18 Healthcare Professionals jobs in Buffalo
Healthcare Specialist
14211 Buffalo, New York
WM
Posted 15 days ago
Job Viewed
Job Description
**Starting Salary $60,000 Plus (BOE), Great Benefits:**
**Stericycle is now part of WM!** To learn more about WM's acquisition of Stericycle, **CLICK HERE** to read the press release! Stericycle is a U.S. based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health and well-being, and safeguards the environment. Since our founding over 30 years ago, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and commercial businesses of every size. Every day, we help our customers solve complex challenges by safely managing materials that could otherwise spread disease, contaminate the environment, or compromise one's identity. Join us on our mission to protect health and well-being in a safe, responsible, and sustainable way.
**Position Purpose:**
The Healthcare Specialist is responsible for providing strategic guidance towards the compliant, safe and efficient handling and processing of all Waste Streams contracted by the facility(s). Ensures the services provided to the facility(s) by Stericycle consistently meet service expectations, regulatory and safety compliance measures, and are provided in a productive and profitable manner.
**Key Job Activities:**
+ Monitors the performance of operational efficiencies and assist in ensuring that their performance and cost goals are being achieved by utilizing cost tracking tools and reviewing invoices for accuracy. Identifies and executes ways to reduce costs while still fulfilling contractual obligations
+ Provides strategic consultative resources to hospital staff to assist them in managing all contracted waste streams in a safe and compliant manner. Serve as the primary liaison in managing all contracted waste streams
+ Provides expert knowledge as needed on each of the regulations associated with the waste streams being managed (i.e., EPA, DOT, DEA, and any other state or local regulations)
+ Conduct Survey for customers identifying compliance gaps and waste segregation opportunities utilizing the Virtual Compliance Partner application
+ Project manage implementation of new compliance-based services including the tracking, coordinating, and communication of schedules and expectations to internal and external customers. Develop and deliver customized training for the implementation and maintenance of the contract
+ Regularly schedule and complete customer-facing activity with focus on service satisfaction, building relationships, and identifying ways to improve operational efficiencies and profitability
+ Perform other duties and responsibilities, as assigned
**Education:**
Preferred Education: in Bachelors
**Experience (North America):**
+ Bachelor's Degree preferred, with experience in healthcare discipline preferred, or the equivalent in related work experience, demonstrating detailed knowledge of OSHA and/or EPA-RCRA and/or U.S. DOT, and/or The Joint Commission Standards
+ 3+ years of experience in the healthcare industry, or the equivalent in related work experience, demonstrating excellent working knowledge of medical waste issues and the healthcare industry, and consultative skills to effectively deal with customers. Candidate is confident with public speaking duties
+ Demonstrates the ability to work well with others, and provide excellent customer service, both internally and externally
+ Demonstrates the ability to identify and understand customer needs; takes appropriate actions to ensure customer needs are met while also meeting Stericycle expectations
+ Demonstrates the ability to present ideas/information in a clear, concise, organized, and diplomatic manner; asks appropriate questions to obtain information; listen to others to respond effectively to ideas and questions. Presents prepared information to groups in a manner that is clear & concise, holds their interest, and addresses their needs or concerns.
+ Always demonstrates a professional work ethic and professional appearance
+ Independent, self-motivated who can meet goals and objectives that have been outlined by Senior Team. Demonstrates time management skills, working in an autonomous environment
**Benefits:**
Stericycle currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage, healthcare and dependent care flexible spending accounts, life and accidental death and dismemberment insurance, an employee assistance program, tuition reimbursement, paid vacation and sick time, a 401(k) plan, and an employee stock purchase plan. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Stericycle.
**Our Promise:**
Stericycle is committed to attracting and retaining a diverse workforce, and to valuing unique perspectives and identities. We foster a culture of belonging that encourages, supports, and celebrates the diverse voices of our team members. It fuels our innovation and strengthens our connection to our customers and the communities we serve. We are proud to be an equal opportunity employer. All employment is decided on the basis of qualifications, merit, and business need.
**_Disclaimer:_**
_The above description is meant to provide a summary of the nature and level of work being performed; it should not be construed as an exhaustive list of all responsibilities, duties and requirements of the job. This document does not create an employment contract, implied or otherwise, and it does not constitute any right or guarantee of employment condition. This position is open to people with disabilities. Stericycle will consider requests for workplace accommodations for protected physical or mental limitations in accordance with its human resources and risks prevention policies and local laws. To the extent permissible under local law, and consistent with business necessity, Stericycle reserves the right to modify the content formally or informally, either verbally or in writing, at any time with or without advance notice._
**Stericycle is now part of WM!** To learn more about WM's acquisition of Stericycle, **CLICK HERE** to read the press release! Stericycle is a U.S. based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health and well-being, and safeguards the environment. Since our founding over 30 years ago, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and commercial businesses of every size. Every day, we help our customers solve complex challenges by safely managing materials that could otherwise spread disease, contaminate the environment, or compromise one's identity. Join us on our mission to protect health and well-being in a safe, responsible, and sustainable way.
