimum one year of experience working with State and Federal Health Insurance programs and populations Demonstrated organizational skills, time management skills and ability to work independently Ability to meet deadlines Excellent written and oral communication skills; strong presentation skills Basic computer skills including Microsoft Word and Excel Strong interpersonal skills A positive attitude with ability to adapt to change Must have reliable transportation and a valid NYS drivers' license with no restrictions Knowledge of Managed Care insurance plans Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities Ability to work a flexible schedule, including nights and weekends Required License, Certification, Association Successful completion of the NYSOH required training, certification and recertification Preferred Education AA/AS - Associates degree Preferred Experience Previous experience as a Marketplace Facilitated Enroller • Bilingual - Spanish & English 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.

The Senior Facilitated Enroller will use a high degree of customer service to successfully work with the team to provide optimal enrollment success. The Senior Facilitated Enroller (SFE) will assist the Facilitated Enrollment Supervisor in meeting and exceeding sites expectations and providing exceptional levels of customer service. The SFE will continue to assist eligible recipients for enrollment by phone or conduct face to face meetings. Assist the Facilitated Enrollment Supervisor in training, assisting with client meetings (webinars and leading meetings) and will be more involved with the Marketing Tracker and Salesforce. The SFE will also work closely with the Facilitated Enroller and will report to the Facilitated Enrollment Supervisor the successes or areas that require improvement and will provide input on strategy as the business needs change within given territory. Knowledge/Skills/Abilities Assists with inbound/outbound calls when necessary to assist FE with achieving monthly, quarterly and annual enrollment goals. The SFE will assist in leading FE and/or projects to help ensure monthly enrollment results. SFE will provide support across projects, including quality checks to Marketing Tracker and Sales Force. Works with Facilitated Enrollment Supervisor to successfully support FEs in enrollment success and to formulate resolutions for struggling FEs. Identifies any challenges and communicates to Facilitated Enrollment Supervisor. Successfully maintains and/or manages monthly FE calendar Excellent time management with the ability to maintain multi-faceted projects, providing both quality and quantity while completing job duties and adhering to various objectives with little to no supervision. Maintains a high level of professionalism to all outgoing emails to clients Shows a comprehensive understanding of processes, best practices, and indications with minor errors Monitors daily operations and identifies need for program tools and works with Facilitated Enroller Supervisor to meet staff needs. Participates in the design and implementation of process improvements within the current facilitated enrollment policies, procedures, services and workflow to improve the customer experience as well as productivity Maintains expert knowledge of current processes, rules and regulations of the MMC, EP, CHP and QHP programs and serves as a resource for implementation, training teams Offers suggestions to Facilitated Enrollment Supervisor regarding corrective action plans and conducts other quality activities to include policy and procedure review and application reviews Performs research assignments as directed by Facilitated Enrollment Supervisor which may include but are not limited to educational resources and best practices. Meets with consumers at various sites throughout the communities Provide education and support to individuals who are navigating a complex system by assisting consumers with application process, explaining requirements and necessary documentation Consistently demonstrates high standards of integrity by supporting Molina Healthcare of NY, Inc mission and values and adhering to the Corporate Code of Conduct Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures Performs other functions as assigned by management. Job Qualifications Required Education: High School Diploma or equivalence Required Experience: Minimum of 3 years of experience working with State and Federal Health Insurance programs and populations Demonstrated organizational skills, time management skills and ability to work independently Previous experience leading projects, processes, or teams Excellent written and oral communication skills; strong presentation skills Basic computer skills including Microsoft Word, Excel, Salesforce and Share Point Strong interpersonal, organizational skills and the ability to work in a team environment. A positive attitude with the ability to be flexible and adapt to change Knowledge of Managed Care insurance plans Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities Required Licensure or Certification: Must have reliable transportation and a valid NYS drivers' license with no restrictions Successful completion of the NYSOH required training, 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.

HealthTrust Workforce Solutions Regional is seeking a local contract Echo Technologist for a local contract job in Thousand Oaks, California. Job Description & Requirements Specialty: Echo Technologist Discipline: Allied Health Professional Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract Number of Beds - 375 Number of Staff - 4 Type of staff: Day Shift - 4 Night Shift - ON- CALL Type of equipment - GE EMR - MEDITECH, CCW Typical Procedures: TEE Adult and Pediatric ECHO Structural Heart Procedure Support Intra-Op TEE with EP Procedures Stress ECHO Bubble Study Must Haves: - An Associates Degree - A recent 6 months of Echo Tech experience in an acute inpatient hospital setting - Adult and Pediatric Echo, TEE, Bubble Study, Structural Heart Procedures - RCS or RDCS and CA State License - BLS Certification Preferred or Nice to Have: - MediTech Experience - Travel Experience

Hourly Wage Estimate: $25.18 - $29.67 / hour Learn more about the benefits offered ( ********************************************************************* ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Registrar today with Los Robles Regional Medical Center. **Benefits** Los Robles Regional Medical Center, 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) Registrar PRN. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** As Registrar, you will be responsible for timely and accurate patient registration.Our Admissions Registrar teams are a committed, caring group of colleagues. We have a passion for creating positive patient interactions. If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! + You will interview patients for all pertinent account information and verify insurance coverage + You will complete all necessary prior authorizations, notifications and third-party payer requirements + You will perform cashier duties as needed + You will provide outstanding customer service Qualifications: + High School Diploma or GED + 1-2 years' registration experience in a healthcare setting and customer service preferred Los Robles Regional Medical Center (******************************* is a 380+ bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties along with the Greater Conejo Valley. We are the only Level II Trauma Center (************************************************************** in East Ventura County. We are known for providing excellent care withcompassionand kindnessto each of our patients. In addition, Los Robles Regional Medical Center features a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity, Level III NICU, comprehensive cancer center, heart & cardiovascular center, same day surgery, and rehab center. 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 patient's 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 If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Registrar PRN 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.

