Company Detail

Job Description

Job Description

Job Summary

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes, staffs, and coordinates the Provider Contracts activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider contracts and contracting strategies.

Job Duties

Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads negotiations of contracts with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement. Executes standardized Alternative Payment Method or Value Based Payment (VBP) contracts. Lead initiatives and activities issue escalations, network adequacy, and Joint Operating Committees.

- Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services.

- In conjunction with direct management and senior leadership, oversees development of provider contracting strategies including VBP. This includes identifying those specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of members and patients in addition to identifying VBP provider targets to meet Molina goals.

- Leads the achievement of annual savings through recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region.

- Leads preparation and negotiations of provider contracts and oversee negotiation of contracts, including VBP, in concert with established company guidelines with physicians, hospitals, and other health care providers.

- Utilizes standardized contract templates and VBP/Pay for Performance strategies.

- Develops and maintains Reimbursement Tolerance Parameters (across multiple specialties/ geographies). Oversees the development of new reimbursement models in concert with direct management and senior leadership/management.

- Communicates new strategies to corporate provider network leadership for input.

- Utilize standardized system(s) to track contract negotiation activity on an ongoing basis throughout the year.

- Participates on the management team and other committees addressing the strategic goals of the department and organization.

- Oversees the maintenance of all Provider Contract templates including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.

- Manages the contracting relationships with area agencies and community partners to support and advance Plan initiatives.

- Develops and implements contracting strategies to comply with state, federal, NCQA, HEDIS initiatives and regulations.

- Manages and provides coaching to Network Contracting Staff.

- Manages and evaluates team member performance; provides coaching, consultation, employee development, and recognition; ensures ongoing, appropriate staff training; holds regular team meetings to drive good communication and collaboration; and has responsibility for the selection, orientation and mentoring of new staff.

Job Qualifications

REQUIRED EDUCATION :

Bachelor's Degree in a related field (Business Administration, etc.) or equivalent experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

- 7+ years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services, including 2+ years in a direct or matrix leadership position

- 5+ years experience in provider contract negotiations in a managed healthcare setting including in negotiating different provider contract types and VBP models, i.e. physician, group and hospital contracting, etc.

- Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for service, capitation and various forms of risk, ASO, etc.

- Min. 2 years experience managing/supervising employees.

PREFERRED EDUCATION :

Master's Degree in a related field or an equivalent combination of education and experience

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: $87,568.7 - $189,732.18 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

As the Senior Consultant, Threat Management PSOC, you will be a member of Molina Healthcare's Protection Services Operations Center, reporting to the Manager. This role will be responsible for executing and managing physical security, threat, and incident intake and management for the enterprise. This role will liaise with all employees to address security issues or incidents that arise in the field or Molina offices. Activities will ensure alignment with policies, standard and procedures in deliverables. Additionally, this person will support incident response and crisis management activities during disruptive events as needed.

Knowledge/Skills/Abilities

• Supports the Protection Services Operations Center in responding to and abating workplace violence and physical threat incidents.

• Rapid responses (in a remote environment) to workforce members involved in workplace violence incidents, threat events, and distressed situations.

• Engages high-stress situations to ensure incident response, threat abatement, and after-care support for involved workforce members and/or company facilities.

• Interviewing workforce members who have experienced threat events or distressed situations; interviewing witnesses; coordinating law enforcement / emergency responses; and preparing either comprehensive reports and case files.

• Provides comprehensive intelligence on threat actors, including but not limited to comprehensive reviews of an actor's bio, court history, criminal history, and social media activity,

• Serve as a law enforcement liaison on a range of responsibilities, including rapid incident response coordination and LE support requests.

• Support in coordinating/scheduling close protection agents for select field and company events.

• Support in developing and facilitating training on a range of workplace violence topics, including field security best practices and active shooter survival training.

• May be required to work outside of normal business hours (nights, evenings, and weekends) if responding to emergencies

• Perform other duties as assigned

Job Qualifications

Required Education:

• Bachelor's degree or equivalent professional work experience

Required Experience:

• Minimum 8+ years demonstrated experience in physical security, threat intelligence and/or security operations with comprehensive understanding of practice, principles and processes

Required Knowledge, Skills and Abilities:

You are

• Excellent report writing and case management skills.

• Excellent communication and interpersonal skills.

• Strong analytical and research skills.

• Proficiency with Microsoft Office suite.

• Ability to work under pressure.

• Ability to regularly work after hours and adjust work schedule as needed during threat events.

• Experience coordinating with law enforcement at a regional or national level.

• Ability to deal with high stress situations.

• Healthcare / HIPAA experience a strong plus.

You have a deep understanding of:

• The candidate should have a strong grasp of physical security and security operations:

• Access control systems

• Surveillance systems

• Intrusion systems

• Ticketing and workflow management to ensure SLAs

• Metrics, reporting and analysis

• Extensive experience with Lenel, Avigilon, Envoy, and Everbridge (including VCC, Notification and SafetyConnect).

• Software skills & competencies are required, as well as internet research abilities and strong communication skills. Includes: MS Office (Outlook, Word, Excel, and PowerPoint) and also preferably a familiarity with SharePoint and Visio

• Excellent knowledge of physical security and security operations best practices, policies, and procedures

• Strong project management skills

• Familiarity with best practices and standards for physical security

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Summary

Molina Risk & Quality Solutions (RQS) works with health plan risk & quality leaders to support implementation of best practices for optimal performance. The Program Director, RQS HP Engagement ensures that all RQS action plans are complete, accurate and reflect the needs and path to performance goals.

Knowledge/Skills/Abilities

- Performs the forensic deep dive in risk and quality data solutions to continuously identify opportunities for improvement.

- May supervise one or more Program Managers.

- Serves as industry subject matter expert in the functional areas within RQS and leads programs to meet critical needs.

- Escalates gaps and barriers in implementation and compliance to leadership. Partners with the Execution team for resolutions and barrier removal impeding Health Plan execution.

- Acts in a consultative role, supporting development of business case methodologies for incremental programs. Develops and coordinates implementation of business strategy.

- Collaborates and facilitates activities with other units at corporate and Molina Plans.

Job Qualifications

REQUIRED EDUCATION:

Bachelor's Degree in Healthcare-related field (equivalent combination of education and experience will be considered in lieu of Bachelor's Degree).

REQUIRED EXPERIENCE:

- 7+ years managed healthcare experience with proven relationship management responsibilities

- Proven experience in risk adjustment, quality, and provider engagement.

