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Showing 26 Healthcare Services jobs in Boise

Program Manager, Healthcare Services - Clinical Systems

83756 Boise, Idaho Molina Healthcare

Posted 2 days ago

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Job Description

**Job Summary**
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
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: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Supervisor, Healthcare Services; Care Management (Remote - GA)

83756 Boise, Idaho Molina Healthcare

Posted today

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Job Description

This position will offer remote work flexibility, but the individual selected for the role must reside in Georgia.
JOB DESCRIPTION
Job Summary
Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
+ Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
+ Functions as a "hands-on" supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services.
+ Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
+ Trains and supports team members to ensure high-risk, complex members are adequately supported.
+ Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
+ Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
+ Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
+ Local travel may be required (based upon state/contractual requirements).
Required Qualifications
+ At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Ability to manage conflict and lead through change.
+ Operational and process improvement experience.
+ Strong written and verbal communication skills.
+ Working knowledge of Microsoft Office suite.
+ Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Preferred Qualifications
+ Registered Nurse (RN). License must be active and unrestricted in state of practice.
+ Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
+ Medicaid/Medicare population experience.
+ Clinical experience.
+ Supervisory/leadership 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
#PJHPO3
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Lead Trainer - Clinical Services (Remote in GA)

83756 Boise, Idaho Molina Healthcare

Posted today

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Job Description

**Job Description**
This position will offer remote work flexibility, but the individual hired for the position must reside in Georgia.
Job Summary
Mentors provide team leadership to training staff responsible for the development and implementation and evaluation of comprehensive educational and of training curriculum for Utilization Management, Case Management, and LTSS staff. Creates and delivers clinical training programs for clinical staff across the enterprise to orient employees to Molina clinical methodology, along with policies, processes and systems. Ensures all Molina clinical team members are positioned to improve quality, control medical costs, and ensure compliance with state and federal regulations and guidelines. Leads and manages classes, adapting to trainee skill level, specific backgrounds, changing priorities and operating environments as needed. Training includes clinical new employee orientation, development and delivery for implementations, training and partnerships on clinical initiatives, and optimization efforts. Collaborates and/or leads special projects.
Job Duties
+ **Team leadership**
+ Provides direction and guidance to the training team to ensure implementation of activities that align with Molina programs and protocols
+ Assists Manager with data for team member performance reviews
+ Provides employee development and recognition; and assists with selection, orientation and mentoring of new staff.
+ **Design and development of clinical training**
+ Collaborates with team members, managers, and stakeholders to develop and design training content, including identification of goals, objectives, critical success factors and success measures.
+ Serves as a subject matter expert on assigned clinical specialty area. Consults with clinical organizations across Molina to understand clinical business training needs.
+ Develops and tailors clinical content on various topics using clinical expertise gained through previous experience in either UM or CM. Applies critical thinking skills, clinical/professional judgement, and breaks down complex information into simplified categories so it is easier for learners to understand and apply.
+ Creates and uses clinical case scenarios to simulate how training participants will navigate systems and apply their skills and knowledge on the job.
+ Maintains working knowledge of state specific regulations to ensure references and resources are included in training materials.
+ **Preparation and delivery of training**
+ Works with Health Plan leaders to ensure state specific regulations are included in training materials
+ Prepares the learning environment for classroom setup, systems setup, course materials, media, and on-line learning.
+ Educates regarding proper clinical judgment and approaches to decision making. Draws upon previous CM/UM experience to direct trainees and provide them with best practices for working as a member of an inter-disciplinary clinical team.
+ Educates inter-disciplinary / integrated care teams on the best ways to leverage their unique clinical backgrounds and knowledge to effectively collaborate in order to improve member quality of life and to control costs.
+ Train/educate healthcare services staff on professional standards of documentation
+ Reeducate staff via group facilitation and/or individual coaching when deficiencies in performance are identified to mitigate skill gaps.
+ **Evaluation of training & trainee performance**
+ Evaluates training effectiveness to ensure staff understanding and readiness. Analyzes and determines training needs/problems and provides clear and timely verbal and written feedback of issues to team members and management.
+ Participates in committees and/or workgroups as a liaison between the training team and workgroup to ensure alignment with training and influence best practices.
+ **Special Projects**
+ Collaborates and/or leads special projects, such as supporting training efforts for enterprise growth and new clinical programs or systems. Provides post-implementation support, serving as a subject matter expert for trainees to consult with for information and problem solving as the learner begins to apply new skills and knowledge on the job.
Job Qualifications
**REQUIRED EDUCATION** :
Completion of an accredited Registered Nurse (RN) Program and an Associate's or Bachelor's Degree in Nursing.
**OR**
Bachelor's Degree in a social science, psychology, counseling, gerontology, public health, social work, or health related field.
**OR**
LVN/LPN with an additional 4 years of related experience in lieu of a Bachelor's Degree
