Molina Healthcare jobs in Los Angeles, CA

* Candidates For This Position Must Reside in/near the following areas: South LA, Downtown, Compton, Inglewood, Torrance, Watts* * Bilingual, Any Language Accepted, Spanish preferred* Are you passionate about serving and helping your community? Do you enjoy building relationships? Molina Healthcare is hiring a Sr Community Engagement & Growth Specialist in LA County (see listed locations). This important position is more than participating in events and programs-at Molina, we focus on making an impact on people's lives, whether it is educating on health insurance coverage or assisting with acquiring much needed resources. This role is looking for someone who has been in a field-based, community/public facing role previously. This could be in many capacities, including but not limited to the following: Health Educator, Liaison, Promoter, Outreach Worker, Patient Navigator, Health Interpreter, Public Health Aide, Connector, Sales, Marketing, Insurance Agent, Insurance Consultant, etc. This role is community/ external facing and is in frequent engagement with providers (clinics, hospitals, community health centers), community-based organizations/ nonprofits such as those working in housing/ food/ behavioral health and many more. The role is in the field 50-70+% of the time, meeting with partners and attending/ hosting community events and overall, promoting the company and being the face of Molina. The intent of the position is to help retain and grow our Molina membership. There may be events that are outside of normal business hours (evenings or a weekend day). You would flex your hours to ensure to have a great work/life balance. This position offers great flexibility and allows you to manage your territory and schedule to meet business needs. Molina's leadership team leads by empowering you to do what you love best by helping others! Interviews are being conducted immediately! Apply today! KNOWLEDGE/SKILLS/ABILITIES * 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. 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. Preferred Experience: * Fluency in a second language. Any language, Spanish is preferred. * 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. 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 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: health care, insurance, health insurance, Medicaid, Medicare, 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, Sales, Growth, MCO, Managed Care, ACA, FQHC, Behavioral Health, CHW, Community Health Worker, Equity, DPBH, HMO, SDOH, ICF/DD, Cal Fresh, DHCS, Access Program, MCAP, eligibility, benefits, providers Same Posting Description for Internal and External Candidates #PJHPO Pay Range: $20.74 - $40.44 / 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.

is incentive eligible. Salary Estimate: 132828.80 - 199222.40 / 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. Introduction Are you ready to manage in a new era as a Surgery Center Administrator where building a healthier tomorrow is more than a job? Our Los Robles Surgery Center team is committed to partnership, innovation, legacy and improving more lives in more ways. Share your resume today. Benefits Los Robles Surgery 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 dedicated to improving human life. Each year about five percent of all U.S. hospital services happen at an HCA Healthcare facility. Be an impact as a Surgery Center Administrator where your passion for leading and creativity are valued? We want your knowledge and expertise! Job Summary and Qualifications In your role as Surgery Center Administrator, you will create an environment that builds and maintains the centers reputation as the surgery center of choice in your area. Core ways you will influence the reputation is by leading business development efforts, maintaining a high standard of service to physicians and patients, and ensuring your center has exceptional clinical practice standards. You will also be a key member of a team of like-minded peer Administrators that collaborate with one another sharing ideas and best practices. By combining your team's resources with those from your physician equity partners, HCA market hospitals, and corporate support teams allow us to continue to set the standard for Ambulatory Surgery together. What you will do in this role: * Drive industry leading patient satisfaction, physician satisfaction, and employee engagement results for your operation * Lead presentations to and maintain strong partnerships with your center's Governing Body, Medical Director, overlap hospitals, and your team * Lead business development for your center through continually developing your network, market knowledge, and relationship with your business development representative * Lead feasibility research for adding service lines and optimizing case mix * Leverage your best in class internal corporate support teams in areas such as recruitment, partnership management, legal, business development, risk management, patient safety, human resources, accounting, financial reporting, etc * Partner with your Business Office to institute budget controls, monitor accounts receivables and payables, prepare, and project annual budgets * Ensure that your facility meets all related local, state, federal, and accrediting-body rules and regulations * Effectively manage your controllable costs such as labor and expenses * Negotiate and execute favorable center contracts while leveraging your GPO What qualifications you will need: * Bachelor's Degree in Business, Nursing or related field * Equivalent work experience may substitute degree requirement * Minimum (3) years direct experience or related experience * Experience in outpatient healthcare operations or similar service environments preferred Los Robles Surgicenter is located in Thousand Oaks, California. We are one of the top 10 cities in the Unites States. The surgicenter is accessible to Los Angeles, Santa Barbara, and a major airport. Our center performs over 500 procedures a month. Services in gastroenterology, ENT, gynecology, orthopedics, plastics, and podiatry are provided. As a member of the HCA Healthcare Ambulatory Surgery Division, we follow our mission. Above all else, we are committed to the care and improvement of human life. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. If this is the kind of dynamic growth opportunity that compels you, apply for the Surgery Center Administrator role. 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.