**Position Purpose:**
The Healthcare Specialist is responsible for providing strategic guidance towards the compliant, safe and efficient handling and processing of all Waste Streams contracted by the facility(s). Ensures the services provided to the facility(s) by Stericycle consistently meet service expectations, regulatory and safety compliance measures, and are provided in a productive and profitable manner.
**Key Job Activities:**
+ Monitors the performance of operational efficiencies and assist in ensuring that their performance and cost goals are being achieved by utilizing cost tracking tools and reviewing invoices for accuracy. Identifies and executes ways to reduce costs while still fulfilling contractual obligations
+ Provides strategic consultative resources to hospital staff to assist them in managing all contracted waste streams in a safe and compliant manner. Serve as the primary liaison in managing all contracted waste streams
+ Provides expert knowledge as needed on each of the regulations associated with the waste streams being managed (i.e., EPA, DOT, DEA, and any other state or local regulations)
+ Conduct Survey for customers identifying compliance gaps and waste segregation opportunities utilizing the Virtual Compliance Partner application
+ Project manage implementation of new compliance-based services including the tracking, coordinating, and communication of schedules and expectations to internal and external customers. Develop and deliver customized training for the implementation and maintenance of the contract
+ Regularly schedule and complete customer-facing activity with focus on service satisfaction, building relationships, and identifying ways to improve operational efficiencies and profitability
+ Perform other duties and responsibilities, as assigned
**Education:**
Preferred Education: in Bachelors
**Experience (North America):**
+ Bachelor's Degree preferred, with experience in healthcare discipline preferred, or the equivalent in related work experience, demonstrating detailed knowledge of OSHA and/or EPA-RCRA and/or U.S. DOT, and/or The Joint Commission Standards
+ 3+ years of experience in the healthcare industry, or the equivalent in related work experience, demonstrating excellent working knowledge of medical waste issues and the healthcare industry, and consultative skills to effectively deal with customers. Candidate is confident with public speaking duties
+ Demonstrates the ability to work well with others, and provide excellent customer service, both internally and externally
+ Demonstrates the ability to identify and understand customer needs; takes appropriate actions to ensure customer needs are met while also meeting Stericycle expectations
+ Demonstrates the ability to present ideas/information in a clear, concise, organized, and diplomatic manner; asks appropriate questions to obtain information; listen to others to respond effectively to ideas and questions. Presents prepared information to groups in a manner that is clear & concise, holds their interest, and addresses their needs or concerns.
+ Always demonstrates a professional work ethic and professional appearance
+ Independent, self-motivated who can meet goals and objectives that have been outlined by Senior Team. Demonstrates time management skills, working in an autonomous environment
**Benefits:**
Stericycle currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage, healthcare and dependent care flexible spending accounts, life and accidental death and dismemberment insurance, an employee assistance program, tuition reimbursement, paid vacation and sick time, a 401(k) plan, and an employee stock purchase plan. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Stericycle.
**Our Promise:**
Stericycle is committed to attracting and retaining a diverse workforce, and to valuing unique perspectives and identities. We foster a culture of belonging that encourages, supports, and celebrates the diverse voices of our team members. It fuels our innovation and strengthens our connection to our customers and the communities we serve. We are proud to be an equal opportunity employer. All employment is decided on the basis of qualifications, merit, and business need.
**_Disclaimer:_**
_The above description is meant to provide a summary of the nature and level of work being performed; it should not be construed as an exhaustive list of all responsibilities, duties and requirements of the job. This document does not create an employment contract, implied or otherwise, and it does not constitute any right or guarantee of employment condition. This position is open to people with disabilities. Stericycle will consider requests for workplace accommodations for protected physical or mental limitations in accordance with its human resources and risks prevention policies and local laws. To the extent permissible under local law, and consistent with business necessity, Stericycle reserves the right to modify the content formally or informally, either verbally or in writing, at any time with or without advance notice._
View Now
0
Remote Healthcare Recruiting Account Partner
14266 Buffalo, New York
MLee Healthcare Staffing and Recruiting, Inc
Posted 2 days ago
Job Viewed
Job Description
Forge Your Own Path as a Healthcare Recruiting Account Partner - Empower Clinicians from Anywhere
Overview
What if your next professional journey was not just about a job, but about carving out your independent path in the world of healthcare recruitment? Imagine every connection you make having the potential to transform a life, opening doors for clinicians, or guiding someone to the role that feels right for them. At MLR, we see healthcare recruiting as a deeply personal endeavor, and we aim to reward every talented individual that contributes to this mission.
We are on the lookout for driven, commission-oriented individuals who are eager to assist in linking outstanding healthcare professionals with organizations that prioritize remarkable patient care. This isn't your run-of-the-mill recruitment role; you won't be burdened with the complexities of managing hiring cycles or handling a multitude of job postings. Instead, you will be on the frontline-connecting with candidates, initiating important conversations, and setting up crucial meetings that lead to significant outcomes.
Embrace the freedom to work when and where you choose. Achieve the income you deserve. Be the catalyst for change in one of the most consequential industries today.