- Demonstrated ability to lead and influence cross-functional teams

- Excellent communication and presentation skills, communicating to all levels within the organization

- Operational and process improvement experience

PREFERRED EDUCATION:

Master's degree in Business, Health Administration or related field.

PREFERRED EXPERIENCE:

10+ years managed care experience specifically within Risk Adjustment and/or Quality

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: $79,607.91 - $172,483.8 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.

Knowledge/Skills/Abilities

- Defines program scope, establish approach for implementation and maintains program infrastructure

- Develop a method for assessing program effectiveness and a cadence for assessing and adjusting

- Develop approach for communication organizationally about the program

- Determine program support needs

- Gains agreement on process improvement opportunities to be undertaken and assists in the prioritization of approved initiatives/projects.

- Keeps abreast of current trends impacting Lean concepts/methodologies/tools to ensure that best practices are utilized in process improvement efforts.

- Coordinates and collaborates with Molina enterprise Operational Excellence team and health plan Operational Excellence teams

- Ensures appropriate alignment within the program with organizational Operational Excellence programs

- Manages the portfolio of projects, educational programs and coaching plan for the organization

- Develop managers and staff in lean principles, methodology and application through individual coaching, education and projects

- Explains and applies accepted methodologies (i.e. identify desired outcomes, analyze current processes/problems, collect/analyze relevant data, uncover root causes, develop performance/process improvement plan and implementation tactics, test recommendation and assess results.)

- Establish and maintain an education and coaching approach for all levels of staff. Continuously evaluates training and coaching needs of the organization as it relates to process improvement. Develops and maintains the necessary curriculum and supporting materials to education staff and leaders.

- Facilitates Lean improvement workshops in partnership with managers; develops and delivers presentations/education to mentor/coach various key leadership and management staff to promote awareness, understanding, acceptance and engagement of Lean concepts, methodologies and tools.

Job Qualifications

Required Education

Bachelor's degree required in a related field (Business Administration, Healthcare, Engineering, etc.)

Required Experience

- 8 years' experience in healthcare

- 4 years of management level experience

- Understanding of all areas of health plan operations: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, utilization management.

- Understands key revenue levers and cost drivers of business processes.

- Understands critical success factors for the industry.

- Experience designing and delivering solutions related to operational improvement functions.

- Strong leadership qualities and ability to get results.

Preferred Education

Graduate Degree

Preferred Experience

- 6 years of healthcare related process improvement experience with demonstrable successes in application of Lean/Six-Sigma

- 10 years of process improvement experience.

• Azure.

• SQL programming experience (read/write SQL).

• Process improvement for Data Governance.

• Healthcare Informatics.

Preferred License, Certification, Association

• LEAN certification and/or Lean Six Sigma Black Belt

• CPHQ certification.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: $96,325.57 - $208,705.4 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position will have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. This position requires field work doing assessments with members face to face in homes.

TRAVEL in the field to do member visits in the surrounding areas will be required: Franklin County

Travel will be up to 20% of the time (5 to 10 Visits a month) (Mileage is reimbursed)

Schedule - Monday thru Friday 800 AM to 5 PM EST (No weekends or Holidays)

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Completes face-to-face comprehensive assessments of members per regulated timelines.

• Facilitates comprehensive waiver enrollment and disenrollment processes.

• Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

• Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.

• Assesses for medical necessity and authorize all appropriate waiver services.

• Evaluates covered benefits and advise appropriately regarding funding source.

• Conducts face-to-face or home visits as required.

• Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.

• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.

• Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.

• Identifies critical incidents and develops prevention plans to assure member's health and welfare.

• Provides consultation, recommendations and education as appropriate to non-RN case managers

• Works cases with members who have complex medical conditions and medication regimens

• Conducts medication reconciliation when needed.

• 50-75% travel required.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing

Required Experience

• At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.

• 1-3 years in case management, disease management, managed care or medical or behavioral health settings.

• Required License, Certification, Association

• Active, unrestricted State Registered Nursing license (RN) in good standing

• If field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

State Specific Requirements

Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

• 3-5 years in case management, disease management, managed care or medical or behavioral health settings.

• 1 year experience working with population who receive waiver services.

Preferred License, Certification, Association

Active and unrestricted Certified Case Manager (CCM)

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: $23.76 - $51.49 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes, staffs, and coordinates the Provider Contracts activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider contracts and contracting strategies.

Job Duties

Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads negotiations of contracts with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement. Executes standardized Alternative Payment Method or Value Based Payment (VBP) contracts. Lead initiatives and activities issue escalations, network adequacy, and Joint Operating Committees.

- Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services.

- In conjunction with direct management and senior leadership, oversees development of provider contracting strategies including VBP. This includes identifying those specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of members and patients in addition to identifying VBP provider targets to meet Molina goals.

- Leads the achievement of annual savings through recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region.

- Leads preparation and negotiations of provider contracts and oversee negotiation of contracts, including VBP, in concert with established company guidelines with physicians, hospitals, and other health care providers.

- Utilizes standardized contract templates and VBP/Pay for Performance strategies.

- Develops and maintains Reimbursement Tolerance Parameters (across multiple specialties/ geographies). Oversees the development of new reimbursement models in concert with direct management and senior leadership/management.

- Communicates new strategies to corporate provider network leadership for input.

- Utilize standardized system(s) to track contract negotiation activity on an ongoing basis throughout the year.

- Participates on the management team and other committees addressing the strategic goals of the department and organization.

- Oversees the maintenance of all Provider Contract templates including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.

- Manages the contracting relationships with area agencies and community partners to support and advance Plan initiatives.

- Develops and implements contracting strategies to comply with state, federal, NCQA, HEDIS initiatives and regulations.

- Manages and provides coaching to Network Contracting Staff.

- Manages and evaluates team member performance; provides coaching, consultation, employee development, and recognition; ensures ongoing, appropriate staff training; holds regular team meetings to drive good communication and collaboration; and has responsibility for the selection, orientation and mentoring of new staff.

Job Qualifications

REQUIRED EDUCATION :

Bachelor's Degree in a related field (Business Administration, etc.) or equivalent experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

- 7+ years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services, including 2+ years in a direct or matrix leadership position

- 5+ years experience in provider contract negotiations in a managed healthcare setting including in negotiating different provider contract types and VBP models, i.e. physician, group and hospital contracting, etc.

- Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for service, capitation and various forms of risk, ASO, etc.

