Operations Manager jobs at Molina Healthcare

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information and identifies opportunities to improve our member and provider experiences. KNOWLEDGE/SKILLS/ABILITIES Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations. Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. Ensures compliance with Contractual and Regulatory requirements. Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. Achieves individual performance goals as it relates to call center objectives. Demonstrates personal responsibility and accountability and leads by example through individual performance. Support projects and special initiatives as appropriate. JOB QUALIFICATIONS Required Education Associate degree or equivalent combination of education and experience Required Experience 3-5 years' experience in a call center environment 1-2 years supervisory experience Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. The Manager, Field Reimbursement Services is responsible for leading a team of field-based reimbursement managers and day to day operations of a field reimbursement program sourced to McKesson by a pharmaceutical manufacturer client. The primary objective for the Manager, Field Reimbursement role is to hire, develop, coach, evaluate, culture-build and lead the reimbursement team, allowing them to successfully engage specialty physician offices and support the manufacturer customer. Additional responsibilities include the overall management of program operations including, but not limited to, staffing, profitability, standard operating procedures, process design, process implementation and process improvements. The position will monitor client SLA agreements to ensure compliance, making staffing and process changes if SLA is not being met. The supervisory guidance includes a nation-wide team of remote-based direct reports requiring monitoring activity, performance development and extensive travel for in-person training and ride-a-longs. Finally, this role will regularly interact with members throughout the Client's organization, primarily with the Client's head of Reimbursement Operations, while also acting as a liaison within McKesson representing the field-based reimbursement team to Client Services, Information Systems, Business Analyst's, Quality Assurance and Training to achieve synergy of processes, training, efficiency and ultimately, customer satisfaction. Key Responsibilities: Leadership of a team of field-based reimbursement specialists who are responsible for providing in-office reimbursement and patient support services in an assigned territory. Responsible for all administrative, training and performance management duties associated with team leadership. This includes weekly 1:1 meeting with FRMs, weekly FRM team meetings, and conducting monthly check - ins, quarterly performance surveys, and monthly QA audits of FRM activity. The field-based reimbursement team is an extension of the McKesson-operated reimbursement and patient-support services operated on behalf of the Client. The role is responsible for the effective communication and partnership between the field team and their home office counterparts. This includes establishing weekly meetings with client and operations team to ensure consistency in expectations and two - way communication. Disseminating client direction across remote team, leadership of regular team teleconferences and quarterly ride-a-longs with individual team members for on-going training and development. Responsible for providing Field Operations efficiencies and overall innovative ideas to enhance Field Reimbursement Program as a whole. Not only provide ideas but also execute on Field Operation projects. Manager is responsible for completing and execution of projects assigned. Ensuring that all SLA and other contractual commitments are met. Responsible for team's adherence to all applicable privacy and compliance obligations. SLAs and adherence are established in the Rules of Engagement document and vary by client. Activity is measured in FRM SFDC to ensure adherence and SLA expectations are met. Works in tandem with Client's Head of Reimbursement Operations ensuring the execution of Client's strategic initiatives. Managerial oversight of day-to-day team activities and reporting of results to McKesson Client Services and key Client Contacts. Manager will partner with the Sr. Manager to establish and produce the reports that the Client will receive each month and quarter. Manages client expectations regarding delivery of services and provides customer with proactive consultative services on process improvement, revenue generating & cost saving opportunities. These can be evaluated based on FRM SFDC reporting, operations reporting, and client satisfaction each quarter. Assists in preparation of and participates in Quarterly Business Reviews to the client on the state of their business and outlines opportunities for enhancement, growth, efficiency, etc. Manager is responsible for FRM Development. Manager partner with FRM to establish a minimum of two development opportunities to assist in career path. In addition, the manager will provide ongoing training and educational opportunities that compliment Field Reimbursement role. This can include but not limited to payer education, conferences, mentorships, billing and coding and My Learning courses selected by Manager. Minimum Job Qualifications (Knowledge, Skills & Abilities) 6+ years of reimbursement experience and 2+ years of supervisory experience 4-year degree in related field or equivalent experience Critical Requirements: Experience supporting a Field Reimbursement Team preferred Experience managing a field-based team, with management of a field-based reimbursement team strongly preferred. Proven account management/client management experience, preferably in a pharmacy or healthcare related industry. Proven experience in direct communication with pharmaceutical clients or stakeholders. Specialized Knowledge/Skills: Collaborative, customer focused, and able to create visible value to client and within the organization. Ability to develop strong team relationships and bring individuals