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. 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

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 lead level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance for system changes. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. This role will work directly with Ohio Healthplan leadership including the Plan President, CFO, and other department heads to improve performance according to our Key Performance Indicators. Candidate will utilize SQL and Azure Databricks to query and analyze data however this is not just a technical role. They must be able to understand the business need, propose solutions, and meet KPIs. JOB DUTIES Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. Monitors regulatory sources to ensure all updates are aligned. Uses comprehensive background to navigate analytical problems, including: clearly defining and documenting their unique specifications. Leads coordinated development and ongoing management / interpretation review process, committee structure and timing with key partner organizations. Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. Provides status and updates to health plan/product team partners, senior management and stakeholders. Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. Where applicable, codifies the requirements for system configuration alignment and interpretation. Provides support and/or requirement interpretation inconsistencies and complaints. Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible. Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. Conducts industry research and engagement to evaluate, provide insights, and best practices as applicable. Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product. Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. Mentors and trains new staff as well as provide ongoing support, leadership, and training new/integrating health plans and corporate teams. KNOWLEDGE/SKILLS/ABILITIES Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning. Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. Ability to lead complex projects across organizational boundaries with little direct instruction. Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. Ability to concisely synthesize large and complex requirements. Ability to organize and maintain regulatory data including real-time policy changes. Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. Ability to work independently in a remote environment. Ability to work with those in other time zones than your own. Create reporting tools to enhance communication on updates and initiatives. JOB QUALIFICATIONS Required Qualifications At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. Policy/government legislative review knowledge. Strong analytical and problem-solving skills. Familiarity with administration systems. Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams. Previous success in a dynamic and autonomous work environment. Preferred Qualifications Project implementation experience Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. 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.

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. At McKesson, we deliver critical healthcare products to millions of patients every day - and our distribution center teams are the heartbeat of that mission. We're seeking a Night Shift Supervisor to guide our Santa Fe Springs operations and ensure seamless, high-quality service during overnight hours. This role is about more than managing processes - it's about empowering people. You'll oversee inventory management, order fulfillment, and shipping/receiving while leading a dedicated team of warehouse associates. By modeling McKesson's ICARE and ILEAD values, you'll foster a culture of trust, accountability, and continuous improvement. If you're passionate about leadership, and making a real impact in healthcare, we'd love to have you on our team. Servant Leadership Lead by example, supporting and empowering employees to succeed. Remove barriers, listen actively, and create a safe, inclusive environment where associates feel valued. Coach and mentor team members, building bench strength and supporting career growth. Operational Excellence Manage all aspects of night shift operations, ensuring timely and accurate order processing and delivery. Supervise inventory control, shipping/receiving, and warehouse workflow to meet performance targets. Partner with transportation teams to coordinate outbound shipments and resolve delivery challenges. Monitor KPIs and operational metrics to identify opportunities for improvement and cost optimization. Safety & Compliance Champion safety protocols and ensure compliance with OSHA standards and McKesson policies. Foster a culture of accountability and proactive risk mitigation. Maintain accurate documentation and reporting to support transparency and audit readiness. Collaboration & Culture Work with cross-functional teams to streamline processes and enhance supply chain efficiency. Reinforce a culture of inclusion, respect, and continuous improvement. Model ICARE and ILEAD values in all interactions, ensuring alignment with McKesson's mission. Qualifications Bachelor's degree in Logistics, Supply Chain Management, or related field; or equivalent experience in warehouse distribution 3+ years of supervisory experience in warehouse or distribution environments Strong understanding of inventory systems, warehouse management software, and material handling equipment Proven ability to lead teams in fast-paced settings while maintaining high standards of quality and safety Excellent communication and interpersonal skills; able to build trust across teams and departments Proficiency in Microsoft Office Suite (Excel, Word, Outlook) Familiarity with lean principles and Six Sigma methodologies preferred Knowledge of OSHA regulations and commitment to workplace safety 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 $63,800 - $106,400 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!