- Min. 2 years experience managing/supervising employees.

PREFERRED EDUCATION :

Master's Degree in a related field or an equivalent combination of education and experience

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: $87,568.7 - $189,732.18 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position will have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. This position requires field work doing assessments with members face to face in homes.

TRAVEL in the field to do member visits in the surrounding areas will be required: Franklin County

Travel will be up to 20% of the time (5 to 10 Visits a month) (Mileage is reimbursed)

Schedule - Monday thru Friday 800 AM to 5 PM EST (No weekends or Holidays)

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Completes face-to-face comprehensive assessments of members per regulated timelines.

• Facilitates comprehensive waiver enrollment and disenrollment processes.

• Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

• Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.

• Assesses for medical necessity and authorize all appropriate waiver services.

• Evaluates covered benefits and advise appropriately regarding funding source.

• Conducts face-to-face or home visits as required.

• Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.

• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.

• Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.

• Identifies critical incidents and develops prevention plans to assure member's health and welfare.

• Provides consultation, recommendations and education as appropriate to non-RN case managers

• Works cases with members who have complex medical conditions and medication regimens

• Conducts medication reconciliation when needed.

• 50-75% travel required.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing

Required Experience

• At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.

• 1-3 years in case management, disease management, managed care or medical or behavioral health settings.

• Required License, Certification, Association

• Active, unrestricted State Registered Nursing license (RN) in good standing

• If field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

State Specific Requirements

Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

• 3-5 years in case management, disease management, managed care or medical or behavioral health settings.

• 1 year experience working with population who receive waiver services.

Preferred License, Certification, Association

Active and unrestricted Certified Case Manager (CCM)

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: $23.76 - $51.49 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes, staffs, and coordinates the Provider Contracts activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider contracts and contracting strategies.

Job Duties

Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads negotiations of contracts with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement. Executes standardized Alternative Payment Method or Value Based Payment (VBP) contracts. Lead initiatives and activities issue escalations, network adequacy, and Joint Operating Committees.

- Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services.

- In conjunction with direct management and senior leadership, oversees development of provider contracting strategies including VBP. This includes identifying those specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of members and patients in addition to identifying VBP provider targets to meet Molina goals.

- Leads the achievement of annual savings through recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region.

- Leads preparation and negotiations of provider contracts and oversee negotiation of contracts, including VBP, in concert with established company guidelines with physicians, hospitals, and other health care providers.

- Utilizes standardized contract templates and VBP/Pay for Performance strategies.

- Develops and maintains Reimbursement Tolerance Parameters (across multiple specialties/ geographies). Oversees the development of new reimbursement models in concert with direct management and senior leadership/management.

- Communicates new strategies to corporate provider network leadership for input.

- Utilize standardized system(s) to track contract negotiation activity on an ongoing basis throughout the year.

- Participates on the management team and other committees addressing the strategic goals of the department and organization.

- Oversees the maintenance of all Provider Contract templates including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.

- Manages the contracting relationships with area agencies and community partners to support and advance Plan initiatives.

- Develops and implements contracting strategies to comply with state, federal, NCQA, HEDIS initiatives and regulations.

- Manages and provides coaching to Network Contracting Staff.

- Manages and evaluates team member performance; provides coaching, consultation, employee development, and recognition; ensures ongoing, appropriate staff training; holds regular team meetings to drive good communication and collaboration; and has responsibility for the selection, orientation and mentoring of new staff.

Job Qualifications

REQUIRED EDUCATION :

Bachelor's Degree in a related field (Business Administration, etc.) or equivalent experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

- 7+ years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services, including 2+ years in a direct or matrix leadership position

- 5+ years experience in provider contract negotiations in a managed healthcare setting including in negotiating different provider contract types and VBP models, i.e. physician, group and hospital contracting, etc.

- Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for service, capitation and various forms of risk, ASO, etc.

- Min. 2 years experience managing/supervising employees.

PREFERRED EDUCATION :

Master's Degree in a related field or an equivalent combination of education and experience

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: $87,568.7 - $189,732.18 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.

Knowledge/Skills/Abilities

- Defines program scope, establish approach for implementation and maintains program infrastructure

- Develop a method for assessing program effectiveness and a cadence for assessing and adjusting

- Develop approach for communication organizationally about the program

- Determine program support needs

- Gains agreement on process improvement opportunities to be undertaken and assists in the prioritization of approved initiatives/projects.

- Keeps abreast of current trends impacting Lean concepts/methodologies/tools to ensure that best practices are utilized in process improvement efforts.

- Coordinates and collaborates with Molina enterprise Operational Excellence team and health plan Operational Excellence teams

- Ensures appropriate alignment within the program with organizational Operational Excellence programs

- Manages the portfolio of projects, educational programs and coaching plan for the organization

- Develop managers and staff in lean principles, methodology and application through individual coaching, education and projects

- Explains and applies accepted methodologies (i.e. identify desired outcomes, analyze current processes/problems, collect/analyze relevant data, uncover root causes, develop performance/process improvement plan and implementation tactics, test recommendation and assess results.)

- Establish and maintain an education and coaching approach for all levels of staff. Continuously evaluates training and coaching needs of the organization as it relates to process improvement. Develops and maintains the necessary curriculum and supporting materials to education staff and leaders.

- Facilitates Lean improvement workshops in partnership with managers; develops and delivers presentations/education to mentor/coach various key leadership and management staff to promote awareness, understanding, acceptance and engagement of Lean concepts, methodologies and tools.

Job Qualifications

Required Education

Bachelor's degree required in a related field (Business Administration, Healthcare, Engineering, etc.)

Required Experience

- 8 years' experience in healthcare

- 4 years of management level experience

- Understanding of all areas of health plan operations: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, utilization management.

- Understands key revenue levers and cost drivers of business processes.

- Understands critical success factors for the industry.

- Experience designing and delivering solutions related to operational improvement functions.

- Strong leadership qualities and ability to get results.

Preferred Education

Graduate Degree

Preferred Experience

- 6 years of healthcare related process improvement experience with demonstrable successes in application of Lean/Six-Sigma

- 10 years of process improvement experience.

• Azure.

• SQL programming experience (read/write SQL).

• Process improvement for Data Governance.

• Healthcare Informatics.