together to focus on team goals. Proven ability to handle multiple projects toward effective solutions and according to budget and timelines Detailed understanding and experience with process documentation and improvement. Experience with Microsoft Office Suite Excellent verbal and written communication skills Working Conditions: General Office Demands - Remote, WFH Travel Requirements Must be able to travel 60-80% (3-4 days a week) via automobile or plane. Must have a valid driver's license with a clean driving record/ MVR. Physical Requirements: Possible long periods of sitting and/or keyboard work. We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $79,500 - $132,500 McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the development and evolution of the overall strategy for Physician Services Group (PSG) Coding Operations. The RCOM is responsible for oversight of all PSG coding operational processes and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division relationship management as applicable. The RCOM assists the Regional Coding Operations Director with the oversight and implementation of Coding Operations operational planning, service commitment, budgets, workflow processes and internal controls. As the RCOM, this person serves as a key promoter of Coding Operations and is responsible for setting the tone of Coding Operations as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. ***This position is considered Work from Home and will support our practices in the Fort Lauderdale and Miami markets. This leader **must be based in the Miami, Fort Lauderdale or surrounding areas** or be willing to relocate to the area in order to support our practices across the division. *** Job Summary and Qualifications + Provides coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business case expectations and operational metrics to ensure that financial and operational risks are properly managed. + Works with the division operations team and CCU team on practice implementation/acquisition activities and projects. + Leads key communication efforts with practice staff, providers, and Division Leadership. + Provides direction and guidance to the practice management and Division Leadership teams to ensure accurate and efficient coding processes. + PSG Coding Operations works with Central Coding Unit (CCU) to identify and resolve issues. + Works collaboratively with each practice and division leadership team to ensure customer satisfaction and efficient coding work processes. + Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.). + Assumes a lead role for innovation, knowledge sharing and leading best practice identification. + Manages coding education for practice management and practice/division staff. + Contributes to the development of strategic direction for Coding Operations. + Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement". + Must be willing to be present within physician practices daily to include minimal overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC ) credential or Certified Professional Coder - Hospital (CPC-H ) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. + Experience leading large organizations preferred. **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._ Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Regional Coding Operations Manager WFH 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! 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. "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 Regional Coding Operations Manager WFH 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.

Tenet Healthcare has an immediate opening for a Manager, Hospital Regulatory and Accreditation to support the enterprise. This position will require a high percentage of nationwide travel. Manager, Regulatory and Accreditation is responsible for assessing, developing, educating, implementing, monitoring, and leading the Tenet Regulatory and Accreditation activities within the company. This includes preparation and survey readiness. The position develops and implements processes for current safe practices in Tenet. The Manager, Regulatory and Accreditation work closely with other corporate departments, groups, and facilities for collaboration and synergy around identified priorities. Develops, educates, implements, monitors, and leads, Tenet and USPI, regulatory requirements and accreditation standards, goals, and targets through collaboration with corporate departments and the Sr. Director, Regulatory and Accreditation Is a leader for the Clinical Operations Department in the formulation of Tenet and USPI regulatory and accreditation related goals and targets. Assists with the development of the Tenet and USPI strategy and tactics for regulatory and accreditation preparation and successful surveys Conducts on-site facility surveys Provides leadership and expertise in methods of performance improvement. Coordinates and collaborates with organizational leaders on activities related to the development, implementation, improvement of and adherence to the organization's policies and procedures covering the scope of regulatory requirements and accreditation standards Supports preparation for surveys (i.e., CMS, TJC, State,) Supports the formulation of responses [plans of correction] from surveyors, electronic communication, or third-party payers under the direction of the Sr. Director of Regulatory and Accreditation Remains current concerning industry-wide, leading practices Demonstrates ethical behavior in decision-making, performance of job responsibilities while maintaining confidentiality regarding patient information, quality, performance, and peer review information. Develops policies and procedures for areas of responsibility. Develops methods, tools, and other resources for regulatory and accreditation preparedness and sustainment. Develops and presents educational material to various audiences based on identified or trending regulatory and accreditation issues. Minimum education, training and background for the successful candidate include: Required: Registered Nurse with advanced degree in relevant field plus five years of regulatory, accreditation, and