Molina Healthcare jobs in Long Beach, CA - 347 jobs

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.

Per Diem / PRN Nurse RN - Case Management - $77 per hour at HealthTrust Workforce Solutions Local summary: This per diem Registered Nurse (RN) position specializes in case management, offering flexible shifts primarily in Riverside, California. The role requires at least one year of specialty experience and appropriate certifications, with benefits including self-scheduling, weekly pay, and 401K matching. The position is supported by HealthTrust Workforce Solutions, providing access to a broad network of healthcare facilities and career development opportunities within HCA Healthcare. HealthTrust Workforce Solutions Local is seeking a per diem / prn nurse RN Case Management for a per diem / prn nursing job in Riverside, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: Duration: Ongoing Employment Type: Per Diem Entrust Your Career to HealthTrust! At HealthTrust, we believe that healthcare is not defined by the four walls in which it is practiced; it's defined by its people. We pride ourselves on crafting opportunities that expand skill sets, broaden career horizons, provide economic stability, and cultivate personal growth. HealthTrust Offers: Getting to know HCA facilities within 50mi of home zip code Self scheduling through our Mobile GO HWS App Minimum of just three shifts a month, however, you can work more! 401K Matching Night shifts are not required Weekly pay every Friday Not required to work weekends Not Required to work holidays To get started, you will need: RN's a minimum of 1 year in specialty Allied 6 months of experience An adventurous spirit and fierce dedication Degree in corresponding specialty as required Appropriate certifications for the specific position HealthTrust Benefits: Opportunities for a lifetime: When you become a part of the HCA family, you will have exclusive access to more opportunities than any other healthcare system in the nation. At HWS, we help open the door to a lifetime of lasting career opportunities. A culture of care: Our clinicians have made HWS an industry leader for over 25 years. We are passionate about our mission that, above all else, we are committed to the care and improvement of human life. Career Development: As a wholly owned subsidiary of HCA Healthcare, HWS is a preferred partner to thousands of top-performing hospitals. We provide our healthcare professionals with first-priority access to more than 200,000 jobs nationwide. We are uniquely positioned to offer you exclusive and direct access to HCA Healthcare's vast network of facilities. Let us open the door to nationwide opportunities that fit your lifestyle! We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. HealthTrust Workforce Solutions Per Diem Job ID #918144. Posted job title: Per Diem Nurse - Case Management Keywords: Per diem nurse, Registered Nurse, RN case management, Healthcare jobs, Nursing shifts, Flexible nursing schedule, HCA Healthcare, Nursing career development, Case management nurse, Healthcare staffing

Tenet-AZ Region is seeking a Cath Lab Technologist for a job in Glendale, Arizona. Job Description & Requirements Specialty: Cath Lab Technologist Discipline: Allied Health Professional Duration: Ongoing 40 hours per week Shift: 8 hours Employment Type: Staff Cardio Cath Lab Tech - Full Time, Days Abrazo Arrowhead Campus - Glendale, AZ Now Offering a $10,000 Sign-On Bonus for eligible full-time hires! Join our highly skilled Cardiac Cath Lab team at Abrazo Arrowhead, where advanced technology, collaboration, and clinical excellence come together. As a Cath Lab Tech, you'll play a vital role in supporting physicians, providing exceptional patient care, and ensuring the success of complex cardiac procedures. What You'll Do Assist physicians during invasive and non-invasive cardiac procedures Set up, scrub, and circulate for cases-maintaining strict aseptic technique Operate and maintain imaging equipment safely and effectively Provide patient education, reassurance, and support throughout procedures Ensure procedure rooms and supplies are prepared and fully stocked Collaborate with the team on performance improvement and safety initiatives Promote patient safety and radiation safety at all times What We're Looking For • Education: Completion of a 2-year radiologic technology program (ARRT-eligible) or equivalent on-the-job training with 4 months of orientation • Licensure/Certifications: - Current ARRT registration - Current Arizona MRTBE license - BLS certification (required) • Training: Must complete EKG, Hemodynamics, and IABP classes within 4 months of hire • Preferred: ARRT (CI), (VI), or (CV); ACLS certification Why Abrazo Arrowhead? At Abrazo, you'll work in a fast-paced, team-driven environment with access to advanced procedures and opportunities for growth. Here, your expertise matters-and your impact is immediate. Apply today and take advantage of our $10,000 Sign-On Bonus to start your journey with one of Arizona's leading healthcare teams! #LI-TW2 Tenet AZ Job ID #. Posted job title: Cath Lab Tech

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 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. 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.

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.

Salary Estimate: 98966.40 - 148449.60 / 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. Introduction Managers thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Supervisor of Diagnostic Imaging for our Riverside Community Hospital team where excellence creates excellence. 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. HCA Healthcare has expanded our influence across the healthcare industry by investing 3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Supervisor of Diagnostic Imaging role today! Job Summary and Qualifications The Supervisor of Diagnostic Imaging assists the radiologists and the Department Director in establishing department policies and procedures. The incumbent will report all problems relevant to staffing, morale, work methods, procedures, transfers and recommends action in other personal matters. The incumbent will supervise technologists and ancillary personnel to ensure quality control and is responsible to ensure safety regulations, both state and federal, are adhered to. This position requires initiative and independent judgment in supervision of technologists. You will assign tasks and responsibilities to front line personnel and ensures tasks are completed accurately and in a timely manner. You will assist in promoting an environment in which teamwork is facilitated and patient care objectives are obtained. You will establish and maintain mechanism to ensure, assess, and evaluate staff qualifications and competency upon employment and upon regular ongoing basis through written orientation plans, skills validation, competency assessment and secured education in response to needs assessment, and verification of required licensure and certifications. You will encourage and consistently reinforce staff compliance with organizational policies, safety regulations, infection control procedures, ethics and compliance, risk management activities, standard precautions and proper body mechanics. You will work with or function as clinical instructor / preceptor for students and plan and participate in unit staff development activities. What qualifications you will need: Graduate of an approved program of Medical Imaging Must be ARRT in CT, X-ray, MRI, RDMS, or NMCTB registered Current license as a Medical Imaging professional in the State of California / Certified Medical Radiologic Technologist Current Basic Cardiac Life Support certification Minimum of five (5) year experience preferred. Minimum of (1) year supervisory experience 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 "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If youre looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a(an) Supervisor of Diagnostic Imaging.Unlock your leadership potential with HCA Healthcare. 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,

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 nations 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

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.