Preferred License, Certification, Association

• LEAN certification and/or Lean Six Sigma Black Belt

• CPHQ certification.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: $96,325.57 - $208,705.4 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

As the Senior Consultant, Threat Management PSOC, you will be a member of Molina Healthcare's Protection Services Operations Center, reporting to the Manager. This role will be responsible for executing and managing physical security, threat, and incident intake and management for the enterprise. This role will liaise with all employees to address security issues or incidents that arise in the field or Molina offices. Activities will ensure alignment with policies, standard and procedures in deliverables. Additionally, this person will support incident response and crisis management activities during disruptive events as needed.

Knowledge/Skills/Abilities

• Supports the Protection Services Operations Center in responding to and abating workplace violence and physical threat incidents.

• Rapid responses (in a remote environment) to workforce members involved in workplace violence incidents, threat events, and distressed situations.

• Engages high-stress situations to ensure incident response, threat abatement, and after-care support for involved workforce members and/or company facilities.

• Interviewing workforce members who have experienced threat events or distressed situations; interviewing witnesses; coordinating law enforcement / emergency responses; and preparing either comprehensive reports and case files.

• Provides comprehensive intelligence on threat actors, including but not limited to comprehensive reviews of an actor's bio, court history, criminal history, and social media activity,

• Serve as a law enforcement liaison on a range of responsibilities, including rapid incident response coordination and LE support requests.

• Support in coordinating/scheduling close protection agents for select field and company events.

• Support in developing and facilitating training on a range of workplace violence topics, including field security best practices and active shooter survival training.

• May be required to work outside of normal business hours (nights, evenings, and weekends) if responding to emergencies

• Perform other duties as assigned

Job Qualifications

Required Education:

• Bachelor's degree or equivalent professional work experience

Required Experience:

• Minimum 8+ years demonstrated experience in physical security, threat intelligence and/or security operations with comprehensive understanding of practice, principles and processes

Required Knowledge, Skills and Abilities:

You are

• Excellent report writing and case management skills.

• Excellent communication and interpersonal skills.

• Strong analytical and research skills.

• Proficiency with Microsoft Office suite.

• Ability to work under pressure.

• Ability to regularly work after hours and adjust work schedule as needed during threat events.

• Experience coordinating with law enforcement at a regional or national level.

• Ability to deal with high stress situations.

• Healthcare / HIPAA experience a strong plus.

You have a deep understanding of:

• The candidate should have a strong grasp of physical security and security operations:

• Access control systems

• Surveillance systems

• Intrusion systems

• Ticketing and workflow management to ensure SLAs

• Metrics, reporting and analysis

• Extensive experience with Lenel, Avigilon, Envoy, and Everbridge (including VCC, Notification and SafetyConnect).

• Software skills & competencies are required, as well as internet research abilities and strong communication skills. Includes: MS Office (Outlook, Word, Excel, and PowerPoint) and also preferably a familiarity with SharePoint and Visio

• Excellent knowledge of physical security and security operations best practices, policies, and procedures

• Strong project management skills

• Familiarity with best practices and standards for physical security

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Responsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information; generating forecasts and analyzes trends in sales, finance and other areas of business; Creating financial models for future business planning decisions in areas such as new product development, new marketing strategies, etc.

KNOWLEDGE/SKILLS/ABILITIES

• Forecasts and monitors economic benefits of Molina investments in infrastructure and operations (enhancements in operating efficiency and effectiveness).

• Allocates limited resources among different investments in infrastructure and operations by ranking based upon economic benefit.

• Analyzes capital equipment purchases. Performs lease vs. buy analyses.

• Assists the IT Technology department with financial modeling, budgeting, benchmarking analysis and variance analysis as needed.

• Develops policies and procedures to support all Finance activities.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree

Required Experience

3-4 Years

Preferred Education

MBA

Preferred Experience

• 5-6 Years

• Preferred License, Certification, Association

• CPA

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

As the Senior Consultant, Threat Management PSOC, you will be a member of Molina Healthcare's Protection Services Operations Center, reporting to the Manager. This role will be responsible for executing and managing physical security, threat, and incident intake and management for the enterprise. This role will liaise with all employees to address security issues or incidents that arise in the field or Molina offices. Activities will ensure alignment with policies, standard and procedures in deliverables. Additionally, this person will support incident response and crisis management activities during disruptive events as needed.

Knowledge/Skills/Abilities

• Supports the Protection Services Operations Center in responding to and abating workplace violence and physical threat incidents.

• Rapid responses (in a remote environment) to workforce members involved in workplace violence incidents, threat events, and distressed situations.

• Engages high-stress situations to ensure incident response, threat abatement, and after-care support for involved workforce members and/or company facilities.

• Interviewing workforce members who have experienced threat events or distressed situations; interviewing witnesses; coordinating law enforcement / emergency responses; and preparing either comprehensive reports and case files.

• Provides comprehensive intelligence on threat actors, including but not limited to comprehensive reviews of an actor's bio, court history, criminal history, and social media activity,

• Serve as a law enforcement liaison on a range of responsibilities, including rapid incident response coordination and LE support requests.

• Support in coordinating/scheduling close protection agents for select field and company events.

• Support in developing and facilitating training on a range of workplace violence topics, including field security best practices and active shooter survival training.

• May be required to work outside of normal business hours (nights, evenings, and weekends) if responding to emergencies

• Perform other duties as assigned

Job Qualifications

Required Education:

• Bachelor's degree or equivalent professional work experience

Required Experience:

• Minimum 8+ years demonstrated experience in physical security, threat intelligence and/or security operations with comprehensive understanding of practice, principles and processes

Required Knowledge, Skills and Abilities:

You are

• Excellent report writing and case management skills.

• Excellent communication and interpersonal skills.

• Strong analytical and research skills.

• Proficiency with Microsoft Office suite.

• Ability to work under pressure.

• Ability to regularly work after hours and adjust work schedule as needed during threat events.

• Experience coordinating with law enforcement at a regional or national level.

• Ability to deal with high stress situations.

• Healthcare / HIPAA experience a strong plus.

You have a deep understanding of:

• The candidate should have a strong grasp of physical security and security operations:

• Access control systems

• Surveillance systems

• Intrusion systems

• Ticketing and workflow management to ensure SLAs

• Metrics, reporting and analysis

• Extensive experience with Lenel, Avigilon, Envoy, and Everbridge (including VCC, Notification and SafetyConnect).