performance improvement experience or Advanced degree in a health-related field (Masters) with five years of relevant regulatory, accreditation, and performance improvement experience. A minimum of 75% national travel annually is a requirement. Selected candidate will be required to pass Motor Vehicle Record check and maintain valid driver's license. Experience leading interdisciplinary initiatives in process improvement and directly with improving reliability of healthcare delivery at the point of care. Functional knowledge of TJC, CMS COP's, and other federal and state requirements regulatory standards. Relevant experience in healthcare/clinical setting. Strong organizational, written, communication, and presentation skills. REQUIRED CERTIFICATION: Certified Joint Commission Professional (CJCP) or Certified Professional Healthcare Quality (CPHQ) within twelve months of hire date. SKILLS, KNOWLEDGE, AND ABILITIES: Skilled at developing and conducting educational presentations. Adept at developing methods, tools, reports, data aggregation and conducting regulatory and operational surveys for USPI facilities, including the review of regulatory requirements and accreditation standards and Conditions of Participation. Prepares written reports of clinical and operational survey findings. Skilled in developing corrective action plans, provide educational programs, monitor implementation of action plan and other oversight activities through follow-up visits to facilities as needed, and provide guidance on regulatory and accreditation communications as needed. Expert on regulatory requirements and accreditation standards, preparation activities, and success with surveys. Knowledgeable in the areas of peer review, risk management, patient safety, infection control prevention and reporting Polished communicator (written, verbal and presentation skills) with many levels of key stakeholders from the board level to the point of care staff. Expert with working, leading, following, coordinating, and managing activities to driving change within Tenet/USPI to achieve strategic initiatives for clinical/operational initiatives related to regulatory and accreditation. PRIMARY INFORMATION, TOOLS AND SYSTEMS USED: PC based Word and Excel spreadsheet programs Industry publications as they relate to Quality and other areas, as applicable, such as Safety, Risk Management, etc. Electronic Health Record eSRM (Risk Management System) Balanced Score Card / Clinical Operations Scorecard SharePoint AMP with Tracers Travel A minimum of 75% national travel annually is a requirement. Selected candidate will be required to pass Motor Vehicle Record check Compensation Pay: $114,192-$165,000 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Manager Time Off - 20 days per year Discretionary 401k match 10 paid holidays per year 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. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act. #LI-CM7

+ Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. + Provides product and service information and identifies opportunities to improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations. + Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. + Ensures compliance with Contractual and Regulatory requirements. + Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. + Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal responsibility and accountability and leads by example through individual performance. + Support projects and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required Experience** + 3-5 years' experience in a call center environment + 1-2 years supervisory experience **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $45,390 - $84,086 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

+ Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. + Provides product and service information and identifies opportunities to improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations. + Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. + Ensures compliance with Contractual and Regulatory requirements. + Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. + Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal responsibility and accountability and leads by example through individual performance. + Support projects and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required Experience** + 3-5 years' experience in a call center environment + 1-2 years supervisory experience **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $45,390 - $84,086 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

+ Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. + Provides product and service information and identifies opportunities to improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations. + Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. + Ensures compliance with Contractual and Regulatory requirements. + Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. + Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal responsibility and accountability and leads by example through individual performance. + Support projects and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required Experience** + 3-5 years' experience in a call center environment + 1-2 years supervisory experience **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $45,390 - $84,086 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

+ Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. + Provides product and service information and identifies opportunities to improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations. + Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. + Ensures compliance with Contractual and Regulatory requirements. + Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. + Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal responsibility and accountability and leads by example through individual performance. + Support projects and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required Experience** + 3-5 years' experience in a call center environment + 1-2 years supervisory experience **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $45,390 - $84,086 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

+ Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. + Provides product and service information and identifies opportunities to improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations. + Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. + Ensures compliance with Contractual and Regulatory requirements. + Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. + Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal responsibility and accountability and leads by example through individual performance. + Support projects and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required Experience** + 3-5 years' experience in a call center environment + 1-2 years supervisory experience **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $45,390 - $84,086 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. The Regional Corporate Coding Manager functions under the direction of the Director of Corporate Coding. Provides regional coding management oversight of coding operations for multiple Tenet Hospitals/Markets. Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding. Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard. In addition, the Regional Corporate Coding Manager ensures all facilities are properly staffed and productive in order to meet and sustain Tenet DNFC goal. Position will support Tenet corporate located in Texas. ESSENTIAL DUTIES AND RESPONSIBILITIES: * Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard. * Responsible for the scheduling of Coders, DNFC Specialists, Leads, and Coding Coordinators to ensure metrics for coder productivity and DNFC are met. * Responsible for ensuring coding team meets and maintains the Tenet standard for coding quality. Provides performance management/corrective action for productivity and quality to all direct reports. * Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding. * Attends facility DNFC/B meetings and reports on DNFC performance. Accountable for DNFC performance, reporting, and follow-up to leadership. Required: * Associates Degree in Health Information Management or associated healthcare field of study. * Minimum of four years of inpatient coding experience. * One year of coding leadership experience. * RHIT and/or CCS credential. * Thorough knowledge of ICD- 10-CM and ICD-10-PCS coding principles associated with Official Coding Guidelines and regulatory requirements. Working knowledge of disease processes, anatomy and physiology, pharmacology, and knowledge of DRG classification and reimbursement structure. * Effective written and verbal communication skills. * Experience with encoders and computerized abstracting systems. * Coding proficiency demonstrated by successful completion of Tenet coding exercise. * Organizational skills for initiation and maintenance of efficient workflow. * Capacity to work independently. Preferred: * Bachelor's Degree in Health Information Management or associated healthcare field of study. * Five or more years of inpatient coding experience. * Five or more years of directly leading large coding teams in a complex health system. * RHIA and CCS Compensation * Pay: $85,280-$135,000 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, life, AD&D and business travel insurance * Manager Time Off - 20 days per year * Discretionary 401k match * 10 paid holidays per year * 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. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act #LI-CM7 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. **********

The Regional Corporate Coding Manager functions under the direction of the Director of Corporate Coding. Provides regional coding management oversight of coding operations for multiple Tenet Hospitals/Markets. Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding. Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard. In addition, the Regional Corporate Coding Manager ensures all facilities are properly staffed and productive in order to meet and sustain Tenet DNFC goal. Position will support Tenet corporate located in Texas. ESSENTIAL DUTIES AND RESPONSIBILITIES: Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard. Responsible for the scheduling of Coders, DNFC Specialists, Leads, and Coding Coordinators to ensure metrics for coder productivity and DNFC are met. Responsible for ensuring coding team meets and maintains the Tenet standard for coding quality. Provides performance management/corrective action for productivity and quality to all direct reports. Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding. Attends facility DNFC/B meetings and reports on DNFC performance. Accountable for DNFC performance, reporting, and follow-up to leadership. Required: Associates Degree in Health Information Management or associated healthcare field of study. Minimum of four years of inpatient coding experience. One year of coding leadership experience. RHIT and/or CCS credential. Thorough knowledge of ICD- 10-CM and ICD-10-PCS coding principles associated with Official Coding Guidelines and regulatory requirements. Working knowledge of disease processes, anatomy and physiology, pharmacology, and knowledge of DRG classification and reimbursement structure. Effective written and verbal communication skills. Experience with encoders and computerized abstracting systems. Coding proficiency demonstrated by successful completion of Tenet coding exercise. Organizational skills for initiation and maintenance of efficient workflow. Capacity to work independently. Preferred: Bachelor's Degree in Health Information Management or associated healthcare field of study. Five or more years of inpatient coding experience. Five or more years of directly leading large coding teams in a complex health system. RHIA and CCS Compensation Pay: $85,280-$135,000 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Manager Time Off - 20 days per year Discretionary 401k match 10 paid holidays per year 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. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act #LI-CM7