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.

Hourly Wage Estimate: 56.00 - 79.00 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: RN Surgical First Assist Los Robles Regional Medical Center Benefits Los Robles Regional Medical Center 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. We are seeking a(an) RN Surgical First Assist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! Job Summary and Qualifications Performs direct patient care through utilization of the nursing process in accordance with the California Nurse Practice Act, physician orders, hospital policies and procedures, and established professional standards. The RN is responsible and accountable for the delivery of safe, competent care either through direct delivery of that care or appropriate delegation and for performance improvement and quality initiatives as appropriate. * You will assess the health status of the patient in order to develop an individualized plan of care by collecting, categorizing, and interpreting data (physical and psychosocial) from documented information, observation, patient/family interview and other health care team members. * You will Instruct the patient and family to assist the patient in the achievement of optimal health status document nursing activities to provide a permanent record, for continuity of care, quality improvement and professional accountability. * You will Plan, supervise and assist with the transfer of the patient to protect the patient and personnel from injury. * You will Coordinate support services need during surgery by anticipating and communicating patient and surgical team needs * You will Provides assigned patients and families with explanation of procedures, treatments and medications * You will demonstrate organizational, time-management, and priority-setting skills. * You will ensure knowledge of hospital and department performance improvement initiatives and participates actively to contribute to improvement efforts. What qualifications you will need: * Valid California RN license. * Current BCLS Certification. * Current CRNFA Certification * Minimum of one-year experience in specialty preferred. * Graduate from an accredited school of nursing. Los Robles Regional Medical Center is a 380+ bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties along with the Greater Conejo Valley. We are the only Level II Trauma Center in East Ventura County. We are known for providing excellent care with compassion and kindness to each of our patients. In addition, Los Robles Regional Medical Center features a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity, Level III NICU, comprehensive cancer center, heart & cardiovascular center, same day surgery, and rehab center. 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 If you find this opportunity compelling, we encourage you to apply for our RN Surgical First Assist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - 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.

JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. • Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. • Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. • Provides project management support to leadership via coordination, identification, pursuit and collection of medical records and other required data with other HEDIS staff. • Participates in meetings with vendors related to the medical record collection process. • Some medical records collection related travel may be required. Required Qualifications• At least 1 year customer service experience, preferably in an administrative support capacity in a health care setting, or equivalent combination of relevant education and experience. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Excellent customer service and active listening skills. • Proficiency with data analysis tools (e.g., Excel). • Ability to manage files, schedules and information efficiently. • Ability to effectively interface with staff, clinicians, and leadership. • Strong prioritization skills and detail orientation. • Strong verbal and written communication skills, including professional phone etiquette. • Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications • Registered Health Information Technician (RHIT). • Medical records collection experience. • Managed care experience. • Basic knowledge of Healthcare Effectiveness Data Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). • Project planning 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

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

***Employee for this role must reside in Massachusetts or surrounding state*** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans. Job Duties Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries. • In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. • Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards. • Manages and directs the Provider Service staff including hiring, training and evaluating performance. • Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies. • Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards. • Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website). • Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized. • Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues. • Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan. • Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives. • Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends. • Develops and implements strategies to reduce member access grievances with contracted providers. • Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program • 15-30% travel, mostly daytime, throughout Massachusetts. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in Health or Business related field or equivalent experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products • 5+ years previous managed healthcare experience. • Previous experience with community agencies and providers. • Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc. • Experience with preparing and presenting formal presentations. • 2+ years in a direct or matrix leadership position • Min. 2 years experience managing/supervising employees. PREFERRED EDUCATION: Master's Degree in Health or Business related field PREFERRED EXPERIENCE: • 5-7 years managed healthcare administration experience. • Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals). 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.

Hourly Wage Estimate: 30.42 - 35.84 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Phlebotomy Laboratory Asst II today with Riverside Community Hospital. Benefits Riverside Community 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 Phlebotomy Laboratory Asst II. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today! Job Summary and Qualifications Performs venipuncture and skin puncture; orders and restocks supplies; monitors computer orders; answers phones; greets patients, visitors, and employees; and performs other related clerical duties. What qualifications you will need: * High school diploma or equivalent * Current BLS Certification (renewable annually) * Certified Phlebotomist * State of California Certified Phlebotomy Technician for direct patient care contact positions * 1-year venipuncture experience in an acute hospital setting is preferred Riverside Community Hospital is a large acute care facility with 517 beds, established in 1901. It has the most extensive Emergency Room and Level I Trauma Center in the Inland Empire region and is the primary recipient of STEMI (heart attack) cases in Riverside County. The hospital is accredited as a Chest Pain Center and Comprehensive Stroke Center and has a HeartCare Institute that offers both invasive and non-invasive cardiac procedures. Riverside has a Level III Neonatal Intensive Care Unit, which it is very proud of. HCA Healthcare has been recognized as one of the Worlds 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 If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Phlebotomy Laboratory Asst II BID 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.