• Software skills & competencies are required, as well as internet research abilities and strong communication skills. Includes: MS Office (Outlook, Word, Excel, and PowerPoint) and also preferably a familiarity with SharePoint and Visio

• Excellent knowledge of physical security and security operations best practices, policies, and procedures

• Strong project management skills

• Familiarity with best practices and standards for physical security

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Summary

Molina Risk & Quality Solutions (RQS) works with health plan risk & quality leaders to support implementation of best practices for optimal performance. The Program Director, RQS HP Engagement ensures that all RQS action plans are complete, accurate and reflect the needs and path to performance goals.

Knowledge/Skills/Abilities

- Performs the forensic deep dive in risk and quality data solutions to continuously identify opportunities for improvement.

- May supervise one or more Program Managers.

- Serves as industry subject matter expert in the functional areas within RQS and leads programs to meet critical needs.

- Escalates gaps and barriers in implementation and compliance to leadership. Partners with the Execution team for resolutions and barrier removal impeding Health Plan execution.

- Acts in a consultative role, supporting development of business case methodologies for incremental programs. Develops and coordinates implementation of business strategy.

- Collaborates and facilitates activities with other units at corporate and Molina Plans.

Job Qualifications

REQUIRED EDUCATION:

Bachelor's Degree in Healthcare-related field (equivalent combination of education and experience will be considered in lieu of Bachelor's Degree).

REQUIRED EXPERIENCE:

- 7+ years managed healthcare experience with proven relationship management responsibilities

- Proven experience in risk adjustment, quality, and provider engagement.

- Demonstrated ability to lead and influence cross-functional teams

- Excellent communication and presentation skills, communicating to all levels within the organization

- Operational and process improvement experience

PREFERRED EDUCATION:

Master's degree in Business, Health Administration or related field.

PREFERRED EXPERIENCE:

10+ years managed care experience specifically within Risk Adjustment and/or Quality

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: $79,607.91 - $172,483.8 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Responsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information; generating forecasts and analyzes trends in sales, finance and other areas of business; Creating financial models for future business planning decisions in areas such as new product development, new marketing strategies, etc.

KNOWLEDGE/SKILLS/ABILITIES

• Forecasts and monitors economic benefits of Molina investments in infrastructure and operations (enhancements in operating efficiency and effectiveness).

• Allocates limited resources among different investments in infrastructure and operations by ranking based upon economic benefit.

• Analyzes capital equipment purchases. Performs lease vs. buy analyses.

• Assists the IT Technology department with financial modeling, budgeting, benchmarking analysis and variance analysis as needed.

• Develops policies and procedures to support all Finance activities.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree

Required Experience

3-4 Years

Preferred Education

MBA

Preferred Experience

• 5-6 Years

• Preferred License, Certification, Association

• CPA

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.

Knowledge/Skills/Abilities

- Defines program scope, establish approach for implementation and maintains program infrastructure

- Develop a method for assessing program effectiveness and a cadence for assessing and adjusting

- Develop approach for communication organizationally about the program

- Determine program support needs

- Gains agreement on process improvement opportunities to be undertaken and assists in the prioritization of approved initiatives/projects.

- Keeps abreast of current trends impacting Lean concepts/methodologies/tools to ensure that best practices are utilized in process improvement efforts.

- Coordinates and collaborates with Molina enterprise Operational Excellence team and health plan Operational Excellence teams

- Ensures appropriate alignment within the program with organizational Operational Excellence programs

- Manages the portfolio of projects, educational programs and coaching plan for the organization

- Develop managers and staff in lean principles, methodology and application through individual coaching, education and projects

- Explains and applies accepted methodologies (i.e. identify desired outcomes, analyze current processes/problems, collect/analyze relevant data, uncover root causes, develop performance/process improvement plan and implementation tactics, test recommendation and assess results.)

- Establish and maintain an education and coaching approach for all levels of staff. Continuously evaluates training and coaching needs of the organization as it relates to process improvement. Develops and maintains the necessary curriculum and supporting materials to education staff and leaders.

- Facilitates Lean improvement workshops in partnership with managers; develops and delivers presentations/education to mentor/coach various key leadership and management staff to promote awareness, understanding, acceptance and engagement of Lean concepts, methodologies and tools.

Job Qualifications

Required Education

Bachelor's degree required in a related field (Business Administration, Healthcare, Engineering, etc.)

Required Experience

- 8 years' experience in healthcare

- 4 years of management level experience

- Understanding of all areas of health plan operations: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, utilization management.

- Understands key revenue levers and cost drivers of business processes.

- Understands critical success factors for the industry.

- Experience designing and delivering solutions related to operational improvement functions.

- Strong leadership qualities and ability to get results.

Preferred Education

Graduate Degree

Preferred Experience

- 6 years of healthcare related process improvement experience with demonstrable successes in application of Lean/Six-Sigma

- 10 years of process improvement experience.

• Azure.

• SQL programming experience (read/write SQL).

• Process improvement for Data Governance.

• Healthcare Informatics.

Preferred License, Certification, Association

• LEAN certification and/or Lean Six Sigma Black Belt

• CPHQ certification.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: $96,325.57 - $208,705.4 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.

KNOWLEDGE/SKILLS/ABILITIES

• Coordinates, conducts, and documents delegation assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements.

• Prepares status reports from Delegated Entities. Develops corrective action plans when deficiencies are identified, and documents follow-up to completion. Ensures compliance with reporting requirements by tracking the receipt and completeness of reports.

• Develops corrective action plans when compliance issues are identified, and document follow-up to completion.

• Assists with meetings of the Delegation Oversight Committee, including the preparation of documents for committee oversight of delegated functions.

• Works with Network Management team to develop and maintain delegation agreements and assessment tools.

• Prepares delegation oversight document evidence for state monitoring visits and NCQA accreditation surveys and participates on Molina's work team.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent combination of education and experience.

Required Experience

• 3+ years managed care experience.

• Min. 1 year experience completing delegation oversight assessment/ audits.

• Data analysis experience.

Required License, Certification, Association

Valid State Driver's License

Preferred Education

Bachelor's Degree in Business or Health Care related field.

Preferred Experience

• 5 years managed care experience.

• 2 years' experience completing delegation oversight assessments/audits.

• Quality management/regulatory experience with increasing responsibility.

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.

#PJHPO

Pay Range: $66,560 - $88,511.46 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

The Community Connector will be working 100% remote in an outbound call environment (Must reside in the state of VA). Our Community Connectors will be working with our VA Medicaid newly enrolled members referred to us by Department Social Services. This individual will be making outbound calls to our newly enrolled members to make first point contact, complete health screener and answer any member questions. We are looking for candidates with outbound call center experience, excellence customer services, and ability to toggle back and forth between multiple screens and databases.