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Hybrid role of working in-office and remote. Must reside in Iowa. Relocation assistance available Position Purpose: In partnership with the CMO, serve as a key stakeholder, decision maker, and catalyst, for all market level population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centene's Population Health mission at the market level. Provide strategic leadership for population health internally, as well as with providers, community organizations, advocacy groups, and applicable legislature. Understand the local healthcare landscape to look for key drivers & opportunities for innovative models targeting the Quadruple Aim. Understand the unique community health needs and the attributes of the populations served to drive development of programs and service. Uses analytics to identify key insights about the populations served and drive the development of the interventions to target unique populations. Oversees performance of all UM functions (prior authorization, concurrent review) for the market per the defined partnership agreement Orchestrates all elements of the population health strategy for the business Drives HBR initiatives locally through strong partnership and routine with Partners with MDs to translate the needs of the members into intentional clinical program design that delivers successful health outcomes Liaises with state regulators for clinical programs Coordinates quality initiatives (audits, star ratings, contract reviews, etc) and activate enterprise and local policies• Informs and executes against contracts (including provider contracts) - driving outcomes captured in contract and operationalizing locally Contributing member of enterprise and local committees Serves as an integral member of the executive leadership team, charged with delivering clinical solutions to evolving business needs Executes on standards and customizing per local requirements while partnering with the COEs to drive continuous improvement through governance and performance monitoring. Education/Experience: Bachelor's Degree with 5+ years of relevant experience required. Master's Degree preferred. Current state RN license preferred. Pay Range: $176,900.00 - $336,600.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Manage the implementation, maintenance and evaluation of organizational goals and strategies within the call center environment. Manage the daily operations of 24 hour, seven days a week call centers. Mentor subordinate site management in effective leadership and management skills. Serve internal and external customers through oversight of service delivery to exceed quality audit goals and successful and timely problem resolution. Mentor call center leadership towards optimal management practice and skill development as measured through performance evaluations and goals achievement. Build effective workforce through identification of key characteristics for call center roles; actively engage in recruiting activities, and active achievement of staff responsibilities. Ensure sufficient staffing to meet contractual, quality and compliance goals. Oversee planning and delivery of training and orientation of staff with resultant positive employee, member and client satisfaction scores. Develop, implement and monitor performance standards for staff as demonstrated by client and customer satisfaction and feedback, and achievement of quality monitoring and productivity goals. Serve as a liaison to internal and external customers to resolve client-based or contractual issues. Ensure development and implementation of unit and department work flows as evidence by increased efficiencies and decrease in concern trends. Accountable for fiscal management within budgetary parameters and effective allocation of resources within responsible call center. Administer policies and procedures and ensures compliance. Maintain and monitor compliance with regulatory standards as evidenced by successful site audits and adequate licensure coverage for lines of business Accountable for oversight of facilities', equipment and vendor agreements. Research and implement “best practices” in industry. Responsible for successful integration of acquisitions, programs, and new business as measured by customer and client feedback. Performs other duties as assigned Complies with all policies and standards Additional Job Description Ideal candidate will be able to work in central or mountain time zone with clinical license and prior experience in behavioral health. Additionally, we ideally seek an individual with 5 years of management experience and experience working within a crisis call center environment. Education/Experience: Bachelor's degree in Nursing or other related field. Certain programs may require a Master's degree in Social Work, Counseling, Psychology, Marriage and Family Therapy or Substance Abuse Counseling as alternative. Master's degree preferred. 5+ years of relevant clinical and administrative experience. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff. Call Center experience preferred. License/Certification: Must have one of the following: RN, Licensed Professional Counselor, Licensed Clinical Social Worker, Licensed Marriage and Family Therapist, Licensed Psychologist, or Licensed Independent Substance Abuse Counselor. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Leads the strategy and execution of technology solutions to support clinical operations, including but not limited to systems requirement gathering, monitoring and improvements. Oversees the implementation, integration, and ongoing support of clinical systems, as well as ensuring that technology effectively enables clinical staff to deliver high-quality care. Oversees and executes vision and roadmap in collaboration with clinical and technology leaders to drive enterprise-wide clinical technology initiatives and improvements. Partners with senior leaders to ensure successful product launch, execution, and support for technology solutions. Leads complex projects and technical innovation activities in collaboration with cross functional leaders in a matrixed environment. Leads the SME team who provides consultation and direct testing services for all technology initiatives and