As the Manager, Protection Services Operations Center (PSOC), you will be a member of Molina Healthcare's Protection Services Operations Center, reporting to the Director. This role is crisis and threat intelligence focused and includes responsibilities for ensuring the execution of the physical security controls, threat/risk analytics, and incident intake and crisis management support for the enterprise. This role drives and manages physical security, incident response and safety operations for Molina facilities and employees in the field. The manager leads the in-house security operations team and coordinates the contract security assets; utilizes video surveillance platforms, access control, visitor management, alarm systems and threat intelligence platforms; safeguarding Molina employees, vendors and visitors, as well as equipment and facilities. This position also oversees Protection Services Operations (PSOC) projects, programs and deliverables to ensure compliance with all regulatory requirements. The manager will assume the role and responsibilities of the next level in the chain of command in their absence. This role will liaise with all enterprise leaders and stakeholders to address security issues or incidents that arise in the field or Molina offices. Activities will ensure alignment with policies, standard and procedures in deliverables. Additionally, this person will support incident response and crisis management activities during disruptive events as needed. Knowledge/Skills/Abilities Manage and oversee consultants and senior consultants to ensure delivery of day-to-day operational and response activities. Monitor incident, intake and work queues to ensure organizational SLAs are meet for enterprise Act as liaison to business stakeholders and third-parties for developing and implementing operational physical security, threat/risk analytics and incident management programs supporting day-to-day services for Molina business operations Guide and oversee development of new services to increase effectiveness, and to eliminate or control high risk or unsafe practices, operations and conditions. This person will be responsible for the implementation, delivery, ownership and operations of the PSOC team's policies, standards, procedures and systems Aligns strategy to meet stakeholder needs and requirements across multiple business units. Recommend, shape and deliver a continuously improving security culture, serving as a thought leader and trusted advisor. Educate and influence on matters involving the promotion of a proactive risk management culture Leads supplier relationships and services agreements relevant to PSOC operations and technology providers In partnership with stakeholders, develop annual training and awareness schedule to ensure delivery of ongoing security and safety training for employees and contractors Model, assess and trend multiple intelligence sources to identify risks and threats to employees, assets, and executives. Identify risks & threats and inform key stakeholders of the threat and the recommended actions for mitigation Deliver reports, briefings, and presentations on research findings and provide the necessary recommendations Conduct, and assist, with risk assessments in advance of major company events, employee and executive travel, and in support of major business decisions Engage in training and outreach to all Affirmers about personal safety and security while travelling domestically and abroad Ensure appropriate consultation regarding threat mitigation, workplace violence, and regulatory compliance. Regularly report compliance metrics to senior leadership ensuring trends and threats are identified with recommendations for mitigation Prepares and manages operational budget including forecasting, staffing and third-party expense management May be required to work outside of normal business hours (nights, evenings, and weekends) if responding to emergencies Perform other duties as assigned Up to 10% travel Job Qualifications Required Education: Bachelor's degree Required Experience: Minimum 8 years demonstrated leadership in programs at a national or enterprise level Minimum 5 years' experience with access control, alarm, and threat intelligence platforms including Lenel, Avigilon, Envoy and Everbridge Minimum 5 years' experience with project management, including implementation/project management of physical security solutions in facilities Minimum 3 years' experience managing in a matrixed environment Large scale security operations in a multinational company environment. Worked across functions in a matrixed organization, commensurate with a Fortune 500 Required Licensure or Certification: Nationally recognized physical security certification, and/or FEMA or Department of Homeland Security certifications Required Knowledge, Skills and Abilities: You are Knowledge and ability to think creatively, proactively, and independently Able to lead, communicate and influence at all management levels and thrive in a cross-functional matrix environment Able to effectively facilitate meetings, prepare reports and presentations, and manage data Self-motivated and results oriented. A problem solver. An analytical thinker Comfortable and capable of developing/presenting data-driven solutions and recommendations Superb organizational skills and the ability to delegate effectively to meet delivery targets Able to interact concisely/accurately and positively with stakeholders. Remain calm in challenging business situations Innately know how to ‘get it done' including engaging/motivating others to deliver results. You plan workloads and deliver on commitments Able to quickly build rapport and gain the respect and cooperation of both technology and business leaders. Possess strong interpersonal and indirect influencing skills, with a demonstrated ability to gain the confidence of individuals at various organizational levels Someone that thrives in ambiguity and make quality decisions in a dynamic, fast paced environment Action oriented and driven to achieve results in a positive manner, displaying ethical behavior, integrity, and building trust at all times You have a deep understanding of: The candidate should have a strong grasp of: The full spectrum of security operations services: Access control administration and management Alarm-intrusion response Visitor management Threat analytics Incident intake and coordination Investigation support Security queue and workflow management Policies, standards and procedures Metrics, reporting and analysis Extensive experience with Lenel OnGuard, Avigilon surveillance, Everbridge (including VCC, Notification and SafetyConnect). Envoy experience preferred Software skills & competencies are required, as well as internet research abilities and strong communication skills. Includes: MS Office (Outlook, Word, Excel, and PowerPoint) and also preferably a familiarity with SharePoint and Visio Excellent knowledge of security operations best practices, policies, and procedures Extensive knowledge of project management Familiarity with industry standards, including ISO 22301, HIPPA, PCI, IOSCO, CMS and Department of Homeland Security guidance 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.

Knowledge/Skills/Abilities • Process daily enrollee's (Individual and family) invoices and premium reconciliation for Marketplace members. • Reconcile premiums received from the individual subscriber or responsible party with the amount due for the healthcare program the member is enrolled. • Guide and support Member Service representatives to help them resolve member inquiries related to healthcare premium. • Assist in resolution for escalated premium issues with Appeals and Grievances team members. • Guide and collaborates with enrollment team to resolve eligibility issues affecting premium billing. • Generate billing data using the QNXT premium billing module to be sent to print and fulfillment vendor. • Reconcile unallocated payments on a daily basis. • Resolve orphan member payments on a daily basis. • Reconcile monies received from the financial institution. • Perform month-end invoicing and accuracy audits. • Comply with all State/Regulatory requirements.Under limited supervision, drives and supports reconciliation of premiums for members enrolled though the Healthcare Marketplace as a part of the Affordable Care Act (ACA). Reconciliation will be performed for more complex premiums received from members, state agencies and CMS. Team member will work closely with enrollment teams and offer guidance where premiums are directly impacted by enrollment discrepancies. Collaborate with and advises call center teams to maintain member satisfaction for this product. Work with financial institutions to ensure timely and accurate processing of payment received.• Marketplace, Commercial, or Medicare healthcare experience with premium billing and reconciliation. • Must have excellent time management and organizational skills. • Strong team-oriented individual. • Excellent communication with all levels of team. • Must have strong knowledge and experience in MS office products, minimally Outlook, Word and Excel. • Access or SQL experience is a plus. • Excellent verbal and written communication skills. • Ability to abide by Molina's policies. • Maintain regular attendance based on agreed-upon schedule. • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.. Job Qualifications Required Education High School diploma required Required Experience 3+ years of Member Billing /R Required License, Certification, Association Marketplace, Commercial or Medicare Industry preferred Required Licensure/Certification: None Preferred Education Associates Degree or higher preferred Preferred Experience Healthcare industry experience, with emphasis on enrollment, member billing, and premium reconciliation preferred. Preferred License, Certification, Association None 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: 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.

Opportunity for experienced Utilization Review RN (preferred) or LPN with a compact license who resides in New Mexico or Texas. This team reviews the prior authorization requests for our New Mexico Medicaid recipients. Preference will be given to those whose UM experience is within another MCO like Molina; experience with Interqual/MCG guidelines is needed. Excellent computer, multi-tasking skills, and analytical thought processes are vital to be successful in this role. Productivity is important with specific turnaround times that must be met. Hours are Monday - Friday, 8 AM - 5 PM MST; there may also be weekend and/or holiday coverage when business needs require coverage of those times. Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note. Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. Analyzes clinical service requests from members or providers against evidence based clinical guidelines. Identifies appropriate benefits and eligibility for requested treatments and/or procedures. Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members. Processes requests within required timelines. Refers appropriate prior authorization requests to Medical Directors. Requests additional information from members or providers in consistent and efficient manner. Makes appropriate referrals to other clinical programs. Collaborates with multidisciplinary teams to promote Molina Care Model Adheres to UM policies and procedures. Occasional travel to other Molina offices or hospitals as requested, may be required. This can vary based on the individual State Plan. JOB QUALIFICATIONS Required Education Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a bachelor's or master's degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). Required Experience 1-3 years of hospital or medical clinic experience. Required License, Certification, Association Active, unrestricted State Registered Nursing (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) license in good standing OR a clinical license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within applicable state or locality with reliable transportation as required for internal meetings. Preferred Experience 3-5 years clinical practice with managed care, hospital nursing or utilization management experience. Preferred License, Certification, Association Active, unrestricted Utilization Management Certification (CPHM). 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

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.

Responsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. Lead the development and implementation of data models, collaborate with cross-functional teams, and stay updated on industry trends. Ensure ethical data use and communicate complex technical concepts to non-technical stakeholders. Lead initiatives on model governance and model ops to align with regulatory and security requirements. This role requires technical expertise, strategic thinking, and leadership to drive data-driven decision-making within the organization and be the pioneer on generative AI healthcare solutions, aimed at revolutionizing healthcare operations as well as enhancing member experience. Job Duties • Research and Development: Stay current with the latest advancements in AI and machine learning and apply these insights to improve existing models and develop new methodologies. • AI Model Deployment, Monitoring & Model Governance: Deploy AI models into production environments, monitor their performance, and adjust as necessary to maintain accuracy and effectiveness and meet all governance and regulatory requirements. • Innovation Projects: Lead pilot projects to test and implement new AI technologies within the organization • Data Analysis and Interpretation: Extract meaningful insights from complex datasets, identify patterns, and interpret data to inform strategic decision-making. • Machine Learning Model Development: Design, develop, and train machine learning models using a variety of algorithms and techniques, including supervised and unsupervised learning, deep learning, and reinforcement learning. • Agentic Workflows Implementation: Develop and implement agentic workflows that utilize AI agents for autonomous task execution, enhancing operational efficiency and decision-making capabilities. • RAG Pattern Utilization: Employ retrieval-augmented generation patterns to improve the performance of language models, ensuring they can access and utilize external knowledge effectively to enhance their outputs. • Model Fine-Tuning: Fine-tune pre-trained models to adapt them to specific tasks or datasets, ensuring optimal performance and relevance in various applications. • Data Cleaning and Preprocessing: Prepare data for analysis by performing data cleaning, handling missing values, and removing outliers to ensure high-quality inputs for modeling. • Collaboration: Work closely with cross-functional teams, including software engineers, product managers, and business analysts, to integrate AI solutions into existing systems and processes. • Documentation and Reporting: Create comprehensive documentation of models, methodologies, and results; communicate findings clearly to non-technical stakeholders. • Mentors, coaches, and provides guidance to newer data scientists. • Partner closely with business and other technology teams to build ML models which helps in improving Star ratings, reduce care gap and other business objectives. • Present complex analytical information to all level of audiences in a clear and concise manner Collaborate with analytics team, assigning and managing delivery of analytical projects as appropriate • Perform other duties as business requirements change, looking out for data solutions and technology enabled solution opportunities and make referrals to the appropriate team members in building out payment integrity solutions. • Use a broad range of tools and techniques to extract insights from current industry or sector trends Job Qualifications REQUIRED EDUCATION: Master's Degree in Computer Science, Data Science, Statistics, or a related field REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 10+ years' work experience as a data scientist preferably in healthcare environment but candidates with suitable experience in other industries will be considered • Knowledge of big data technologies (e.g., Hadoop, Spark) • Familiar with relational database concepts, and SDLC concepts • Demonstrate critical thinking and the ability to bring order to unstructured problems • Technical Proficiency: Strong programming skills in languages such as Python and R, and experience with machine learning frameworks like TensorFlow, Keras, or PyTorch. • Statistical Analysis: Excellent understanding of statistical methods and machine learning algorithms, including k-NN, Naive Bayes, SVM, and neural networks. • Experience with Agentic Workflows: Familiarity with designing and implementing agentic workflows that leverage AI agents for autonomous operations. • RAG Techniques: Knowledge of retrieval-augmented generation techniques and their application in enhancing AI model outputs. • Model Fine-Tuning Expertise: Proven experience in fine-tuning models for specific tasks, ensuring they meet the required performance metrics. • Data Visualization: Proficiency in data visualization tools (e.g., Tableau, Power BI) to present complex data insights effectively. • Database Management: Experience with SQL and NoSQL databases, data warehousing, and ETL processes. • Problem-Solving Skills: Strong analytical and problem-solving abilities, with a focus on developing innovative solutions to complex challenges. PREFERRED EDUCATION: PHD or additional experience PREFERRED EXPERIENCE: • Experience with cloud platforms (e.g., Databricks, Snowflake, Azure AI Studio etc.) for working with AI workflows and deploying models. • Familiarity with natural language processing (NLP) and computer vision techniques. #PJCorp2 #LI-AC1 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.

Molina Healthcare is hiring for a Manager of Growth & Community Engagement in southern New Mexico. This position will work alongside leadership and the other Managers to ensure team and department goals are met. They will work closely to lead and execute Molina signature events, manage the day-to-day activities and support the team. They will interact with public officials, external organizations, and internal departments. If you have passion and enthusiasm for building relationships within the community that foster growth all while improving the health and lives of the community, we want to talk with YOU! This position is fast paced and requires someone who is versatile, creative, and can lead by example. They will be a mentor, a leader and need to be hands on. The duties will range from doing ride-a-longs with team members (Community Engagement Reps), leading and facilitating meetings, events, and department activities. This position will interact with other department management and leads. This position is primarily in the Medicaid space, however, will cross over to Marketplace and Medicare. This role will lead by example, working alongside their team. There may be evening and weekend events that the Manager will be needed at. Prior experience working with the community in some capacity is highly desired ***Must live in Southern New Mexico*** ***NM State Driver's License and Reliable Transportation Required** KNOWLEDGE/SKILLS/ABILITIES Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Works closely with the AVP/Director to develop and execute the enrollment growth strategy for a specific area, while also being accountable to achieve assigned membership growth targets. Accountable for achieving established goals with the primary responsibility for improving the plan's overall “choice” rate. In addition, works collaboratively with other key departments to increase Medicaid assignment percentages for Molina. Responsible for day-to-day operations and management of team members, including hiring, training, developing, coaching and mentoring, etc. Creates and regularly reviews team performance metrics/scorecards to ensure team performance contributes to overall enrollment growth, while providing clear direction and intermittent steps to achieve success. Contributes to the development, implementation, and evaluation of the enrollment growth plan for assigned territory; plans enrollment activities to promote membership growth. Collaborates with other Lines of Business' sales teams to identify growth opportunities focused on key providers and Community Based Organizations. Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs) and how to move them through the enrollment pipeline. Directs the coordination, development and approval of State/Federal guidelines for all marketing and promotional materials for all product lines. Demonstrates thorough understanding of Molina's product lines, Medicaid, CHIP, Medicare SNP, Marketplace, MMP, etc JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent experience. PREFERRED EDUCATION: Bachelor's degree in marketing or healthcare administration. REQUIRED EXPERIENCE: 5-10 years' experience in business development, community relations or health care related activities. 3 years Managed-Care, Medicaid experience; knowledge of advertising requirements pertaining to the Medicaid and Medicare media campaigns. Prior work experience in a supervisory capacity, demonstrating excellent organizational, prioritizing, and motivational skills. Experience in negotiation, sales or marketing techniques. Must live in San Diego County PREFERRED EXPERIENCE: Previous healthcare enrollment, marketing and/or sales experience. Fluency in a second language is highly desirable. Prior demonstrated work experience in a managerial capacity. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: Completion of Molina /DHS/MRMIB Marketing Certification Program Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Active Life & Health Insurance Marketplace 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 competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJHPO Key Words: Medicare, Medicaid, Managed Care, Manager, Leader, Marketing, Duals, Enroll, Enrollees, Coverage, #LI-TR1, NY York State, NY State Department of Health, Star Plus, Reimbursement, community, health coach, community health advisor, nonprofit, non-profit, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, NY Care, community lead, HMO, PPO, community advocate, nonprofit, non-profit, social worker, housing counselor, human service worker, Sales, Navigator, Assistor, Connecter, Promotora, Marketing, Growth, Manager, Supervisor, Leader, Management, Medicare Advantage

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 Performs on-going compliance audits utilizing as necessary, state evaluation tools relating to audit/monitoring activities. Identifies and defines audit scope and criteria, reviews and analyzes evidence, and documents audit finds, including making recommendations for improvement and correction where identified. Provides comprehensive advice to assigned department regarding compliance risks with respect to Federal and State regulations and contract provisions. Provides significant input during the annual risk assessment and audit planning processes Assists with monitoring activities involving the effective execution of corrective action requirements imposed by state or federal regulatory agencies for contract deficiencies. Participates in Joint Operating Committees (JOCs) to share audit insights and support strategic compliances initiatives. Performs occasional site visits to material subcontractors to validate compliance and operational practices. JOB QUALIFICATIONS Required Education Associate degree or equivalent combination of education and experience Required Experience 1-3 years Preferred Education Bachelor's degree in health care related area. 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. #PJCorp

JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc. • Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes. • Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance. • Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement. • Assists in the development and implementation of internal desktop processes and procedures. • Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers. Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience. • Strong analytic and problem-solving abilities. • Strong organizational and time-management skills. • Ability to multi-task and meet project deadlines. • Attention to detail. • Ability to build relationships and collaborate cross-functionally. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Supervisory/leadership 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 Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Knowledge/Skills/Abilities • Serves as integral member of a multidisciplinary team by providing nutritional care to members as it relates to their disease and specific member care plan. • Educates members on therapeutic dietary requirements relating to their diagnosis. • Confers with multidisciplinary team, member, doctors, and member's family concerning dietary needs. • Creates member specific dietary plan in accordance with individual care management care plan. • Develops and monitors parameters to measure member/care plan success. • Provides member with needed educational resources and on-going coaching to meet self-management goals. • Evaluates, interprets, monitors and documents nutritional status and progress.. Job Qualifications Required Education Bachelor of Science; graduate of a registered dietetics program. Required Experience • Min. 2 years Registered Dietitian experience in outpatient/in home setting. • Previous experience working with a multidisciplinary team. • Experience working with culturally diverse and low-income populations. Required License, Certification, Association Active and unrestricted State registration as a Registered Dietitian. Preferred Education N/A Preferred Experience Managed care experience is highly desirable. Preferred License, Certification, Association N/A To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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 40%+ 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.