Home office with internet connectivity of high speed required.

Monday - Friday 8 AM to 5 PM EST (No weekends or Holidays)

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Serves as a community based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs.

• Collaborates with and supports the Healthcare Services team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, nursing homes, shelters, or doctor's offices, etc.

• Empowers members by helping them navigate and maximize their health plan benefits.

• Assistance may include: scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments.

• Assists members in accessing social services such as community-based resources for housing, food, employment, etc.

• Provides outreach to locate and/or provide support for disconnected members with special needs.

• Conducts research with available data to locate members Molina Healthcare has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers, or travel to last known address or community resource locations such as homeless shelters, etc.)

• Participates in ongoing or project-based activities that may require extensive member outreach (telephonically and/or face-to-face).

• Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.

• 50-80% local travel may be required. Reliable transportation required.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma/GED

REQUIRED EXPERIENCE:

- Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

- Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

- For Ohio, Florida, and California only -- Active and unrestricted Community Health Worker (CHW) Certification.

PREFERRED EDUCATION:

Associate's Degree in a health care related field (e.g., nutrition, counseling, social work).

PREFERRED EXPERIENCE:

- Bilingual based on community need.

- Familiarity with healthcare systems a plus.

- Knowledge of community-specific culture.

- Experience with or knowledge of health care basics, community resources, social services, and/or health education.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

- Current Community Health Worker (CHW) Certification preferred (for states other than Ohio, Florida and California, where it is required).

- Active and unrestricted Medical Assistant Certification

STATE SPECIFIC REQUIREMENTS: OHIO

- MHO Care Guide serves as a single point of contact for care coordination when there is no CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified MHO Care Guide Plus serves as a single point of contact at Molina for care coordination when there is CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified.

- Assures completion of a health risk assessment, assisting members to remediate immediate and acute gaps in care and access. Assist members with filing grievances and appeals.

- Connects members to CCEs, the OhioRISE Plan,or Molina Care Management if the members needs indicate a higher level of coordination. Provide information to members related to Molina requirements , services and benefits .

- Knowledge of internal MCO processes and procedures related to Care Guide responsibilities required

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: $14.76 - $31.97 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Responsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information; generating forecasts and analyzes trends in sales, finance and other areas of business; Creating financial models for future business planning decisions in areas such as new product development, new marketing strategies, etc.

KNOWLEDGE/SKILLS/ABILITIES

• Forecasts and monitors economic benefits of Molina investments in infrastructure and operations (enhancements in operating efficiency and effectiveness).

• Allocates limited resources among different investments in infrastructure and operations by ranking based upon economic benefit.

• Analyzes capital equipment purchases. Performs lease vs. buy analyses.

• Assists the IT Technology department with financial modeling, budgeting, benchmarking analysis and variance analysis as needed.

• Develops policies and procedures to support all Finance activities.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree

Required Experience

3-4 Years

Preferred Education

MBA

Preferred Experience

• 5-6 Years

• Preferred License, Certification, Association

• CPA

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.

Knowledge/Skills/Abilities

- Defines program scope, establish approach for implementation and maintains program infrastructure

- Develop a method for assessing program effectiveness and a cadence for assessing and adjusting

- Develop approach for communication organizationally about the program

- Determine program support needs

- Gains agreement on process improvement opportunities to be undertaken and assists in the prioritization of approved initiatives/projects.

- Keeps abreast of current trends impacting Lean concepts/methodologies/tools to ensure that best practices are utilized in process improvement efforts.

- Coordinates and collaborates with Molina enterprise Operational Excellence team and health plan Operational Excellence teams

- Ensures appropriate alignment within the program with organizational Operational Excellence programs

- Manages the portfolio of projects, educational programs and coaching plan for the organization

- Develop managers and staff in lean principles, methodology and application through individual coaching, education and projects

- Explains and applies accepted methodologies (i.e. identify desired outcomes, analyze current processes/problems, collect/analyze relevant data, uncover root causes, develop performance/process improvement plan and implementation tactics, test recommendation and assess results.)

- Establish and maintain an education and coaching approach for all levels of staff. Continuously evaluates training and coaching needs of the organization as it relates to process improvement. Develops and maintains the necessary curriculum and supporting materials to education staff and leaders.

- Facilitates Lean improvement workshops in partnership with managers; develops and delivers presentations/education to mentor/coach various key leadership and management staff to promote awareness, understanding, acceptance and engagement of Lean concepts, methodologies and tools.

Job Qualifications

Required Education

Bachelor's degree required in a related field (Business Administration, Healthcare, Engineering, etc.)

Required Experience

- 8 years' experience in healthcare

- 4 years of management level experience

- Understanding of all areas of health plan operations: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, utilization management.

- Understands key revenue levers and cost drivers of business processes.

- Understands critical success factors for the industry.

- Experience designing and delivering solutions related to operational improvement functions.

- Strong leadership qualities and ability to get results.

Preferred Education

Graduate Degree

Preferred Experience

- 6 years of healthcare related process improvement experience with demonstrable successes in application of Lean/Six-Sigma

- 10 years of process improvement experience.

• Azure.

• SQL programming experience (read/write SQL).

• Process improvement for Data Governance.

• Healthcare Informatics.

Preferred License, Certification, Association

• LEAN certification and/or Lean Six Sigma Black Belt

• CPHQ certification.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: $96,325.57 - $208,705.4 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

As the Senior Consultant, Threat Management PSOC, you will be a member of Molina Healthcare's Protection Services Operations Center, reporting to the Manager. This role will be responsible for executing and managing physical security, threat, and incident intake and management for the enterprise. This role will liaise with all employees to address security issues or incidents that arise in the field or Molina offices. Activities will ensure alignment with policies, standard and procedures in deliverables. Additionally, this person will support incident response and crisis management activities during disruptive events as needed.

Knowledge/Skills/Abilities

• Supports the Protection Services Operations Center in responding to and abating workplace violence and physical threat incidents.

• Rapid responses (in a remote environment) to workforce members involved in workplace violence incidents, threat events, and distressed situations.

• Engages high-stress situations to ensure incident response, threat abatement, and after-care support for involved workforce members and/or company facilities.

• Interviewing workforce members who have experienced threat events or distressed situations; interviewing witnesses; coordinating law enforcement / emergency responses; and preparing either comprehensive reports and case files.