Your Responsibilities
* Identify potential healthcare candidates using our innovative platform along with your professional network
* Reach out to prospective candidates to present MLR opportunities and assess their interest
* Schedule appointments between candidates and our recruitment team for further evaluation
* Maintain engagement with leads through follow-ups to assist their hiring journey
* Keep detailed and current records in our applicant tracking system
* Earn commission based on your scheduled meetings, conducted interviews, and successful hires from your leads
What You Need to Thrive
* Excellent communication skills, both written and verbal
* A proactive, self-driven mentality - your day is yours to manage
* A passion for outreach and a genuine desire to assist others in advancing their careers
* No prior recruiting experience necessary - if you possess organizational and resourcefulness skills, we will equip you with the rest
Your Compensation Structure
This position offers a commission-only compensation model, which means that there are no limits to how much you can earn, nor are there ceilings to your achievements.
Your earnings are tied directly to the real value you generate:
* Earn commission for each productive meeting you schedule
* Additional pay when your outreach leads to interviews
* Multipliers on commissions for new business secured
* Bonus commissions when placements are made through connections you've facilitated
* Opportunities for performance-based earnings (such as retention bonuses)
We ensure transparent tracking of performance-every dollar you earn corresponds directly to your proactive efforts.
Why Choose MLR?
We are not merely forming a recruiting team; we are initiating a movement that is flexible, driven by merit, and closely aligned to our mission.
Unlimited Earning Potential - The more you contribute, the greater your earnings. It's straightforward-you hold the reins.
Complete Flexibility - Operate remotely, asynchronously, and at your own pace. Integrate this role into your life, rather than rearranging your life around it.
Supportive Environment - We encourage initiatives. You will have access to powerful resources and guidance without being micromanaged.
Real Meaningful Work - You're not just arranging meetings. You're facilitating someone's journey toward a role that enables them to save lives.
This Opportunity is Ideal For:
* Stay-at-home parents, travelers, or side hustlers seeking unrestricted flexibility
* Individuals eager to step into recruiting or the healthcare sector
* Content creators, influencers, and affiliate marketers adept at crafting compelling messages and maintaining integrity in follow-ups
* Healthcare professionals wishing to transition into recruiting and leverage their networks
* Salespeople passionate about connecting people with purpose and opportunities
Envisioning Success
Fancy titles and years of experience are not required here. What you need is curiosity, effective communication, and consistency. Picture getting compensated each time a person you reached out to takes steps toward their ideal job. That's a glimpse of success in this role.
You might start slowly - engaging in a few conversations each day, securing a couple of meetings weekly. However, as your confidence grows, so will your momentum. Your leads could convert to interviews, and interviews into job offers. You'll not only be earning; you'll be changing lives-all while working on your own terms.
Your Workspace
Your office can be anywhere with an internet connection and a mission. Whether you choose a serene kitchen table, a cozy café in a busy town, or a beachside retreat, the choice is yours. This position is entirely remote, allowing you the freedom to craft your work environment.
No stress from time zones. No daily commute. No risk of burnout.
Ready to Take the Next Step?
This opportunity transcends being just a job; it's a chance to help reshape the landscape of healthcare-one vital connection at a time. If engaging in meaningful dialogues, forming connections, and achieving results appeals to you, we want to hear from you.
Apply today and join our mission-driven team that values autonomy, proactive action, and real impact. When you link people to purpose, everyone wins - especially you.
Overview
What if your next professional journey was not just about a job, but about carving out your independent path in the world of healthcare recruitment? Imagine every connection you make having the potential to transform a life, opening doors for clinicians, or guiding someone to the role that feels right for them. At MLR, we see healthcare recruiting as a deeply personal endeavor, and we aim to reward every talented individual that contributes to this mission.
We are on the lookout for driven, commission-oriented individuals who are eager to assist in linking outstanding healthcare professionals with organizations that prioritize remarkable patient care. This isn't your run-of-the-mill recruitment role; you won't be burdened with the complexities of managing hiring cycles or handling a multitude of job postings. Instead, you will be on the frontline-connecting with candidates, initiating important conversations, and setting up crucial meetings that lead to significant outcomes.
Embrace the freedom to work when and where you choose. Achieve the income you deserve. Be the catalyst for change in one of the most consequential industries today.
Your Responsibilities
* Identify potential healthcare candidates using our innovative platform along with your professional network
* Reach out to prospective candidates to present MLR opportunities and assess their interest
* Schedule appointments between candidates and our recruitment team for further evaluation
* Maintain engagement with leads through follow-ups to assist their hiring journey
* Keep detailed and current records in our applicant tracking system
* Earn commission based on your scheduled meetings, conducted interviews, and successful hires from your leads
What You Need to Thrive
* Excellent communication skills, both written and verbal
* A proactive, self-driven mentality - your day is yours to manage
* A passion for outreach and a genuine desire to assist others in advancing their careers
* No prior recruiting experience necessary - if you possess organizational and resourcefulness skills, we will equip you with the rest
Your Compensation Structure
This position offers a commission-only compensation model, which means that there are no limits to how much you can earn, nor are there ceilings to your achievements.