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

Local Contract Nurse RN - NICU - Neonatal Intensive Care - $76-77 per hour at HealthTrust Workforce Solutions Regional summary: This local contract nursing position seeks a Registered Nurse specialized in Neonatal Intensive Care (NICU) to provide acute care for newborns in a Level III NICU setting. The role requires at least three years of NICU experience, CA RN licensure, and certifications in BLS and NRP, working 12-hour day shifts over a 13-week contract. Responsibilities include patient care with typical procedures such as line placement and intubations while using EMR systems like Meditech and CPN. HealthTrust Workforce Solutions Regional is seeking a local contract nurse RN NICU - Neonatal Intensive Care for a local contract nursing job in Riverside, California. Job Description & Requirements Specialty: NICU - Neonatal Intensive Care Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Local Contract • Number of Beds - 21 flex to 37 • Number of Staff - 60 • Type of staff: 1 charge, 10 nurses • Patient Ratios - 1:1, 1:2, 1:3 • EMR - Meditech and CPN • Floating: Postpartum • Weekends: At least every other • Typical Procedures: - Line Placement - Intubations Must Haves: - An ASN degree minimum, BSN preferred - A recent 3 years of Level III NICU RN experience in an acute hospital setting - Ability to take babies from Level I - Level III - CA RN License - BLS and NRP Certifications Preferred or Nice to Have: - Delivery Experience - MediTech Experience - Travel Experience Keywords: NICU nurse, neonatal intensive care, registered nurse RN, level III NICU, acute hospital nursing, BLS certification, NRP certification, Meditech EMR, line placement, intubation procedures

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

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 Centeris 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 Centerin 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 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 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.

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. **Job Duties** + 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.

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

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. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service. Job Duties This role serves as the primary point of contact between Molina Health plan and the Plan's Complex Provider Community that services Molina members, including but not limited to Value Based Payment and other Alternative Payment Method contracts. It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including senior leaders and physicians, to ensure provider satisfaction, education on key Molina initiatives, and improved coordination and partnership. • Under general supervision, works directly with the Plan's external complex providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service. • Resolves complex provider issues that may cross departmental lines including Contracting, Finance, Quality, Operations, and involve Senior Leadership. • Responsible for Provider Satisfaction survey results. • Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. • Facilitates strategic planning and documentation of network management standards and processes. Effectiveness is tied to financial and quality indicators. • Works collaboratively with functional business unit stakeholders to lead and/or support various provider services functions with an emphasis on developing and implementing standards and best practices sharing across the organization. • MCST matrix team environmental support including, but not limited to: New Markets Provider/Contract Support Services, PCRP & CSST resolution support, and National Contract Management support services. • Serves as a subject matter expert for other departments. • Conducts regular provider site visits within assigned region/service area. Determines own daily or weekly schedule, as needed to meet or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to determine, for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. • Provides on-the-spot training and education as needed, which may include counseling providers diplomatically, while retaining a positive working relationship. • Independently troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative, Supervisor, or another Molina department is needed. Takes initiative in preventing and resolving issues between the provider and the Plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters. • Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians. For example, such meetings would occur to discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. • Independently delivers training and presentations to assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health systems, executive level decision makers, Association meetings, and JOC's). • Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives. Examples of such initiatives include: administrative cost effectiveness, member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, etc.). • Trains other Provider Relations Representatives as appropriate. • Role requires 60%+ same-day or overnight travel. (Extent of same-day or overnight travel will depend on the specific Health Plan and its service area.) Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 4-6 years provider contract network relations and management experience in a managed healthcare setting. • Working experience servicing complex providers with various managed healthcare provider compensation methodologies, including but not limited to: fee-for service, value-based contracts, capitation and various forms of risk, ASO, etc. PREFERRED EDUCATION: Master's Degree in Health or Business related field PREFERRED EXPERIENCE: • 5 years experience in managed healthcare administration. • 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.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform analysis, revisions and approvals of Employer Group contract language modifications, evaluating them against specific standards and provide assessment of potential operational risks Review contract language to evaluate modifications against specified standards Collaborate with the contracting staff at subsidiaries, and operational stakeholders at corporate to revise contract language to support business needs and/or Employer Group concerns Serve as point of contact for all language review issues for contracts submitted through the organization's contract management systems contract management systems (i.e. Emptoris and Team Track) Develop and manage reporting on process successes and failures in the contract management systems Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in Business Administration, Marketing, related field or equivalent experience. Juris Doctorate, MBA, or MHA is preferred. 2+ years analyzing, revising and approving healthcare provider or employer group contract language experience and/or 2+ years of healthcare provider or employer group contract negotiation or project management experience. Previous experience in the healthcare insurance industry. Managed care, Medicaid, Medicare or dual eligible health programs experience preferred. Experience developing contract templates preferred. We are looking to hire someone in California for this position, ideally. However, it is a remote role, so we are open to considering someone in a neighboring state as long as they are okay with traveling to Woodland Hills, CA at least once a quarter, potentially more often in the future. They will need to work standard business hours on Pacific Time. Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act