• Provides comprehensive intelligence on threat actors, including but not limited to comprehensive reviews of an actor's bio, court history, criminal history, and social media activity,

• Serve as a law enforcement liaison on a range of responsibilities, including rapid incident response coordination and LE support requests.

• Support in coordinating/scheduling close protection agents for select field and company events.

• Support in developing and facilitating training on a range of workplace violence topics, including field security best practices and active shooter survival training.

• May be required to work outside of normal business hours (nights, evenings, and weekends) if responding to emergencies

• Perform other duties as assigned

Job Qualifications

Required Education:

• Bachelor's degree or equivalent professional work experience

Required Experience:

• Minimum 8+ years demonstrated experience in physical security, threat intelligence and/or security operations with comprehensive understanding of practice, principles and processes

Required Knowledge, Skills and Abilities:

You are

• Excellent report writing and case management skills.

• Excellent communication and interpersonal skills.

• Strong analytical and research skills.

• Proficiency with Microsoft Office suite.

• Ability to work under pressure.

• Ability to regularly work after hours and adjust work schedule as needed during threat events.

• Experience coordinating with law enforcement at a regional or national level.

• Ability to deal with high stress situations.

• Healthcare / HIPAA experience a strong plus.

You have a deep understanding of:

• The candidate should have a strong grasp of physical security and security operations:

• Access control systems

• Surveillance systems

• Intrusion systems

• Ticketing and workflow management to ensure SLAs

• Metrics, reporting and analysis

• Extensive experience with Lenel, Avigilon, Envoy, and Everbridge (including VCC, Notification and SafetyConnect).

• Software skills & competencies are required, as well as internet research abilities and strong communication skills. Includes: MS Office (Outlook, Word, Excel, and PowerPoint) and also preferably a familiarity with SharePoint and Visio

• Excellent knowledge of physical security and security operations best practices, policies, and procedures

• Strong project management skills

• Familiarity with best practices and standards for physical security

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

The Community Connector will be working 100% remote in an outbound call environment (Must reside in the state of VA). Our Community Connectors will be working with our VA Medicaid newly enrolled members referred to us by Department Social Services. This individual will be making outbound calls to our newly enrolled members to make first point contact, complete health screener and answer any member questions. We are looking for candidates with outbound call center experience, excellence customer services, and ability to toggle back and forth between multiple screens and databases.

Home office with internet connectivity of high speed required.

Monday - Friday 8 AM to 5 PM EST (No weekends or Holidays)

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Serves as a community based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs.

• Collaborates with and supports the Healthcare Services team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, nursing homes, shelters, or doctor's offices, etc.

• Empowers members by helping them navigate and maximize their health plan benefits.

• Assistance may include: scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments.

• Assists members in accessing social services such as community-based resources for housing, food, employment, etc.

• Provides outreach to locate and/or provide support for disconnected members with special needs.

• Conducts research with available data to locate members Molina Healthcare has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers, or travel to last known address or community resource locations such as homeless shelters, etc.)

• Participates in ongoing or project-based activities that may require extensive member outreach (telephonically and/or face-to-face).

• Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.

• 50-80% local travel may be required. Reliable transportation required.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma/GED

REQUIRED EXPERIENCE:

- Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

- Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

- For Ohio, Florida, and California only -- Active and unrestricted Community Health Worker (CHW) Certification.

PREFERRED EDUCATION:

Associate's Degree in a health care related field (e.g., nutrition, counseling, social work).

PREFERRED EXPERIENCE:

- Bilingual based on community need.

- Familiarity with healthcare systems a plus.

- Knowledge of community-specific culture.

- Experience with or knowledge of health care basics, community resources, social services, and/or health education.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

- Current Community Health Worker (CHW) Certification preferred (for states other than Ohio, Florida and California, where it is required).

- Active and unrestricted Medical Assistant Certification

STATE SPECIFIC REQUIREMENTS: OHIO

- MHO Care Guide serves as a single point of contact for care coordination when there is no CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified MHO Care Guide Plus serves as a single point of contact at Molina for care coordination when there is CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified.

- Assures completion of a health risk assessment, assisting members to remediate immediate and acute gaps in care and access. Assist members with filing grievances and appeals.

- Connects members to CCEs, the OhioRISE Plan,or Molina Care Management if the members needs indicate a higher level of coordination. Provide information to members related to Molina requirements , services and benefits .

- Knowledge of internal MCO processes and procedures related to Care Guide responsibilities required

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: $14.76 - $31.97 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Responsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information; generating forecasts and analyzes trends in sales, finance and other areas of business; Creating financial models for future business planning decisions in areas such as new product development, new marketing strategies, etc.

KNOWLEDGE/SKILLS/ABILITIES

• Forecasts and monitors economic benefits of Molina investments in infrastructure and operations (enhancements in operating efficiency and effectiveness).

• Allocates limited resources among different investments in infrastructure and operations by ranking based upon economic benefit.

• Analyzes capital equipment purchases. Performs lease vs. buy analyses.

• Assists the IT Technology department with financial modeling, budgeting, benchmarking analysis and variance analysis as needed.

• Develops policies and procedures to support all Finance activities.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree

Required Experience

3-4 Years

Preferred Education

MBA

Preferred Experience

• 5-6 Years

• Preferred License, Certification, Association

• CPA

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes, staffs, and coordinates the Provider Contracts activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider contracts and contracting strategies.

Job Duties

Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads negotiations of contracts with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement. Executes standardized Alternative Payment Method or Value Based Payment (VBP) contracts. Lead initiatives and activities issue escalations, network adequacy, and Joint Operating Committees.

- Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services.

- In conjunction with direct management and senior leadership, oversees development of provider contracting strategies including VBP. This includes identifying those specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of members and patients in addition to identifying VBP provider targets to meet Molina goals.

- Leads the achievement of annual savings through recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region.

- Leads preparation and negotiations of provider contracts and oversee negotiation of contracts, including VBP, in concert with established company guidelines with physicians, hospitals, and other health care providers.

- Utilizes standardized contract templates and VBP/Pay for Performance strategies.

- Develops and maintains Reimbursement Tolerance Parameters (across multiple specialties/ geographies). Oversees the development of new reimbursement models in concert with direct management and senior leadership/management.

- Communicates new strategies to corporate provider network leadership for input.

- Utilize standardized system(s) to track contract negotiation activity on an ongoing basis throughout the year.

- Participates on the management team and other committees addressing the strategic goals of the department and organization.

- Oversees the maintenance of all Provider Contract templates including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.

