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JOB SUMMARY The Business Analyst works with stakeholders from all business units to elicit, analyze, communicate and validate requirements for changes to business processes and information systems essential to medical management projects and initiatives. Duties and Responsibilities Under the guidance of the Accounting Director, who is accountable for overall business processes, the Business Analys...
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Posted Wed 8th February
POSITION SUMMARY Provides IT infrastructure monitoring services to mission critical, multi-vendor, multi-site applications in Molina’s environment. This position is for the graveyard shift. Duties and Responsibilities Manages the administration of the MMS environments (Windows 2003/2008 Server, MS Exchange 2007, MS SQL 2005/2008, HP, IBM and Unisys Servers, Cisco Network Devices) using tools such ...
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Posted Fri 3rd February
Director of Compliance Responsible for implementation of the Compliance Program inclusive of the Compliance Plan, Code of Conduct, and Fraud, Waste and Abuse Plan across the Molina Enterprise to ensure compliance with contractual and regulatory requirements. Develops and implements compliance policies and procedures, compliance training and programs for the Molina Enterprise. Investigates and reso...
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Posted Thu 9th February
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. The Manager Medical & Clinical Operations is accountable for five care facilities in collaboration with the...
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Posted Thu 9th February
POSITION SUMMARY In depth research and adjudication of underpaid and/or denied claims to ensure that all components, i.e., member, provider, authorization, claim and system are valid and correct for accurate processing. Interface with other departments and/or health plans to resolve outstanding issues affecting claims rework. REQUIRED SKILLS AND QUALIFICATIONS: Education: High School graduate Some...
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Posted Fri 10th February
Director, Disease Management Management of the day to day operations for delivery of the health management programs, telephonically, as part of a central support unit (including remote staff), oversight of Health Management Level 1 Program, Health Education, and Member Outreach; including staffing, productivity, day to day operations, communication, education, and coaching of staff. Conducts overa...
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Posted Fri 3rd February
Project Manager III Responsible for large scale, complex and/or long duration projects and project teams made up of internal and external resources to deliver business solutions and services to the department. Interacts closely with internal staff, external corporate departments, and Health Plans to define the project parameters and develop detailed project documentation to include business requir...
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Posted Thu 9th February
JD EDWARDS TECHNICAL LEAD – HR / PAYROLL POSITION SUMMARY: Leads the effort to support, manage and customize Human Resources, Payroll and Human Capital Management applications associated with our JD Edwards EnterpriseOne implementation. Duties and Responsibilities · Implements and supports EnterpriseOne HR and Payroll applications. · Analyzes and designs JDE reports/applications to fulfill busines...
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Posted 2 days ago
SECURITY SYSTEMS ANALYST (IDENTITY MANAGEMENT, DATA LOSS PREVENTION) JOB SUMMARY This position will be responsible for working in a team to develop, build, and support the Identity Management Solution for the company. This will include maintain the Forefront Identity Management 2010 system and extending it to new data sources/systems. The position will also include maintaining the company DLP solu...
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Posted 2 days ago
SYSTEMS SECURITY ANALYST (IT COMPLIANCE) JOB SUMMARY The Molina Information Security Compliance team is responsible for ensuring Molina compliance with both regulatory and company based Information Security policies. Compliance monitors and maintains an awareness of state, federal, and company established Information Security regulations/policies by working with internal Molina staff and vendors t...
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Posted 2 days ago
(EPPM) Enterprise Portfolio & Project Management Analyst POSITION SUMMARY Applies generally accepted project management practices in the planning, management, and support of the MMS EPPM (Primavera) deployment including creating project environments, conducting training, administering user access, facilitating enterprise-wide reporting capabilities, and enhancing resource management. Duties and Re...
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Posted Fri 3rd February
POSITON SUMMARY Leading, with a team, or individually: Develops or modifies business requirements and functional specifications for software application and technology projects, including Business Requirements Documents (BRDs) and Functional Requirements Documents (FRDs). Reviews, analyzes, and evaluates business processes and associated IT application requirements. Supports or leads the process o...
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Posted Yesterday
POSITION SUMMARY: Responsible to maintain and improve SQL processes to refresh staging source databases to feed the MedInsight data warehouse. Design and implement solutions to increase the performance of new and existing processes. Prepare and automate various monthly reports to support month-end close and IBNR calculations. Collaborate with the other analysts to provide analytical support to the...
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Posted Yesterday
Reconciliation Analyst /Medicare Focus on data analysis specifically related to identifying members with data and payments discrepancies between the plan and CMS (Medicare). Support the Medicare Reconciliation through detailed analysis of plan and CMS data. Responsible for identifying, researching and resolving membership discrepancies and associated rejected Prescription Drug Events (PDEs) betwee...
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Posted Yesterday
Requires a Valid Driver's License along with a clean driving record. Qualified candidates must be California state certified in phlebotomy (CPT-1 or CPT-2). Minimum of two years of healthcare (preferably direct phlebotomy or lab assistant) experience including: blood collection by venipuncture and capillary technique from patients of all age groups; urine drug screen collections; paternity collect...
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Posted Tue 7th February
Requires a Valid Driver's License along with a clean driving record. Qualified candidates must be California state certified in phlebotomy (CPT-1 or CPT-2). Minimum of two years of healthcare (preferably direct phlebotomy or lab assistant) experience including: blood collection by venipuncture and capillary technique from patients of all age groups; urine drug screen collections; paternity collect...
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Posted Wed 1st February
POSITON SUMMARY Under limited supervision, confers with business management partners to assess learning needs, and to plan, develop, and conduct performance development and learning solutions. Utilizes a beginning to intermediate understanding of adult learning principles and training concepts to engage learners. Utilizes effective writing skills to write and maintain training documents. Utilizes ...
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Posted Yesterday
PRIMARY RESPONSIBILITIES Develop a vision and target architecture for Molina’s storage infrastructure covering all aspects of needed storage capabilities including: High Availability; Point in Time Recovery; Long Term Storage; Storage Management Tools and Infrastructure; Capacity Planning; Storage Policy implementation; Legal and Compliance Needs; Server and Resource Virtualization Real-time and N...
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Posted Yesterday
Human Touch is the leading provider of high-quality, innovative lifestyle products, massage chairs, and experiences that deliver indispensable, life-changing benefits to an ever-growing number of consumers. We have been making people feel better for over 35 years. We are looking for a dynamic inside sales representative to join our expanding direct sales channel and winning team. The Direct Sales ...
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Posted Yesterday
Manager, Configuration Perform configuration management duties in support of existing legacy Health Plans, new Health Plan implementations and reconfiguration of legacy Health Plans. The Configuration Manager shall use standard and consistent methodologies to develop and enhance existing environments in the core processing system. • Manage a team of professional health insurance configuration anal...
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Posted Today
Healthcare was the largest industry in 2004. The healthcare industry employs a variety of people including engineers, inspectors, psychologists, psychiatrists, executives, administrators, educators, audiologists, doctors of all variety, nurses, and assistants. The healthcare industry has a better outlook than many other careers. 19% of new jobs will be created in the healthcare industry before 2014. This combined with turnover rates in current jobs makes the outlook very positive for employment, according to the Occupational Outlook Handbook. Most jobs in this industry require less than 4 years of schooling to perform, but of those that do require education, this batch of workers are among the most educated.
Featured Healthcare Employers: Tenet Healthcare Jobs, Baxter Jobs, Cardinal Health Jobs, Kindred Healthcare Jobs, HealthSouth Jobs, Blue Cross Blue Shield Jobs, Johnson & Johnson Jobs, HCA Jobs
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