Your earnings are tied directly to the real value you generate:
* Earn commission for each productive meeting you schedule
* Additional pay when your outreach leads to interviews
* Multipliers on commissions for new business secured
* Bonus commissions when placements are made through connections you've facilitated
* Opportunities for performance-based earnings (such as retention bonuses)
We ensure transparent tracking of performance-every dollar you earn corresponds directly to your proactive efforts.
Why Choose MLR?
We are not merely forming a recruiting team; we are initiating a movement that is flexible, driven by merit, and closely aligned to our mission.
Unlimited Earning Potential - The more you contribute, the greater your earnings. It's straightforward-you hold the reins.
Complete Flexibility - Operate remotely, asynchronously, and at your own pace. Integrate this role into your life, rather than rearranging your life around it.
Supportive Environment - We encourage initiatives. You will have access to powerful resources and guidance without being micromanaged.
Real Meaningful Work - You're not just arranging meetings. You're facilitating someone's journey toward a role that enables them to save lives.
This Opportunity is Ideal For:
* Stay-at-home parents, travelers, or side hustlers seeking unrestricted flexibility
* Individuals eager to step into recruiting or the healthcare sector
* Content creators, influencers, and affiliate marketers adept at crafting compelling messages and maintaining integrity in follow-ups
* Healthcare professionals wishing to transition into recruiting and leverage their networks
* Salespeople passionate about connecting people with purpose and opportunities
Envisioning Success
Fancy titles and years of experience are not required here. What you need is curiosity, effective communication, and consistency. Picture getting compensated each time a person you reached out to takes steps toward their ideal job. That's a glimpse of success in this role.
You might start slowly - engaging in a few conversations each day, securing a couple of meetings weekly. However, as your confidence grows, so will your momentum. Your leads could convert to interviews, and interviews into job offers. You'll not only be earning; you'll be changing lives-all while working on your own terms.
Your Workspace
Your office can be anywhere with an internet connection and a mission. Whether you choose a serene kitchen table, a cozy café in a busy town, or a beachside retreat, the choice is yours. This position is entirely remote, allowing you the freedom to craft your work environment.
No stress from time zones. No daily commute. No risk of burnout.
Ready to Take the Next Step?
This opportunity transcends being just a job; it's a chance to help reshape the landscape of healthcare-one vital connection at a time. If engaging in meaningful dialogues, forming connections, and achieving results appeals to you, we want to hear from you.
Apply today and join our mission-driven team that values autonomy, proactive action, and real impact. When you link people to purpose, everyone wins - especially you.
View Now
1
Healthcare Services Operations Support Auditor
14211 Buffalo, New York
Molina Healthcare
Posted today
Job Viewed
Job Description
JOB DESCRIPTION Job SummaryProvides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and requirements.
- Reports outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrates professionalism in all communications.
- Adheres to departmental standards, policies, protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to non-clinical auditing.
- May conduct staff trainings as needed.
- Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
- At least 2 years health care experience, preferably in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $24 - $56.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Essential Job Duties
- Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and requirements.
- Reports outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrates professionalism in all communications.
- Adheres to departmental standards, policies, protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to non-clinical auditing.
- May conduct staff trainings as needed.
- Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
- At least 2 years health care experience, preferably in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $24 - $56.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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2
Data Analyst (Healthcare Preferred) - Remote
14211 Buffalo, New York
Molina Healthcare
Posted 7 days ago
Job Viewed
Job Description
**Job Summary**
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Identifies and interprets trends and patterns in datasets to locate influences and provides recommendations and strategic/tactical plans based on findings. Collaborates within Care Connections and across departments to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates specifications for reports and analysis based on business needs and required or available data elements and works with Clinical Informatics to design. Creates solutions from initial concept to fully tested production products and communicates results to a broad range of audiences.
Effectively uses current and emerging technologies.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze data.
+ Sets up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements.
+ Works with internal, external and enterprise stakeholders, as needed, to research, develop, and document new standard reports and/or processes.
+ Implements and uses the analytics software and systems to support department goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 year
Quality and/or Medicare Stars knowledge highly preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Identifies and interprets trends and patterns in datasets to locate influences and provides recommendations and strategic/tactical plans based on findings. Collaborates within Care Connections and across departments to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates specifications for reports and analysis based on business needs and required or available data elements and works with Clinical Informatics to design. Creates solutions from initial concept to fully tested production products and communicates results to a broad range of audiences.
Effectively uses current and emerging technologies.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze data.
+ Sets up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements.
+ Works with internal, external and enterprise stakeholders, as needed, to research, develop, and document new standard reports and/or processes.
+ Implements and uses the analytics software and systems to support department goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 year
Quality and/or Medicare Stars knowledge highly preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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3
Healthcare Services Operations Support Auditor
14211 Buffalo, New York
Molina Healthcare
Posted 9 days ago
Job Viewed
Job Description
JOB DESCRIPTION
Job Summary
Provides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and requirements.
- Reports outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrates professionalism in all communications.
- Adheres to departmental standards, policies, protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to non-clinical auditing.
- May conduct staff trainings as needed.
- Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
- At least 2 years health care experience, preferably in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $24 - $56.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Summary
Provides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and requirements.
- Reports outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrates professionalism in all communications.
- Adheres to departmental standards, policies, protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to non-clinical auditing.