- Manages the contracting relationships with area agencies and community partners to support and advance Plan initiatives.

- Develops and implements contracting strategies to comply with state, federal, NCQA, HEDIS initiatives and regulations.

- Manages and provides coaching to Network Contracting Staff.

- Manages and evaluates team member performance; provides coaching, consultation, employee development, and recognition; ensures ongoing, appropriate staff training; holds regular team meetings to drive good communication and collaboration; and has responsibility for the selection, orientation and mentoring of new staff.

Job Qualifications

REQUIRED EDUCATION :

Bachelor's Degree in a related field (Business Administration, etc.) or equivalent experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

- 7+ years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services, including 2+ years in a direct or matrix leadership position

- 5+ years experience in provider contract negotiations in a managed healthcare setting including in negotiating different provider contract types and VBP models, i.e. physician, group and hospital contracting, etc.

- Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for service, capitation and various forms of risk, ASO, etc.

- Min. 2 years experience managing/supervising employees.

PREFERRED EDUCATION :

Master's Degree in a related field or an equivalent combination of education and experience

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: $87,568.7 - $189,732.18 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.

Knowledge/Skills/Abilities

- Defines program scope, establish approach for implementation and maintains program infrastructure

- Develop a method for assessing program effectiveness and a cadence for assessing and adjusting

- Develop approach for communication organizationally about the program

- Determine program support needs

- Gains agreement on process improvement opportunities to be undertaken and assists in the prioritization of approved initiatives/projects.

- Keeps abreast of current trends impacting Lean concepts/methodologies/tools to ensure that best practices are utilized in process improvement efforts.

- Coordinates and collaborates with Molina enterprise Operational Excellence team and health plan Operational Excellence teams

- Ensures appropriate alignment within the program with organizational Operational Excellence programs

- Manages the portfolio of projects, educational programs and coaching plan for the organization

- Develop managers and staff in lean principles, methodology and application through individual coaching, education and projects

- Explains and applies accepted methodologies (i.e. identify desired outcomes, analyze current processes/problems, collect/analyze relevant data, uncover root causes, develop performance/process improvement plan and implementation tactics, test recommendation and assess results.)

- Establish and maintain an education and coaching approach for all levels of staff. Continuously evaluates training and coaching needs of the organization as it relates to process improvement. Develops and maintains the necessary curriculum and supporting materials to education staff and leaders.

- Facilitates Lean improvement workshops in partnership with managers; develops and delivers presentations/education to mentor/coach various key leadership and management staff to promote awareness, understanding, acceptance and engagement of Lean concepts, methodologies and tools.

Job Qualifications

Required Education

Bachelor's degree required in a related field (Business Administration, Healthcare, Engineering, etc.)

Required Experience

- 8 years' experience in healthcare

- 4 years of management level experience

- Understanding of all areas of health plan operations: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, utilization management.

- Understands key revenue levers and cost drivers of business processes.

- Understands critical success factors for the industry.

- Experience designing and delivering solutions related to operational improvement functions.

- Strong leadership qualities and ability to get results.

Preferred Education

Graduate Degree

Preferred Experience

- 6 years of healthcare related process improvement experience with demonstrable successes in application of Lean/Six-Sigma

- 10 years of process improvement experience.

• Azure.

• SQL programming experience (read/write SQL).

• Process improvement for Data Governance.

• Healthcare Informatics.

Preferred License, Certification, Association

• LEAN certification and/or Lean Six Sigma Black Belt

• CPHQ certification.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: $96,325.57 - $208,705.4 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

As the Senior Consultant, Threat Management PSOC, you will be a member of Molina Healthcare's Protection Services Operations Center, reporting to the Manager. This role will be responsible for executing and managing physical security, threat, and incident intake and management for the enterprise. This role will liaise with all employees to address security issues or incidents that arise in the field or Molina offices. Activities will ensure alignment with policies, standard and procedures in deliverables. Additionally, this person will support incident response and crisis management activities during disruptive events as needed.

Knowledge/Skills/Abilities

• Supports the Protection Services Operations Center in responding to and abating workplace violence and physical threat incidents.

• Rapid responses (in a remote environment) to workforce members involved in workplace violence incidents, threat events, and distressed situations.

• Engages high-stress situations to ensure incident response, threat abatement, and after-care support for involved workforce members and/or company facilities.

• Interviewing workforce members who have experienced threat events or distressed situations; interviewing witnesses; coordinating law enforcement / emergency responses; and preparing either comprehensive reports and case files.

• Provides comprehensive intelligence on threat actors, including but not limited to comprehensive reviews of an actor's bio, court history, criminal history, and social media activity,

• Serve as a law enforcement liaison on a range of responsibilities, including rapid incident response coordination and LE support requests.

• Support in coordinating/scheduling close protection agents for select field and company events.

• Support in developing and facilitating training on a range of workplace violence topics, including field security best practices and active shooter survival training.

• May be required to work outside of normal business hours (nights, evenings, and weekends) if responding to emergencies

• Perform other duties as assigned

Job Qualifications

Required Education:

• Bachelor's degree or equivalent professional work experience

Required Experience:

• Minimum 8+ years demonstrated experience in physical security, threat intelligence and/or security operations with comprehensive understanding of practice, principles and processes

Required Knowledge, Skills and Abilities:

You are

• Excellent report writing and case management skills.

• Excellent communication and interpersonal skills.

• Strong analytical and research skills.

• Proficiency with Microsoft Office suite.

• Ability to work under pressure.

• Ability to regularly work after hours and adjust work schedule as needed during threat events.

• Experience coordinating with law enforcement at a regional or national level.

• Ability to deal with high stress situations.

• Healthcare / HIPAA experience a strong plus.

You have a deep understanding of:

• The candidate should have a strong grasp of physical security and security operations:

• Access control systems

• Surveillance systems

• Intrusion systems

• Ticketing and workflow management to ensure SLAs

• Metrics, reporting and analysis

• Extensive experience with Lenel, Avigilon, Envoy, and Everbridge (including VCC, Notification and SafetyConnect).

• Software skills & competencies are required, as well as internet research abilities and strong communication skills. Includes: MS Office (Outlook, Word, Excel, and PowerPoint) and also preferably a familiarity with SharePoint and Visio

• Excellent knowledge of physical security and security operations best practices, policies, and procedures

• Strong project management skills

• Familiarity with best practices and standards for physical security

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: $54,373.27 - $117,808.76 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare