- Molina Healthcare (Orem, UT)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (Orem, UT)
- …**Job Summary** This individual has overall responsibility to meet and exceed set performance standards for sales for themselves on a monthly basis. The Team Lead ... will also help the Supervisor achieve the budgeted membership goals for the Inside Sales Team as a whole. The Team Lead will also be responsible for management of the Inside Sales team for all Medicare States when the Supervisor is out. This Team Lead will… more
- Molina Healthcare (Orem, UT)
- …Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving member impact and ... Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual in either Mandarin or Cantonese are highly desired. This role is remote and will work 8am to 430pm Pacific Standard Time, Monday through Friday. Medicare… more
- Molina Healthcare (Orem, UT)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (Orem, UT)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- HealthTrust Workforce Solutions (Orem, UT)
- …As a wholly-owned subsidiary of HCA Healthcare, the nation's largest health system, we provide access to more opportunities in more locations. When you work with HWS, ... you unlock possibilities, raise the bar and become a part of the team that cares like family.HealthTrust Workforce Solutions is a wholly-owned subsidiary of HCA Healthcare. HealthTrust is a preferred partner to thousands of top-performing hospitals providing… more
- Molina Healthcare (Orem, UT)
- …**Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education ... programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA… more
- Molina Healthcare (Orem, UT)
- …**Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and ... predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments… more
- Molina Healthcare (Orem, UT)
- …**Job Summary** The **Program Manager - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program ... management, operational execution, and provider engagement support. This role is responsible for overseeing program workflows, developing SOPs, coordinating cross-functional teams, and ensuring timely execution of deliverables to support health plan goals. The… more
- Molina Healthcare (Orem, UT)
- …**Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management ... criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the initial credentialing, re-credentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery… more
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