- May conduct staff trainings as needed.
- Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
- At least 2 years health care experience, preferably in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $24 - $56.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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4
Analyst, Healthcare Ops - Remote GA
14211 Buffalo, New York
Molina Healthcare
Posted 15 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
***Candidate must reside in Georgia***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote behaviors that reflect Molina Healthcare's Core Values.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
+ Identifies and completes report enhancements/fixes.
+ Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Establishes and maintains timelines for reports and projects.
+ Generates and distributes weekly/monthly/quarterly/annually standard reports.
+ Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using PowerBI
+ Must be able to collaborate with Executive teams in Utilization management, Operations, Core EIM teams.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHPO
Pay Range: $21.16 - $46.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
***Candidate must reside in Georgia***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote behaviors that reflect Molina Healthcare's Core Values.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information.
+ Identifies and completes report enhancements/fixes.
+ Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Establishes and maintains timelines for reports and projects.
+ Generates and distributes weekly/monthly/quarterly/annually standard reports.
+ Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using PowerBI
+ Must be able to collaborate with Executive teams in Utilization management, Operations, Core EIM teams.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHPO
Pay Range: $21.16 - $46.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
5
Medical Professional - LPN
14266 Buffalo, New York
Octapharma Plasma
Posted 2 days ago
Job Viewed
Job Description
Description
Looking to Strengthen
your positive impact on patients’ lives,
your level of excitement at work,
and your compensation?
We thrive on change.
(So can you!)
The role of a Medical Professional at Octapharma Plasma is rewarding in every sense of the word. No two days are the same as every situation brings exciting new challenges—ones we meet with genuine empathy, skill, and enthusiasm. Our rapidly expanding organization offers the ability to enhance lives, exhilarating work, and the compensation you deserve. Join us as a:
Medical Professional
This Is What You’ll Do:
-
Determines donor eligibility of new and return donors for plasmapheresis procedures and immunizations by conducting evaluations to ensure criteria of plasma donors are met and in accordance with SOPs, Food and Drug Administration (FDA), Clinical Laboratory Improvement Act (CLIA), and cGMP.
-
Reviews informed consent forms for plasmapheresis and immunization. Includes explanation of procedures, potential adverse events, immunization schedules, possible antibody formation, and dose administration. Offering clear opportunity for donor to refuse participation.
-
Performs medical history reviews and health assessments for donors.
-
Maintains accurate and up-to-date Physician Communication Logs, in accordance with SOP.
-
Understands and utilizes donor center’s donor management system (NexLynk).
-
Uses SOPs to facilitate compliance with regulations.
-
Complies with federal, state, local, and company-specific regulations related to quality of product, employee and donor safety, and the proper performance of day-to-day activities.
-
Reviews donor management system (NexLynk) and/or immunization paperwork to ensure accuracy and completeness.
-
Reviews accumulated data in a timely fashion to confirm eligibility and consults with donor center Licensed Physician, as needed.
-
Classifies donors to appropriate program.
-
Monitors donor reactions to plasmapheresis and documents accordingly.
-
Provides appropriate medical care per SOP to donors if complications arise.
-
Interacts with donor center Licensed Physician regarding ordering immunizations.
-
Monitors donors for possible adverse reactions to immunization.
-
Medical Professional may not fulfill Licensed Physician’s responsibilities in RBC immunization programs.
-
Performs duties for the Hyperimmune Program, if applicable, as described in SOPs.
-
Reviews all normal and abnormal test results in donor management system (Nexlynk) to determine continued donor eligibility.
-
Ensures confidentiality of employee, donor, and donor center records while performing all duties.
-
Counsels donors with abnormal test results or eligibility concerns and defers them according to the donor deferral matrix. Refers donors to appropriate county/state health department or similar for follow-up and diagnostic testing, when applicable per SOP.
This Is Who You Are:
-
Graduate of a recognized healthcare-related educational program, such as Physician, Nurse (Licensed Practical Nurse or Registered Nurse). Certified/licensed as an emergency medical technician (EMT Basic, EMT 2-intermediate, or 3- advanced/paramedic, if allowable).
-
Ability to work shifts consisting of day and evening hours, weekends, holidays and extended shifts on a frequent basis.
-
Must work within the scope of the professional license/certification, as defined by the state in which the work is performed.
-
Any specific state licensing requirements must be met per location.
-
One (1)-year experience in the hospital, field care, or experience in a plasma center preferred.
-
Everyone performing moderate complexity testing must possess a current license issued by the state where the donor center is located, based on any required state regulations.
-
Must successfully complete training program and competency assessments using OPI approved training modules or training curriculum.
-
Must have excellent patient/donor assessment skills.
-
Must be able to manage emergency situations in accordance with standard medical care practices.
-
Maintain current and valid license and pass medical credential evaluation.
-
Must maintain current cardiopulmonary resuscitation (CPR) certification.
-
Must be highly organized and have attention to detail.
-
Possess effective physical and clinical assessment skills customer service and people management skills.
-
Ability to understand and follow SOPs and protocols.
-
Must possess basic computer knowledge and skills. Basic working knowledge of Microsoft Word and Excel preferred.
-
Must be able to speak, read, write, and understand English.
-
Demonstrate consistency and reliability (good attendance, punctuality, full effort throughout shift, flexibility with assigned schedule).
-
Ability to work shifts consisting of day and evening hours, weekends, holidays and extended shifts on a frequent basis.
This Is Why LPNs Love Working Here:
-
Our team is immersed in a setting of constant, exciting change
-
Excellent teamwork/friendly co-workers
-
Supportive environment
-
Strong ethical standards
-
Opportunities for advancement
Do Satisfying Work. Earn Real Rewards and Benefits.
We’re widely known and respected for our benefits and for leadership that is supportive and hands-on. Managers who truly want you to grow and excel.
-
Formal training
-
Outstanding plans for medical, dental, and vision insurance
-
Health savings account (HSA)
-
Employee assistance program (EAP)
-
Wellness program
-
401 (k) retirement plan
-
Paid time off
-
Company-paid holidays
-
Personal time
More About Octapharma Plasma, Inc.
With donation centers and team members throughout the U.S., Octapharma Plasma, Inc. collects plasma to create life-saving medicines for patients worldwide. We are growing at an impressive pace, and so is the positive impact of our work. Our community relies on teamwork, compassion, and expertise to get things done the right way, while making a meaningful difference in the lives we touch.
The expected base pay for this position is $27.28 - $6.37 - 45.47. Please note this wage range reflects what Octapharma Plasma expects to pay for this position at the listed location as of the time of this posting. Individual base pay for a successful candidate within this range is determined by qualifications, skill level, experience, competencies and other relevant factors.
Interested? Learn more online and apply now at:
Join Octapharma: Careers at Octapharma Plasma (
And if you know someone else who’d be a great fit at Octapharma Plasma, Inc., please forward this posting along.
INNER SATISFACTION.
OUTSTANDING IMPACT.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights ( notice from the Department of Labor.
View Now
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6
Remote Healthcare Talent Advocate / Account Executive
14266 Buffalo, New York
MLee Healthcare Staffing and Recruiting, Inc
Posted 10 days ago
Job Viewed
Job Description
Navigate Your Future as a Healthcare Talent Advocate - Unleash Your Potential from Anywhere
Overview
Imagine a career that's more than just a job; envision a path crafted by your own hands. Each conversation you initiate has the power to change a clinician's life, to connect them with a role that resonates with their true calling. At MLR, we understand that healthcare recruiting is as personal as it is impactful - and our rewards reflect this belief.
We are on the lookout for driven, commission-based individuals eager to join our mission of bridging the gap between elite healthcare professionals and organizations dedicated to exceptional patient care. This is not a conventional recruiting role where you'll manage endless tasks - here, you are a crucial connector. Your focus will be on identifying candidates, facilitating meaningful dialogues, and orchestrating meetings that facilitate genuine change.
Embrace the freedom to choose your working hours and environment. Achieve the earnings you deserve while making a significant impact in a vital industry.
What You'll Do
* Utilize our robust platform and your personal network to identify prospective healthcare candidates.
* Engage with potential candidates about exciting MLR opportunities and assess their interest.
* Coordinate meetings between candidates and our recruitment experts for a comprehensive screening process.
* Maintain ongoing communication with leads to ensure their interest remains strong and to support their hiring journey.
* Keep thorough and updated records in our applicant tracking system.
* Generate income through commissions based on meetings arranged, interviews facilitated, and successful hires from your efforts.
What You Need to Succeed
* Exceptional written and verbal communication skills.
* A proactive, self-driven approach - you manage your day; it doesn't manage you.
* A passion for outreach, building connections, and guiding individuals to the next step in their professional journey.
* Prior experience in recruitment is not mandatory; if you're organized and resourceful, we'll equip you with the tools to thrive.
How You'll Be Paid
This position operates on a commission-only, performance-based compensation model. There's no limit to your earning potential and no ceiling on your achievements.
Your earnings will be directly correlated to the real value you create, including:
* Commissions for every scheduled meeting you arrange.
* Additional earnings for interviews resulting from your outreach.
* Multiplicative commissions on new business generated.
* Bonus commissions for placements stemming from your efforts.
* Further earning potential via performance incentives such as retention bonuses.
Your performance tracking is totally transparent; every dollar you earn links back to the actions you take.
Why Join MLR?
We're not merely forming a recruiting team; we're initiating a movement. One that prioritizes flexibility, meritocracy, and a shared mission.
Unlimited Earnings - Your contribution directly influences your compensation. It's straightforward; you take charge of your success.
Ultimate Flexibility - Work is fully remote, asynchronous, and customizable to fit your life. Design your work schedule around your lifestyle.
Supportive Culture -We champion initiative. You'll have access to powerful resources and guidance without being micromanaged.
Significant Impact - You're not just organizing meetings; you're assisting individuals in finding roles that have the potential to save lives.
This Role is Ideal For:
* Stay-at-home parents, travelers, or those seeking a side hustle that offers limitless flexibility.
* Individuals eager to enter the recruiting or healthcare sectors.
* Affiliate marketers, influencers, and content creators who excel at crafting compelling messages, asking insightful questions, and following up with authenticity.
* Healthcare professionals looking to transition into recruiting or leverage their networks.
* Salespeople passionate about connecting people, purpose, and potential.
What Success Looks Like
In this role, fancy titles or extensive recruiting histories are irrelevant. What matters is your curiosity, communication proficiency, and determination. Picture receiving rewards each time someone you reached out to takes a significant step toward their dream job. That's success in our eyes.
Your journey may begin gradually - with a few daily conversations that progress into weekly meetings. As you build momentum, leads transform into interviews, and interviews progress into job offers. Not only are you earning a commission; you're also changing lives-all while maintaining control over your work-life balance.
Where You'll Work
From anywhere with reliable Wi-Fi and a heartfelt mission. Whether you choose to work from your cozy kitchen table, a serene beachside rental, or a charming local café that knows your favorite brew, the workspace is yours to define. This role is entirely remote and tailored to your vision.
Say goodbye to commutes, strict schedules, and burnout.
Let's Get Started
This isn't just another job opportunity; it's an invitation to help redefine the future of healthcare - one meaningful connection at a time. If you possess an affinity for conversation, a passion for connecting, and a desire to reap the rewards for your results, we're eager to hear from you.
Apply today and join a mission-driven team that prioritizes independence, initiative, and impact. Because when you connect individuals with purpose, everyone benefits - especially you.
Overview
Imagine a career that's more than just a job; envision a path crafted by your own hands. Each conversation you initiate has the power to change a clinician's life, to connect them with a role that resonates with their true calling. At MLR, we understand that healthcare recruiting is as personal as it is impactful - and our rewards reflect this belief.
We are on the lookout for driven, commission-based individuals eager to join our mission of bridging the gap between elite healthcare professionals and organizations dedicated to exceptional patient care. This is not a conventional recruiting role where you'll manage endless tasks - here, you are a crucial connector. Your focus will be on identifying candidates, facilitating meaningful dialogues, and orchestrating meetings that facilitate genuine change.
Embrace the freedom to choose your working hours and environment. Achieve the earnings you deserve while making a significant impact in a vital industry.
What You'll Do
* Utilize our robust platform and your personal network to identify prospective healthcare candidates.
* Engage with potential candidates about exciting MLR opportunities and assess their interest.
* Coordinate meetings between candidates and our recruitment experts for a comprehensive screening process.
* Maintain ongoing communication with leads to ensure their interest remains strong and to support their hiring journey.
* Keep thorough and updated records in our applicant tracking system.
* Generate income through commissions based on meetings arranged, interviews facilitated, and successful hires from your efforts.
What You Need to Succeed
* Exceptional written and verbal communication skills.
* A proactive, self-driven approach - you manage your day; it doesn't manage you.
* A passion for outreach, building connections, and guiding individuals to the next step in their professional journey.
* Prior experience in recruitment is not mandatory; if you're organized and resourceful, we'll equip you with the tools to thrive.
How You'll Be Paid
This position operates on a commission-only, performance-based compensation model. There's no limit to your earning potential and no ceiling on your achievements.
Your earnings will be directly correlated to the real value you create, including:
* Commissions for every scheduled meeting you arrange.
* Additional earnings for interviews resulting from your outreach.
* Multiplicative commissions on new business generated.
* Bonus commissions for placements stemming from your efforts.
* Further earning potential via performance incentives such as retention bonuses.
Your performance tracking is totally transparent; every dollar you earn links back to the actions you take.
Why Join MLR?
We're not merely forming a recruiting team; we're initiating a movement. One that prioritizes flexibility, meritocracy, and a shared mission.
Unlimited Earnings - Your contribution directly influences your compensation. It's straightforward; you take charge of your success.
Ultimate Flexibility - Work is fully remote, asynchronous, and customizable to fit your life. Design your work schedule around your lifestyle.
Supportive Culture -We champion initiative. You'll have access to powerful resources and guidance without being micromanaged.
Significant Impact - You're not just organizing meetings; you're assisting individuals in finding roles that have the potential to save lives.
This Role is Ideal For:
* Stay-at-home parents, travelers, or those seeking a side hustle that offers limitless flexibility.
* Individuals eager to enter the recruiting or healthcare sectors.
* Affiliate marketers, influencers, and content creators who excel at crafting compelling messages, asking insightful questions, and following up with authenticity.
* Healthcare professionals looking to transition into recruiting or leverage their networks.
* Salespeople passionate about connecting people, purpose, and potential.
What Success Looks Like
In this role, fancy titles or extensive recruiting histories are irrelevant. What matters is your curiosity, communication proficiency, and determination. Picture receiving rewards each time someone you reached out to takes a significant step toward their dream job. That's success in our eyes.
Your journey may begin gradually - with a few daily conversations that progress into weekly meetings. As you build momentum, leads transform into interviews, and interviews progress into job offers. Not only are you earning a commission; you're also changing lives-all while maintaining control over your work-life balance.
Where You'll Work
From anywhere with reliable Wi-Fi and a heartfelt mission. Whether you choose to work from your cozy kitchen table, a serene beachside rental, or a charming local café that knows your favorite brew, the workspace is yours to define. This role is entirely remote and tailored to your vision.