implementations. Partners with stakeholders to analyze system needs for all business operations functions, assist with system requirements, influences the design of integrated solutions, and develops integration strategies. Implements integration solutions within the operations space, ensure thorough testing to guarantee functionality and performance, and oversees deployment. Identifies and resolves issues related to system integration and provide technical support to end-users. Documents integration processes, workflows, and system configurations, and provides training to relevant personnel. Continuously monitors the performance of integrated systems, identifies areas for improvement, and optimizes system performance and reliability. In essence, the Operations and Systems Integration role is crucial for ensuring that different systems within an organization work together efficiently and effectively, supporting overall business objectives. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree required or equivalent experience required 7+ years Strong understanding of system architecture, integration technologies, and relevant programming languages required 6+ years Ability to analyze complex technical issues, troubleshoot problems, and develop effective solutions required. Excellent verbal and written communication skills to effectively collaborate with teams, stakeholders, and end-users required. Ability to manage integration projects, prioritize tasks, and meet deadlines required Adaptability to changing technologies and business needs required or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Pay Range: $223,200.00 - $422,900.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: The Project Manager supports the CMO of the Buckeye Community Health Plan and clinical leadership teams by coordinating, organizing, and driving cross-functional initiatives that enhance clinical operations and improve outcomes. This role ensures efficient project execution across multiple departments by facilitating communication, aligning stakeholders, and guiding projects from ideation through completion within a dynamic, matrixed environment. The Project Manager is expected to understand the clinical context of the work, strengthen communication across teams, maintain momentum on all assigned initiatives, and properly document and archive project activities and outcomes. Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure Facilitate communication across VP, Director, Manager, and Strategist-level stakeholders Ensure alignment between clinical priorities and project workflows Utilize corporate and industry standard project management tools and techniques to effectively manage projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives Promote collaboration across a dynamic, matrixed environment Provide functional and technical knowledge across multiple business and technical areas Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation Key Teams Supported You will collaborate with a broad range of cross-functional clinical and operational groups, including but not limited to: Care Coordination Utilization Management Population Health Quality Medical Affairs Health Equity Pharmacy Other provider- and member-facing teams You will also partner closely with our in-market Data Analytics team. Education/Experience: Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master's degree preferred. 4+ years of project management and implementation or program management experience. Proficient with MS Office applications and project management tools. Experience working with and leading diverse groups and matrix managed environments. License/Certification: PMP, PgMP, or CAPM preferred. This position is hybrid/remote with strong preference to candidates within the state of Ohio. In office expectation for local candidates monthly or as needed. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. The Vice President of Population Health & Health Outcomes is a senior leadership role responsible for developing and executing strategies that drive measurable improvements in member health. Reporting directly to the Chief Medical Officer, this leader will oversee a team of Directors and large cross-functional teams to ensure initiatives are strategically aligned, operationally executed, and continuously improved. This role is charged with assuring that the organization has a robust population health strategy that supports achievement of business goals, improves the current and future health of members, and aligns with the direction of Centene and the Ohio Department of Medicaid. While the primary focus is on Medicaid, the VP will also collaborate with organizational partners who lead Medicare and Marketplace initiatives to ensure alignment and shared best practices. **Key Responsibilities** + **Strategic Leadership** + Develop, implement, and maintain a comprehensive population health strategy that advances business objectives, improves member health outcomes, and aligns with Centene and the Ohio Department of Medicaid. + Lead population health initiatives with a strong focus on Medicaid while collaborating with partners on Medicare and Marketplace programs. + Translate organizational vision into actionable initiatives with clear metrics and accountability. + Serve as a trusted advisor on population health strategy as part of the senior leadership team. + **Operational Execution** + Ensure the successful implementation of population health initiatives by driving accountability for results, measuring impact, and aligning resources with strategic priorities. + Translate strategy into operational reality by building systems, processes, and performance standards that deliver sustained improvements in quality, outcomes, and efficiency. + Integrate population health initiatives across clinical, operational, and financial functions to ensure consistency, compliance, and alignment with organizational goals. + Continuously monitor program performance, identifying opportunities for innovation and course correction to achieve optimal results for members and the organization. + **Regulatory & Corporate Collaboration** + Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program success. + Collaborate with Centene corporate teams to align local initiatives with enterprise-wide strategies. + Partner with leaders responsible for Medicare and Marketplace to ensure consistency, integration, and shared learning. + Work closely with operations, finance, and other internal teams to achieve organizational objectives. + **Communication & Stakeholder Engagement** + Build trusted relationships with state regulators, providers, community partners, and internal executives to advance shared goals and improve member outcomes. + Serve as a visible ambassador for population health initiatives, clearly articulating strategy, progress, and outcomes to diverse audiences, including the Board, senior leadership, regulators, and community stakeholders. + Anticipate stakeholder needs and concerns, proactively engaging in dialogue that fosters collaboration, transparency, and alignment across all levels of the organization. + **Vendor & Partner Management** + Oversee relationships with key vendors to ensure programmatic success, accountability, and value. + Negotiate and manage vendor contracts to align deliverables with organizational priorities. + **Team Leadership & Development** + Mentor, coach, and develop a high-performing team of Directors and staff. + Delegate effectively while ensuring accountability and ownership across teams. + Foster a culture of innovation, collaboration, and continuous improvement. **Education/Experience:** Current state RN license preferred. Previous experience in a managed care organization strongly preferred. 3+ years of leadership experience required. Master's degree or other advanced degree in nursing, social work, health services research, health policy, information technology or other relevant field. Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Candidate must reside or relocate to Ohio Pay Range: $176,900.00 - $336,600.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Project Manager supports the CMO of the Buckeye Community Health Plan and clinical leadership teams by coordinating, organizing, and driving cross-functional initiatives that enhance clinical operations and improve outcomes. This role ensures efficient project execution across multiple departments by facilitating communication, aligning stakeholders, and guiding projects from ideation through completion within a dynamic, matrixed environment. The Project Manager is expected to understand the clinical context of the work, strengthen communication across teams, maintain momentum on all assigned initiatives, and properly document and archive project activities and outcomes. + Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure + Facilitate communication across VP, Director, Manager, and Strategist-level stakeholders + Ensure alignment between clinical priorities and project workflows + Utilize corporate and industry standard project management tools and techniques to effectively manage projects. + Assist with establishment and maintenance of corporate project management methodology and other department procedures + Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans + Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries + Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks + Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives + Promote collaboration across a dynamic, matrixed environment + Provide functional and technical knowledge across multiple business and technical areas + Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation **Key Teams Supported** You will collaborate with a broad range of cross-functional clinical and operational groups, including but not limited to: + Care Coordination + Utilization Management + Population Health + Quality + Medical Affairs + Health Equity + Pharmacy + Other provider- and member-facing teams You will also partner closely with our in-market Data Analytics team. **Education/Experience:** Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master's degree preferred. 4+ years of project management and implementation or program management experience. Proficient with MS Office applications and project management tools. Experience working with and leading diverse groups and matrix managed environments. **License/Certification:** PMP, PgMP, or CAPM preferred. This position is hybrid/remote with strong preference to candidates within the state of Ohio. In office expectation for local candidates monthly or as needed. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a Bachelor's degree and 2 - 4 years of related experience. For Iowa Only: Bachelor's degree and 2+ years of experience with populations served; or RN with 6+ years of experience with population served. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. License/Certification: For Iowa Only: Bachelor's degree with 30 semester hours or equivalent quarter hours in a human services field (including, but not limited to, psychology, social work, mental health counseling, marriage and family therapy, nursing, education, occupational therapy, and recreational therapy) and at least two years of experience in the delivery of services to the population groups or current state's Registered Nurse (RN) license and at least four years of experience required For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services. RN or LCSW required. For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services. RN or LCSW / LCSW-A preferred For Florida LTSS ECC, must have 2 years of youth/young adult experience required For Hawaii: Current Hawaii Registered Nurse (RN) License. required For Arkansas Total Care plan - This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 5%. required Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. *** This position is field based with in-person visits to member homes or facilities required up to 75% of the time. 25% of the role is remote/home based. Candidates should reside in Hialeah or North Miami, FL to be considered for the role. ***Bilingual Spanish speaking candidates highly preferred. Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a Bachelor's degree and 2 - 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act