***Candidates For This Position Must Reside in/near the following areas: South LA, Downtown, Compton, Inglewood, Torrance, Watts*** ***Bilingual, Any Language Accepted, Spanish preferred*** Are you passionate about serving and helping your community? Do you enjoy building relationships? Molina Healthcare is hiring a Sr Community Engagement & Growth Specialist in LA County (see listed locations). This important position is more than participating in events and programs-at Molina, we focus on making an impact on people's lives, whether it is educating on health insurance coverage or assisting with acquiring much needed resources. This role is looking for someone who has been in a field-based, community/public facing role previously. This could be in many capacities, including but not limited to the following: Health Educator, Liaison, Promoter, Outreach Worker, Patient Navigator, Health Interpreter, Public Health Aide, Connector, Sales, Marketing, Insurance Agent, Insurance Consultant, etc. This role is community/ external facing and is in frequent engagement with providers (clinics, hospitals, community health centers), community-based organizations/ nonprofits such as those working in housing/ food/ behavioral health and many more. The role is in the field 50-70+% of the time, meeting with partners and attending/ hosting community events and overall, promoting the company and being the face of Molina. The intent of the position is to help retain and grow our Molina membership. There may be events that are outside of normal business hours (evenings or a weekend day). You would flex your hours to ensure to have a great work/life balance. This position offers great flexibility and allows you to manage your territory and schedule to meet business needs. Molina's leadership team leads by empowering you to do what you love best by helping others! Interviews are being conducted immediately! Apply today! KNOWLEDGE/SKILLS/ABILITIES 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. 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. Preferred Experience: Fluency in a second language. Any language, Spanish is preferred. 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. 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 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: health care, insurance, health insurance, Medicaid, Medicare, 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, Sales, Growth, MCO, Managed Care, ACA, FQHC, Behavioral Health, CHW, Community Health Worker, Equity, DPBH, HMO, SDOH, ICF/DD, Cal Fresh, DHCS, Access Program, MCAP, eligibility, benefits, providers Same Posting Description for Internal and External Candidates

Provides support for member health assessment activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum, including behavioral health and long-term care for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Utilizes collaborative process of assessment, planning, implementation and evaluation to engage, educate, and promote member decisions related to achieving and maintaining optimal health status. • Engages nursing input/collaboration for member care planning. • Supports members with moderate to complex clinical needs. • Conducts standardized health risk appraisals (HRA) and applicable assessments, including verification of medical history and current health and wellness needs. • Meets daily production standards in terms of member outreach. • Utilizes web-based software system to document all assessments, activities and education provided. • Develops problem list and individualized care plan using program protocols based on the members needs and preferences. • Conducts telephonic education to promote self-management strategies for all applicable conditions. • 5-15% local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, including at least 1 year experience in a care management, medical or behavioral health setting, or equivalent combination of relevant education and experience. • Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master Social Worker (LMSW). If licensed, license must be active and unrestricted in state of practice. Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication - remains calm in high-pressure situations. • Ability to develop and maintain professional relationships with individuals. • Excellent time-management and prioritization skills, ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • 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 • Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Respiratory Therapist (RT) or Licensed Marriage and Family Therapist (LMFT). If licensed, license must be active and unrestricted in state of practice. 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