Say goodbye to commutes, strict schedules, and burnout.
Let's Get Started
This isn't just another job opportunity; it's an invitation to help redefine the future of healthcare - one meaningful connection at a time. If you possess an affinity for conversation, a passion for connecting, and a desire to reap the rewards for your results, we're eager to hear from you.
Apply today and join a mission-driven team that prioritizes independence, initiative, and impact. Because when you connect individuals with purpose, everyone benefits - especially you.
View Now
7
Program Manager-Healthcare Enrollment Data (Remote)
14211 Buffalo, New York
Molina Healthcare
Posted 8 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
**Job Duties**
+ Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
+ Plans and directs schedules as well as project budgets.
+ Monitors the project from inception through delivery.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Leads and manages team in planning and executing business programs.
+ Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
+ Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
+ Generate and distribute standard reports on schedule
+ SQL Experience
+ Root Cause Analysis
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION** :
Bachelor's Degree or equivalent combination of education and experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 3-5 years of Program and/or Project management experience.
+ Operational Process Improvement experience.
+ Healthcare experience.
+ Experience with Microsoft Project and Visio.
+ Excellent presentation and communication skills.
+ Experience partnering with different levels of leadership across the organization.
**PREFERRED EDUCATION** :
Graduate Degree or equivalent combination of education and experience.
**PREFERRED EXPERIENCE** :
- 5-7 years of Program and/or Project management experience.
- Managed Care experience.
- Experience working in a cross functional highly matrixed organization.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :
- PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.
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: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
**Job Duties**
+ Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
+ Plans and directs schedules as well as project budgets.
+ Monitors the project from inception through delivery.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Leads and manages team in planning and executing business programs.
+ Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
+ Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
+ Generate and distribute standard reports on schedule
+ SQL Experience
+ Root Cause Analysis
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION** :
Bachelor's Degree or equivalent combination of education and experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 3-5 years of Program and/or Project management experience.
+ Operational Process Improvement experience.
+ Healthcare experience.
+ Experience with Microsoft Project and Visio.
+ Excellent presentation and communication skills.
+ Experience partnering with different levels of leadership across the organization.
**PREFERRED EDUCATION** :
Graduate Degree or equivalent combination of education and experience.
**PREFERRED EXPERIENCE** :
- 5-7 years of Program and/or Project management experience.
- Managed Care experience.
- Experience working in a cross functional highly matrixed organization.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :
- PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.
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: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
8
Manager, Healthcare Analytics - Health Plan Integration - Remote
14211 Buffalo, New York
Molina Healthcare
Posted 5 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis.
**KNOWLEDGE/SKILLS/ABILITIES**
Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.
+ Daily management of Healthcare Analytics team.
+ Allocate new report/project requests (workload distribution).
+ Coordinates with Health Plan departments to meet data analysis and database development needs.
+ Reviews, evaluates, and improved Company business logic and data sources.
+ Resource to Health Plan staff for mentoring, coaching, and analysis questions.
+ Reviews Health Plan analyst work products to ensure accuracy and clarity.
+ Reviews regulatory reporting requirements and Health Plan project documentation.
+ Maintains reporting service level benchmarks for Healthcare Analytics team.
+ Represents Healthcare Analytics department in cross-departmental and operational meetings.
+ Serves as liaison between Corporate IT and Health Plan regarding reporting needs.
+ Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
+ Interfaces and maintains positive interactions with Health Plan and Corporate personnel.
+ Management Health Plan Encounter workflow process.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
**Required Experience**
+ 3 years management or team leadership experience
+ 10 years' work experience preferable in claims processing environment and/or healthcare environment
+ Strong knowledge of SQL 2005/2008 SSRS report development
+ Familiar with relational database concepts, and SDLC concepts
**Preferred Education**
Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field.
**Preferred Experience**
3 - 5 years supervisory 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: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis.
**KNOWLEDGE/SKILLS/ABILITIES**
Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.
+ Daily management of Healthcare Analytics team.
+ Allocate new report/project requests (workload distribution).
+ Coordinates with Health Plan departments to meet data analysis and database development needs.
+ Reviews, evaluates, and improved Company business logic and data sources.
+ Resource to Health Plan staff for mentoring, coaching, and analysis questions.
+ Reviews Health Plan analyst work products to ensure accuracy and clarity.
+ Reviews regulatory reporting requirements and Health Plan project documentation.
+ Maintains reporting service level benchmarks for Healthcare Analytics team.
+ Represents Healthcare Analytics department in cross-departmental and operational meetings.
+ Serves as liaison between Corporate IT and Health Plan regarding reporting needs.
+ Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
+ Interfaces and maintains positive interactions with Health Plan and Corporate personnel.
+ Management Health Plan Encounter workflow process.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
**Required Experience**
+ 3 years management or team leadership experience
+ 10 years' work experience preferable in claims processing environment and/or healthcare environment
+ Strong knowledge of SQL 2005/2008 SSRS report development
+ Familiar with relational database concepts, and SDLC concepts
**Preferred Education**
Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field.
**Preferred Experience**
3 - 5 years supervisory 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: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
9