Molina Healthcare jobs in Miami, FL - 1458 jobs

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims in a call center environment. - Respond to inbound calls to provide support for provider claims adjudication activities including responding to provider to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. - 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. - 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 re-adjudicates high volumes of claims in a timely manner. - Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. - Meets claims department quality and production standards. - Supports claims department initiatives to improve overall claims function efficiency. - Completes basic claims projects as assigned. **Required Qualifications** - At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. - Research and data analysis skills. - Organizational skills and attention to detail. -Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

General Summary: Under a collaborative agreement with a physician, provides patient care and education to assigned caseload of patients in accordance with established practice guidelines. Essential Job Responsibilities: Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources. Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement. Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner. Provide physician assistant services to patients as directed by the physician?s patient care plan and supervised by the physician Ensure completion of all required documentation of patient care activities in accordance with TPR policy. Fulfill all duties assigned by physician Reports to the attending physician of any injuries or adverse reactions during or after treatment Participates in patient review conferences and staffing Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program Evaluation, Infection Control, Safety Committee activities Adhere to the established policies and procedures of Tenet Physician Resources Orders and interprets the results of laboratory tests as part of the physical examination and health management. Perform and oversee testing and other appropriate procedures. Conducts health teaching and counseling during the physical exam, as appropriate, enabling the client to make informed choices about health and treatment options. Provides consultative direction as needed for nursing, laboratory and clinic assistant staff. Orders medications. Other duties as assigned Education: Graduate of an approved and accredited Physician Assistant master?s program. Certification: Physician Assistant license to practice in the state. CPR Certified. DEA registration with state. ********** Employment practices will not be influenced or affected by an applicant?s or employee?s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship Per collaborative agreement

Specialization: Anesthesiology HCA Healthcare Anesthesia Services is looking for Anesthesiology Assistant who are passionate about high quality patient care and working with a collaborative group at HCA Florida University Hospital in Davie, FL. Full-Time and PRN opportunities available. Qualified Candidates/Opportunity Highlights: Team of 10 General Anesthesiologists, 14 APPs covering 9 sites of service Diverse mix of cases including General, GI, Obstetrics, Neuro, Complex Neuro/Spine and Bariatric. Ped experience desirable but not required. Pediatric Anesthesiologists on the team. Level III NICU. OB experience required. Additional $10K stipend offered. Neuro experience preferred. Additional $10K stipend offered. Schedule available is 4, 10s. Required Beeper Call: Second call- 1 week day and 1:4 weekends per month. Fri, 5:30p- 10:00p, Sat 7a-7p, Sun 7a-7p Incentive and Benefits Package: W-2, Employed position with HCA Healthcare Anesthesia Services $75,000 Start Date Bonus with a 3-year commitment and relocation assistance available Competitive compensation. Premium pay at $170/hr. if clinician works past agreed upon shift or picks-up extra. 2500 annual CME stipend Malpractice covered 100% (occurrence-based policy) 401(K) with Company match Time Away from Practice starting at 8 weeks frontloaded. Full Health and Wellness package including Medical, Dental, Vision, short-term/long-term disability, FSA, life insurance and more! Employee Stock Purchase Plan (ESPP) - 10% Discount HCA Florida University Hospital at Davie: 165-bed, private room facility, with infrastructure to accommodate more than 600 beds in the future $440 million state-of-the-art medical facility opened its doors November 2021 Located on the campus of Nova Southeastern University in Davie, Florida Equipped with spacious ORs and large private patient rooms Awards and recognition Reputation - U.S. Healthcare Reputation 800 Winner in 2025 Healthgrades Five-Star Recipient for Total Hip Replacement in 2025 Safe Sleep Hospital Gold Certified American College of Radiology - Mammographic Imaging Services Accreditation American College of Radiology - Computed Tomography Accreditation American College of Radiology - Breast Ultrasound Accreditation American College of Radiology - Ultrasound Accreditation Community: HCA Florida University Hospital is located in Davie, Florida. Davie is known for its unique blend of suburban tranquility, access to outdoor activities, and proximity to both Fort Lauderdale and Miami. Renowned for its western-themed district, equestrian lifestyle, and family-friendly atmosphere, offering a mix of rural charm and modern amenities

HCA Florida Mercy Hospital is seeking an Orthopedic Physician Assistant in Miami, Florida. Qualified Candidates: • Experience in Orthopedics • First Assist in Surgery • Spanish speaking is a plus Incentive/Benefit Package: • Competitive compensation • 401K

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Tenet Physician Resources, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note: Eligibility for benefits may vary by location and is determined by employment status The Practice Administrator is directly responsible for managing all administrative and operational functions associated with an assigned practice(s). This includes ensuring a smooth and efficient operation, inventory control, personnel management, patient relations, and patient flow, and may manage the facilities as well. The Practice Administrator will support the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Florida Physician Services through daily operations. Oversees the development and implementation of goals and objectives; develop and implement new office procedures as necessary to improve office flow and overall operations; and will provide recommendations and follow up actions to operational inefficiencies. * Manages practice(s) with an $14-$30 million dollar threshold and oversees over 25 or more full time employees; Oversees a Medical Director Program; or is establishing a new to market practice * Manages staffing by interviewing, conducting departmental orientation, and evaluating ensuring optimal staffing at all times * Assists the management of the market to work with physician leadership to identify new lines of business, additional streams of revenue, and new methods to mitigate costs * They oversees all medical operations, as well, including maintaining medical records, handling cash, deposits and billing, staff scheduling, and ordering medical equipment and supplies * Prepares reports and statistical summaries as requested by leadership * Implement programs and procedures to improve operations efficiency * Responsible for Meaningful Use compliance by all Providers * Assists with strategic planning and resource allocation * Reviews the operational budget and expenditures and works to ensure the practice stays within the budget parameters * Works to ensure that the site is in regulatory compliance with agencies such as OSHA, CLIA, * Medical, DHS and others as appropriate * Drives Corporate incentives; including Business Development and Revenue Cycle metrics * Communicates effectively to assigned physicians * Review and communicate practice financials on a monthly basis * Collaborate with operations counterparts regarding practice staffing and practice needs * Work with operation's leader and directors to achieve Key Performance Indicators (KPI) monthly * Works closely with the Director of Operations to ensure A/R is optimally liquidated, denials are minimized, refunds are issued, and customer service is conducted * Must have excellent customer service and people skills, as the position requires daily interaction with both patients and staff * Provides monthly reporting with recommendations or action plans. Education / Experience Include minimum education, technical training, and/or experience required to perform the job. * Associates Degree required; Bachelor's Degree preferred; Master's Degree a plus * At least 3 years of physician practice management experience required * Demonstrated knowledge of healthcare fiscal management and human resource management practices * Ability to apply policies and principles to solve everyday problems and deal with a variety of situations. * Healthcare background is strongly desirable * Proficiency in a windows environment with a working knowledge of Word, Outlook, * PowerPoint, Excel, and the Internet is required * Excellent project management skills. Ability to work on multiple projects simultaneously in a dynamic work environment while remaining customer focused; willingness to take ownership and drive a project to completion * Willingness to be flexible and adaptable in a complex, matrix environment * Ability to document reports involving multi-level corporate and operational issues and programs * Ability to perform complex financial analysis involving corporate financial reports, practice billing system, EMR, with familiarity with ICD-9, ICD-10, and CPT Codes #LI-JK1 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** - Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations. - Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. - Ensures that adequate staffing coverage is present at all times of operation. - Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. - Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis. - Participates, researches, and validates materials for both internal and external program audits. - Acts as liaison to internal and external customers to ensure prompt resolution of identified issues. - Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review. - Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures. - Participates in the daily workload of the department, performing Representative duties as needed. - Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership. - Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership. - Communicates effectively with practitioners and pharmacists. - Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs. - Assists with development of and maintenance of pharmacy policies and procedures - Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies. **Required Qualifications** - At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience. - Knowledge of prescription drug products, dosage forms and usage. - Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity. - Working knowledge of medical/pharmacy terminology - Excellent verbal and written communication skills. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Supervisory/leadership experience. - Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice. - Call center experience. - Managed care experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $55,706.51 - $80,464.96 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Become a part of our caring community and help us put health first** Join Humana as an IT Intern for Summer 2026 and play an integral role in driving innovation and digital transformation within a Fortune 50 healthcare company. Our 12-week internship program offers a unique opportunity to gain hands-on experience across a wide spectrum of technology domains, contributing to projects that directly impact the health and well-being of millions. As an IT Intern, you will collaborate with experienced technologists on initiatives that may include project management, agile development, software and cloud engineering, data science and analytics, user experience (UI/UX), machine learning, and cybersecurity. You will have the opportunity to leverage cutting-edge tools and methodologies to solve real-world challenges, develop new skills, and make a meaningful difference in healthcare technology. At Humana, your ideas and contributions matter-join us to build a healthier future while launching your IT career. The internship program is hosted in-person at Humana's Headquarters in Louisville, KY and our Technology hubs in Arlington, VA; Chicago, IL; Dallas, TX; and Fort Lauderdale, FL providing a rich experience of our corporate culture and direct mentorship from industry leaders. **Use your skills to make an impact** **Required Qualifications** + Must be available to work full-time, 40 hours per week, Monday-Fridayfor 12weeks from May 18 - August 7, 2026. + Must not require sponsorship to work in the United States now or in the future. + Must be a current full-time undergraduate or graduate student with an expected graduation date between December 2026 and Summer 2029. + Must be intellectually curious, flexible, as demonstrated through previous jobs, internships, and/or projects. + Must possess strong interpersonal, written, and oral communication skills. **Preferred Qualifications** + Be actively involved in on-campus and/or community activities. + Have a strong academic history, with a minimum 3.5 cumulative GPA. + Possess an interest in working in the healthcare industry. + Pursuing a Bachelor's or Master's degree in Computer Science, Computer Engineering, Information Technology, Computer Information Systems, Data Science, Cyber Security or related quantitativediscipline. + Completed introductory to intermediate technical courses, such as CS 101, MIS, Foundations of Computer Science, Fundamentals of CS, Intro courses, Data Structures, Algorithms, and Machine Learning. + Experience with technical tools, frameworks, and methodologiesincluding, but not limited to, C++, Java, HTML, SQL, C#, Python, Agile Framework, Project Management, Scrum Awareness, Data Science, Power BI, Salesforce, JavaScript, CSS, cloud technologies, web/mobile development,API development, and AI application. **What to expect during your 12-week internship program** **:** + Onboarding and Orientation + Working closely with seasoned leaders during your assigned project + Attending executive level presentations and developmental workshops + Strong support circle including direct leaders, program managers, and mentors + Access to training and development opportunities + Participation in intern-led committees including Hackathon, Yearbook, Volunteering, and more + Access to Network Resources Groups (NRGs) **Potential** **t** **eam** **p** **lacements** **i** **nclude:** + **CenterWell** **and** **Humana Military:** The CenterWell and Humana Military IT organizationprovides technology to support Humana's commitment of helping themillions of people we serve achieve their best health. TheCenterWell area supports senior-focusedprimary care, home health, and pharmacysegments, while the Humana Military area supportsmilitary communities.Teams work on projects ranging from secure health system integrations to the development of clinical support platforms and tools. Interns may contribute to enhancing care delivery systems, improving data interoperability, and optimizing patient and provider digital experiences. + **Digital & Growth:** Digital & Growth focuses on leveraging technology to drive member engagement, business expansion, and operational efficiency. The team develops and refines digital tools, mobile applications, and self-service portals that enhance the customer journey. Projects may include building new digital experiences, implementing marketing automation, or using analytics to inform business strategy. + **Enterprise AI:** The Enterprise Augmented Intelligence (AI) team is responsible for innovating and building reusable, human-centered AI capabilities, tools and services to support and mature Humana's data science community and its data science projects. This includes focusing on advancing the future of AI with innovations such as Natural Language Processing (NLP) and Conversational AI, driving the AI Center of Excellence (COE) and supporting high-priority business use cases, all with the purpose of helping individuals achieve their best health, enabling simpler care and membership growth for Humana. Interns may work on projects involving model development, data pipeline optimization, and AI-driven insights for clinical and business challenges. + **Enterprise Information Protection (EIP):** EIP is responsible for safeguarding Humana's data and technology assets. The team manages cybersecurity, risk management, and regulatory compliance through advanced technologies and best practices. Projects could include security monitoring and analytics, threat detection, vulnerability assessments, identity & access management, data protection, and building secure cloud architectures. + **Insurance:** The Insurance IT segment enables Humana's core insurance operations by developing and maintaining systems for claims processing, underwriting, policy administration, and member enrollment. Projects often focus on automating workflows, modernizing legacy platforms, AI chatbots and IVR, and enhancing data integrity to support efficient and accurate insurance services. + **Tech Strategy:** Tech Strategy shapes the vision and roadmap for Humana's technology landscape, ensuring alignment with business objectives and emerging trends. This team leads enterprise architecture, technology innovation, and strategic planning initiatives. Interns may assist with research on new technologies, participate in developing IT frameworks, and support the execution of enterprise-wide transformation projects. **_Humana does not provide visa sponsorship or support for OPT/CPT/J1 for this internship position._** **Scheduled Weekly Hours** 1 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $37,440 - $96,800 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. **About Us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

is incentive eligible. **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:Director of Facilities ManagementHCA Florida Aventura Hospital **Benefits** HCA Florida Aventura 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._** We are seeking a Director of Facilities Management 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** The Director of Facility Management (DFM) is responsible for optimizing the daily operations of the Facility Management department, for a facility between 200,000-500,000 square feet in size. In collaboration with the hospital executive team, Divisional Director of Facility Management and Regional Director of Engineering, the DFM is responsible for arranging maintenance schedules and projects, orchestrating personnel and contractors to complete building repairs and renovations, and maintaining inventory of infrastructure assets, maintenance tools, and supplies utilizing HCA Healthcare technology platforms. The DFM remains current and well-versed in federal and state regulatory code standards, and maintains the facility in a way that ensures the highest level of safety and compliance at all times. **What you will do in this role:** + Engages in strategic planning to achieve departmental goals. Executes strategic plans, routine maintenance programs, and special initiatives while supporting the vision/mission/values of the organization. + Fosters team development by instilling trust, delegating responsibilities, and motivating individuals to utilize knowledge, skills, and abilities to create a successful, engaged team environment. + Communicates and collaborates effectively with others from diverse backgrounds, skillsets, and talents, from technicians to corporate executives. + Exhibits organizational and problem-solving skills, independent judgement, and attention to detail. + Utilizes building science education, knowledge, and experience to ensure effective and energy-efficient operation of the facility, within the parameters of the departmental budget. + Demonstrates working knowledge of HVAC systems, steam systems, and normal and emergency electrical systems, emphasizing systems and components typically found in acute care facilities. + Assumes responsibility for the assignment and completion of work orders and preventative maintenance tasks using HCA Healthcare's CMMS. + Establishes work permitting and policy standards for facility staff and vendors to ensure compliance with federal and state work-safety guidelines (i.e. OSHA). + Assumes all responsibility for direct reports, including selection and hiring, scheduling, staff workload management, education and training opportunities, team building events, annual performance evaluations, conflict resolution, disciplinary action, and dismissal. + Identifies development opportunities or training needs of individual employees and teams. Provides coaching, feedback, and training to improve performance. + Mentors, trains, and develops managers and supervisors as part of HCA's Succession Planning program. + Executes the corporate-provided plan of succession, including development and training of the manager of facility management. + Manages components of regulatory compliance pertaining to Environment of Care, Life Safety Code, and Emergency Management. + Maintains all relevant regulatory compliance documentation utilizing HCA Healthcare Engineering technology platforms. + Conducts regular maintenance, inspection, and testing of Life Safety systems. Ensures Life Safety plans are up to date. + Creates and maintains facility Emergency Management plans. Conducts and evaluates emergency preparedness drills. + Mitigates risks by implementing Interim Life Safety Measures (ILSM) and Infection Control Risk Assessment (ICRA). + Participates in the Environment of Care committee. + Demonstrates an extensive knowledge of Joint Commission, CMS, OSHA, and other Federal and State regulatory agency standards. + Perform other duties as assigned Education and Experience: + High School Diploma or GED Required + Bachelor's Degree Preferred + 1 or more years in a hospital or acute setting required + Hospital Incident Command System (HICS) Training Required + Certified Healthcare Facility Manager (CHFM) within 3 years of Hire Date HealthTrust Supply Chain (*************************** is a critical part of HCA Healthcare's strategy. Our focus is to **improve performance** and reduce costs. We do this by joining non-clinical and administrative functions. HealthTrust Supply Chain best practice methodologies. We develop, apply and monitor **cost-efficient initiatives** and programs for HCA Healthcare. By improving facility efficiency, medical professionals can focus on our mission - patient care. 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 Director of Facilities Management 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.

may be eligible for a Sign-On Bonus.** ***Weekends Only.** **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:Ultrasound TechnologistHCA Florida Kendall Hospital **Benefits** HCA Florida Kendall 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._** We are seeking a(an) Ultrasound Technologist 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** As an Ultrasound Technologist, you will be responsible for performing a variety of diagnostic procedures using ultrasound imaging to detect and evaluate pathology. You will operate and adjust ultrasound equipment, ensure high-quality images are captured, and upload studies to PACS. In addition, you will support the daily operations of the Ultrasound Department, contributing to efficient workflow and high standards of patient care. **What qualifications you will need:** + Basic Cardiac Life Support must be obtained within 30 days of employment start date + (RDMS) Registered Diagnostic Medical Sonographer + Vocational School Graduate HCA Florida Kendall Hospital is located in west Miami-Dade County. Our acute care facility has 417-beds. Our services include trauma, burn, surgical, women's and children's services, behavioral health and diagnostic services. We have two full service free-standing ER facilities. HCA Florida Kendall Hospital has received the Distinguished Hospital Award for Overall Clinical Excellence from HealthGrades. This national recognition places us in the top 5% of hospitals for overall clinical quality. We are a Level I Adult and Pediatric Trauma Center certified by the Florida Department of Health. We are verified as a Level I Adult Trauma Center by the American College of Surgeons. The hospital is certified by the Joint Commission as a Thrombectomy-Capable Stroke Center. We are one of five American Burn Association's verified Burn Centers in the state. With six ACGME accredited Graduate Medical Education programs, we strive to be a leading community-based research hospital. Join our team at HCA Florida Kendall Hospital and experience a dynamic career. One that rewards clinical professionals for their commitment, provides growth opportunities. We encourage you to enjoy a healthy lifestyle outside of work in a diverse and friendly community. 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 Ultrasound Technologist 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.

Database Developer is responsible for the overall development, maintenance, and integrity of various reporting database. You will be responsible for testing, reviewing SQL queries, stored procedures and facilitating code reviews for improving and maintaining new and existing datasets. You will be required to collaboratively work with other infrastructure and business stakeholders to adhere to data governance and ensure system integrity. **Job Duties** + Responsible for integrity of data as utilized by the department + Develops framework for the automation of data processes across platforms. + Prepares data for use in reporting and business intelligence systems for internal and external stakeholders + Creates policies and procedures documenting the technical and business criteria underlying the use of data by the department + Ensures the propagation of Molina data management process for the department across functional units. This includes the collection of data, the sharing of data, and utilization of data across teams. + Conduct periodic code review + Ensure all database programs meet company and performance requirements + Keep abreast of new technology to keep our platform current + Conduct data analysis, Gap analysis, Root cause analysis and provide recommendations based on findings. **Job Qualifications** **REQUIRED EDUCATION** : Bachelor of Science (BSc) degree in Computer Science or relevant field. 4-5 years working in Data Development in in lieu of degree. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + Minimum of 2 years hands on **experience with SQL and database development, one of the BI analytics tool (Power BI, Tableau etc), MS Azure, Datalake, Databricks** + Minimum 2 years hands on experience using SSIS and SSRS. + Knowledge of software development and application program interface. + Ability to understand users' requirements and a strong problem-solving skillset. **PREFERRED EDUCATION** : Master of Science (MSc) degree in Computer Science or System Analysis. **JOB PROFILE** **PREFERRED EXPERIENCE** : + Minimum of 5 years hands on experience with SQL and database development. + Experience working in a **Medicare environment is highly preferred** . + Experience working with **Python is highly preferred.** To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,412 - $188,164 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides lead level support for medical records collection activities. Responsible for quality improvement activities including 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 (EMR) 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. - Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. - Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. - Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. - Participates in and prepares feedback for meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. **Required Qualifications** + At least 4 years of health care experience, including medical records support experience in a managed 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. + Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. + Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). + Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). + Proficiency with data analysis tools (e.g., Excel). + Excellent customer service and active listening skills. + Previous project coordination and/or process improvement experience. + 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. **Preferred Qualifications** - Registered Health Information Technician (RHIT). - Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

is incentive eligible. **Introduction** Do you want to join an organization that invests in you as a Human Resources Vice President? At HCA Florida Woodmont Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. **Benefits** HCA Florida Woodmont 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._** You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Human Resources Vice President like you to be a part of our team. **Job Summary and Qualifications** As Vice President of Human Resources you will provide strategic human resources and talent guidance to the executive team at HCA Woodmount Hospital. You will create the desired workplace culture which includes an engaged and productive workforce through HCA's policies, programs, and practices. What you will do in this role: + Manage the facility HR team to deliver strategic and operational HR support + Partner with the executive leadership team to understand and prioritize the critical business challenges + Deploy appropriate HR interventions in collaboration with appropriate Centers of Excellence + Work collaboratively with other Region HR heads, HR Centers of Excellence and HR Service Centers to provide feedback and improve enterprise-wide programs and services + Deploy talent and development programs You will drive local Employee & Community engagement efforts + Partner to support business performance, quality and patient care initiatives What you should have for this role: + Bachelor's degree is required + Master's Degree preferred + 7+ years of relevant work experience in a facility size 700-1400 is required + PHR or SPHR preferred **Human Resources Group** empowers our people to grow and **give purpose** to the HCA Healthcare culture. We deliver our Human Resource model in three sectors: HR Business Partners, HR Shared Operations and HR Centers of Excellence. HR Business Partner teams are **critical to the success** of our HR delivery model. We drive performance to **achieve successful results** to better care for our patients, communities and each other. 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. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Human Resources Vice President opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

**Introduction** **This posting is for Galen College of Nursing students only to apply for HCA Nurse Externships.** (If you are attending another college of nursing, please, return to the website for alternate Nurse Extern postings). Do you have the PRN career opportunities as a Nurse Extern you want with your current employer? We have an exciting opportunity for you to join HCA East Florida Division which is part of the nation's leading provider of healthcare services. HCA East Florida Division encompasses 14 different hospitals. Speak with a Recruiter to see which one may be best for you! **Benefits** HCA Florida offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and family building benefits through Progyny + Free counseling services and resources for emotional, physical and financial wellbeing + Family support, including adoption assistance, child and elder care resources and consumer discounts + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan + Retirement readiness and rollover services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Learn more about Employee Benefits (************************************************************************** **_Note: Eligibility for benefits may vary by location._** Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Nurse Extern PRN for Galen Students only 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** Keeping patient areas clean and safe by following infection prevention practices, managing equipment, and maintaining an organized environment + The Nurse Extern delivers high quality, patient-centered care by performing a variety of delegated basic patient care services related to common nursing functions and activities of daily living. Under the supervision of the registered nurse (RN), the Nurse Extern assists the nursing staff in providing patient care in accordance with the Nurse Extern's skills/training and the needs of the Department and consistently assists the patient care team with maintaining a clean, well-organized, and safe patient care environment. The Nurse Extern is currently enrolled and in good standing in an accredited school of nursing and can perform higher-level procedures once competency is achieved. + Providing essential care for patients by helping with ADLs (Activities of Daily Living), checking vital signs, supporting mobility, and ensuring comfort and hygiene + Performing nursing tasks like wound care, catheter care, collecting specimens, and other basic procedures as you gain experience and grow in your competency + Documenting care accurately and communicating timely updates with the nursing team to keep patient care seamless and coordinated + Helping patients and families understand their care plans and offering guidance for their health and recovery + Keeping patient areas clean and safe by following infection prevention practices, managing equipment, and maintaining an organized environment + Championing your growth and enhancing patient care by engaging in learning opportunities, sharing ideas to improve care, and partnering with your supervisor or preceptor to build your personal career development plan **What qualifications you will need:** + Currently enrolled and in good standing in the Galen College of Nursing program and in nursing fundamentals or beyond - Required + 1+ years of nursing school completed - Preferred + Basic Cardiac Life Support must be obtained within 30 days of employment start date 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 Nurse Extern PRN for Galen Students only 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

**Introduction** Do you have the career opportunities as a(an) Mental Health Technician you want with your current employer? We have an exciting opportunity for you to join HCA Florida Aventura Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HCA Florida Aventura Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Mental Health Technician 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 Mental Health Technician, you will perform specific non-licensed or non-professional duties of patient care under the supervision of the Registered Nurse. You will provide direct patient care while effectively and therapeutically interacting with patients, significant others and other health care team members while delivering care to an assigned group of patients under supervision. The Mental Health Technician adheres to regulatory and patient care standards related to the delivery of patient care. Tasks and Responsibilities, you will: -Completes daily room searches and removes contraband items found. -Consistently completes Q15 minutes patient safety rounds and communicates findings and changes to the Registered Nurse. -Accurately communicates patient safety information such as known allergies, history of falls, risk for skin breakdown, risk of injury to self or others, and other key information to promote a safe environment. -Respond to psychiatric emergencies throughout the hospital. -Manages patients in a responsible manner to meet their safety, comfort and hygiene needs. **What qualifications you will need:** + High School/GED + Basic Cardiac Life Support must be obtained within 30 days of employment start date + Nonviolent Crisis Intervention must be obtained within 30 days of employment start date + Other-Fingerprint Required No Travel Required 1 years experience Required Years of Experience HCA Florida Aventura Hospital is 467-bed hospital. We are a fully accredited medical surgery hospital. We leverage the latest technologies and treatment protocols to meet healthcare needs. HCA Florida Aventura Hospital is designated a Level II Trauma Center. This is awarded by the Florida Department of Health. We are certified as a Thrombectomy-Capable Stroke Center by the Joint Commission. Always offering the best for our patients. Aventura's Comprehensive Community Cancer Program is accredited by the American College of Surgeons Commission on Cancer. Knowledgeably treating patience with urgency. We are an American College of Radiology accredited Breast Imaging Center of Excellence. We take screenings seriously. Located in luxurious South Florida, our community offers an exceptional lifestyle. Our neighborhoods are surrounded by world-class culture and entertainment. With a prime location, you'll enjoy easy access to the very best South Florida has to offer. Achieve your career and lifestyle goals with us. 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 Mental Health Technician opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each database, validating data to be housed on databases, and ensuing adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. **Essential Job Duties** - Analyzes and interprets data to determine appropriate configuration changes. - Accurately interprets specific state and/or federal benefits, in addition to other business requirements, and converts terms to configuration parameters. - Manages coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables in the user interface. - Applies experience and knowledge to research and resolve claim/encounter issues and pended claims, and updates system(s) as necessary. - Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems. - Participates in defect resolution for assigned component(s). - Participates in the implementation and conversion of new and existing health plans. - Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans. - Assists with development of configuration standards and best practices, and suggests improvement processes to ensure systems are working efficiently and enhance quality. - Creates reporting tools to enhance communication on configuration updates and initiatives. - Negotiates expected configuration information management completion dates with health plans. - Collaborates with internal and external stakeholders to understand business objectives and processes. - Solutions with health plans and corporate functions to ensure all end-to-end business requirements have been documented. - Assists leadership in establishing standards, guidelines, and best practices for the configuration information management team. - Represents as a departmental configuration information management subject matter expert. - Supports various department-wide configuration information management projects. - Provides training and support to new and existing configuration information management team members, including configuration functionality, enhancements and updates - Manages fluctuating volumes of work, and prioritizes work to meet deadlines and needs of the configuration department and user community. **Required Qualifications** - At least 5 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs, or equivalent combination of relevant education and experience. - Advanced experience using a claims processing system. - Advanced experienced verifying documentation related to updates/changes within a claims processing system. - Advanced experience validating and confirming information related to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements. - Analytical and critical-thinking skills. - Flexibility to meet changing business requirements, and commitment to high-quality/on-time delivery - High attention to detail. - Effective verbal and written communication skills. - Microsoft Office suite proficiency, including intermediate to advanced Excel abilities (VLOOKUP/Pivot Tables, etc.), and applicable software programs proficiency. \#PJCore To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $66,456 - $129,590 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Introduction Do you want to join an organization that invests in you as a(an) Risk Management Coordinator? At HCA Florida Aventura Hospital, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. Benefits HCA Florida Aventura 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. You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Risk Management Coordinator like you to be a part of our team. Job Summary and Qualifications The Risk Management Coordinator is responsible for identification, investigation, analysis and evaluation of risks and the selection of the most advantageous method of correcting, reducing, or eliminating identifiable risk. The Risk Management Coordinator has a general knowledge of facility insurance programs, managing claims against the facility, interfacing with defense counsel, conducting risk management educational programs, complying with risk management related standards (e.g., the Joint Commission and other accrediting and regulatory agencies) with the objective of enhancing and promoting patient safety and quality care. This position requires a thorough knowledge of hospital office procedures and knowledge of departmental/hospital policies and procedures. Frequent interactive contact is required with department directors, members of the medical staff, employees, patients, families, and outside professionals. The position requires the ability to articulately communicate a wide variety of legal, medical, and business subjects as they relate to enterprise risk management with tact and diplomacy. What qualifications you will need: * Bachelor degree preferred * Healthcare professional, preferably RN or clinical background preferred * One or more years of previous experience in risk management, legal or insurance related field, or performance improvement * Florida Licensed Risk Manager recommended * Certified Professional in Healthcare Risk Management (CPHRM) desired HCA Florida Aventura Hospital is 467-bed hospital. We are a fully accredited medical surgery hospital. We leverage the latest technologies and treatment protocols to meet healthcare needs. HCA Florida Aventura Hospital is designated a Level II Trauma Center. This is awarded by the Florida Department of Health. We are certified as a Thrombectomy-Capable Stroke Center by the Joint Commission. Always offering the best for our patients. Aventura's Comprehensive Community Cancer Program is accredited by the American College of Surgeons Commission on Cancer. Knowledgeably treating patience with urgency. We are an American College of Radiology accredited Breast Imaging Center of Excellence. We take screenings seriously. Located in luxurious South Florida, our community offers an exceptional lifestyle. Our neighborhoods are surrounded by world-class culture and entertainment. With a prime location, youll enjoy easy access to the very best South Florida has to offer. Achieve your career and lifestyle goals with us. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Risk Management Coordinator opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

The Strategy Advancement Director is responsible for advancing Molina's growth strategy and positioning the company for success in Medicaid, CHIP, DSNP, and Marketplace procurements. Reporting to the Vice President, Business Development, this position plays a pivotal role in the pre-RFP and procurement phases, guiding and organizing the project, ensuring deliverables are met, conducting research, tracking Business Development and/or Health Plan steps and projects, owning the governance structure for every opportunity, pulling together all the supporting team activities and pieces and connecting the dots between winning strategy and the relationships and partnerships developed by the VP, Business Development. This role requires a deep understanding of Medicaid programs, the regulatory environment, and the unique challenges of populations (i.e. TANF, ABD, DSNP, Foster Care, and DD/IDD). The Strategy Advancement Director works collaboratively across departments, including Product Development, Business Development, and Health Plans, to ensure that strategic initiatives align with state-specific priorities and are positioned for success in competitive procurements. The Director partners with the VP Market Development to provide thought leadership and subject matter expertise, identifying trends, providing insights, and continuously innovating to strengthen Molina's market position. **Job Duties** + Strategy Development & Innovation + Collaborate on the development of state-specific strategies aligned with state priorities, procurement objectives, and evolving Medicaid needs. Translate state regulatory requirements into actionable go-to-market strategies that are innovative and differentiate Molina in competitive procurements + Collaborate with Product Development, Health Plan leaders, Growth Leaders and cross-functional teams to support integration of innovative care models, operational efficiencies, and value-based care solutions tailored to the unique needs of market specific Medicaid populations, especially high-risk or vulnerable groups such as dual-eligible members, foster care, and ABD + Conduct market research, analyze industry trends, and monitor competitor activities to identify innovation opportunities. Propose solutions that address Medicaid ecosystem pain points and enhance Molina's value proposition + Use insights from market research and competitive analysis to stay informed on state Medicaid trends, regulatory changes, and market conditions, and to guide strategic adjustments and future market positioning + Drive the development of win themes and strategy recommendations that align with state priorities, competitive dynamics, and the latest Medicaid trends, positioning Molina as a leader in Medicaid managed care + Track regulatory compliance and address any operational concerns or state-specific issues identified during the pre-procurement phase. Escalate issues when necessary and work to resolve them proactively + Market Development and Strategy Execution + Collaborate on the development of pre-RFP strategy and market readiness, creating and tracking playbooks, plans, and deliverables for Molina's strategy two to three years before RFP release. Ensure alignment with organizational goals and state requirements by collaborating with Market VPs, AVPs, and stakeholders + Identify and engage in thought leadership opportunities by representing Molina at state and national Medicaid conferences, industry forums, and other key events that enhance Molina's brand and expertise in Medicaid care delivery + Stakeholder Engagement & Thought Leadership + Support and track the development of relationships with state agencies, legislative leaders, regulatory bodies, and community organizations to enhance Molina's reputation and strengthen partnerships that could influence procurement outcomes + Represent Molina in strategic discussions with external partners and internal leadership, ensuring clear communication of strategy, innovation, and value propositions + Collaborate with internal stakeholders to influence thought leadership materials and content that showcase Molina's innovative approaches to Medicaid, particularly in high-needs areas like DSNP, ABD, and complex populations + Proposal Support & Competitive Differentiation + Serve as an expert on the pre-procurement process for the proposal team and closely collaborate with the Proposal Director to ensure consistency between market strategy, capture strategy and proposal content. Collaborate with the Proposal Director to ensure consistency between market strategy and RFP content + Track and support the execution of win strategy and strategic recommendations being incorporated throughout the proposal, ensuring Molina's proposals are differentiated and align with state-specific priorities and the competitive landscape + Actively participate in blue, pink, and red team reviews, providing strategic feedback to ensure proposal materials effectively communicate Molina's competitive advantages and compliance with RFP requirements + Support orals preparation, working across matrix partners to refine materials and messaging for presentations to state agencies + Operational Excellence & Cross-Functional Coordination + Use tools (i.e. Salesforce) to document market intelligence, track engagement activities, and share insights across departments. Ensure that data-driven insights are leveraged in proposal content development and strategic planning + Collaborate with the Growth Strategy, Competitive Intelligence and other stakeholders to leverage the competitive intelligence repository that informs decision-making and provides a strategic edge in Medicaid procurements + Develop project plans and roadmaps to guide the timely execution of pre-RFP and procurement activities, ensuring effective collaboration and alignment across functional teams + Facilitate cross-functional coordination for market entry, retention, and development strategies, ensuring that all teams are aligned and executing efficiently + Supports the VP Business Development as a SME during the "warranty period" post award through implementation to the IMO and health plan leadership + Mentorship & Team Development + Mentor junior staff and interns within the Business Development teams, fostering skills in strategic thinking, market research, and pre-procurement planning + Participate in business development activities on an ad-hoc basis, contributing to team knowledge and providing strategic insights to senior leadership + 50% or more Travel required **Job Qualifications** **REQUIRED QUALIFICATIONS:** + Bachelor's degree in business, Public Policy, Healthcare Administration or a related field or equivalent combination of education and experience + 7 years in market strategy, business development, or healthcare consulting, specifically within Medicaid managed care or equivalent related field + Proven experience in pre-RFP strategy development, with a strong understanding of Medicaid programs, including TANF, ABD, DSNP, and CHIP populations + Demonstrated ability to drive innovative solutions in the Medicaid space, leveraging market research and industry trends to inform strategic decisions + Experience with Salesforce or similar tools to track market insights, engagement activities, and manage data + Strong experience in stakeholder engagement, particularly with state Medicaid agencies, regulatory bodies, and community-based organizations + Advanced proficiency in Microsoft Office tools (Excel, PowerPoint, Word), including for strategy development, data analysis, and presentation creation **PREFERRED QUALIFICATIONS:** + Master's degree (MBA, MPH, MPA) in business, public policy, or healthcare administration + 7+ years in business development and Medicaid procurements, particularly with complex populations (e.g., DD/IDD, Foster Care, Dual-Eligible Members) + Experience with Salesforce or similar tools to track market insights, engagement activities, and manage data + Conference management experience and participation in industry forums To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $107,028 - $208,705 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**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) Pathology Assistant PRN today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** Come join our team as a(an) Pathology Assistant 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** Responsible for the organization of and efficiency of workflow processes in the frozen section and gross examination areas. + Work closely with on-site Pathologists in determining grossing priorities. + Take instruction from on-site Pathologists with respect to grossing technique and quality assessment. + Confer with and share with other HCA pathologist assistant's relevant information that would facilitate productivity and expand knowledge base. + Triage specimen received from surgery; dictate gross findings on selected specimen using appropriate terminology; refer tissue sections for microscopic review by Pathologist or Resident. + Select and identify tissue for microscopic study; determine proper fixative solutions in which tissue will be maintained. + Perform specialized procedures such as frozen sections and decalcification; maintain and coordinate specimen and records for specialized procedures using appropriate protocols; submit request for special histological procedures and special stains when appropriate. + Maintain records of surgical pathology specimen dissections and dictation; assist in the compilation of reports for surgical pathology; label and store gross tissue specimen. + Photograph specimen samples as appropriate for use in instruction and documentation. Perform photo microscopy on cases considered for interdepartmental conferences or for teaching purposes; maintain complete and accurate records of all gross and microscopic photographs. + Perform other related duties incidental to the work described herein. + Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement". Last Update: February 2020 EDUCATION: + Bachelor's degree required; + Masters preferred.EXPERIENCE: + Minimum three to five years' experience in a pathology histology laboratory setting.CERTIFICATION/LICENSE + Certification by the American Society of Clinical Pathologists preferred + 3-5 years grossing experience in a hospital setting accepted in lieu of ASCP Certification or Master's degree Physician Services Group (*********************************************************** is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare's graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Pathology Assistant 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.

**Introduction** Do you want to join an organization that invests in you as a Collections Specialist? At Surgery Ventures, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. **Benefits** Surgery Ventures offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Collections Specialist like you to be a part of our team. **Job Summary and Qualifications** As the Collections Specialist, you will contribute to the company's mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. **What you will do in this role:** + You will perform follow up activities on accounts to ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + You will update the patient account record to identify actions taken + You will assign bad debt accounts to the collection agency + You will act as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid) + You will complete account reconciliation of accounts turned over to outside agencies + You will negotiate payment plans on self-pay accounts + You are responsible for maintaining accounts receivable and creating a reduction in bad debt **Qualifications you will need:** + Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Collections Specialist opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.