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 3 or more years in case, disease or utilization management; managed care; or medical/behavioral health settings.
+ 3 or more years in a training, auditing and/or quality management role in a managed care environment.
+ Experience working independently and handling multiple projects simultaneously.
+ Experience designing, facilitating training, coaching, development and operational feedback to individuals and teams
+ Experience using business knowledge to make recommendations for process remediation or improvement
+ Strong team leadership qualities and ability to lead and achieve results
+ Knowledge of adult educational/ learning theory and practice
+ Knowledge of applicable state, and federal regulations/requirements
+ Experience demonstrating knowledge of applicable state, and federal regulations/requirements.
+ Proficient in MS/Word, Excel, PowerPoint.
**PREFERRED EDUCATION** :
Bachelor's Degree in Nursing
**PREFERRED EXPERIENCE** :
+ 3-5 years of facilitation and/or training experience.
+ 5 or more years in case, disease or utilization management; managed care; or medical/behavioral health settings.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :
Active, unrestricted State Registered Nursing (RN) or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality, or other related 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.
**Job Description**
Job Summary
Mentors provide team leadership to training staff responsible for the development and implementation and evaluation of comprehensive educational and of training curriculum for Utilization Management, Case Management, and LTSS staff. Creates and delivers clinical training programs for clinical staff across the enterprise to orient employees to Molina clinical methodology, along with policies, processes and systems. Ensures all Molina clinical team members are positioned to improve quality, control medical costs, and ensure compliance with state and federal regulations and guidelines. Leads and manages classes, adapting to trainee skill level, specific backgrounds, changing priorities and operating environments as needed. Training includes clinical new employee orientation, development and delivery for implementations, training and partnerships on clinical initiatives, and optimization efforts. Collaborates and/or leads special projects.
Job Duties
+ **Team leadership**
+ Provides direction and guidance to the training team to ensure implementation of activities that align with Molina programs and protocols
+ Assists Manager with data for team member performance reviews
+ Provides employee development and recognition; and assists with selection, orientation and mentoring of new staff.
+ **Design and development of clinical training**
+ Collaborates with team members, managers, and stakeholders to develop and design training content, including identification of goals, objectives, critical success factors and success measures.
+ Serves as a subject matter expert on assigned clinical specialty area. Consults with clinical organizations across Molina to understand clinical business training needs.
+ Develops and tailors clinical content on various topics using clinical expertise gained through previous experience in either UM or CM. Applies critical thinking skills, clinical/professional judgement, and breaks down complex information into simplified categories so it is easier for learners to understand and apply.
+ Creates and uses clinical case scenarios to simulate how training participants will navigate systems and apply their skills and knowledge on the job.
+ Maintains working knowledge of state specific regulations to ensure references and resources are included in training materials.
+ **Preparation and delivery of training**
+ Works with Health Plan leaders to ensure state specific regulations are included in training materials
+ Prepares the learning environment for classroom setup, systems setup, course materials, media, and on-line learning.
+ Educates regarding proper clinical judgment and approaches to decision making. Draws upon previous CM/UM experience to direct trainees and provide them with best practices for working as a member of an inter-disciplinary clinical team.
+ Educates inter-disciplinary / integrated care teams on the best ways to leverage their unique clinical backgrounds and knowledge to effectively collaborate in order to improve member quality of life and to control costs.
+ Train/educate healthcare services staff on professional standards of documentation
+ Reeducate staff via group facilitation and/or individual coaching when deficiencies in performance are identified to mitigate skill gaps.
+ **Evaluation of training & trainee performance**
+ Evaluates training effectiveness to ensure staff understanding and readiness. Analyzes and determines training needs/problems and provides clear and timely verbal and written feedback of issues to team members and management.
+ Participates in committees and/or workgroups as a liaison between the training team and workgroup to ensure alignment with training and influence best practices.
+ **Special Projects**
+ Collaborates and/or leads special projects, such as supporting training efforts for enterprise growth and new clinical programs or systems. Provides post-implementation support, serving as a subject matter expert for trainees to consult with for information and problem solving as the learner begins to apply new skills and knowledge on the job.
Job Qualifications
**REQUIRED EDUCATION** :
Completion of an accredited Registered Nurse (RN) Program and an Associate's or Bachelor's Degree in Nursing.
**OR**
Bachelor's Degree in a social science, psychology, counseling, gerontology, public health, social work, or health related field.
**OR**
LVN/LPN with an additional 4 years of related experience in lieu of a Bachelor's Degree
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 3 or more years in case, disease or utilization management; managed care; or medical/behavioral health settings.
+ 3 or more years in a training, auditing and/or quality management role in a managed care environment.
+ Experience working independently and handling multiple projects simultaneously.
+ Experience designing, facilitating training, coaching, development and operational feedback to individuals and teams
+ Experience using business knowledge to make recommendations for process remediation or improvement
+ Strong team leadership qualities and ability to lead and achieve results
+ Knowledge of adult educational/ learning theory and practice
+ Knowledge of applicable state, and federal regulations/requirements
+ Experience demonstrating knowledge of applicable state, and federal regulations/requirements.
+ Proficient in MS/Word, Excel, PowerPoint.
**PREFERRED EDUCATION** :
Bachelor's Degree in Nursing
**PREFERRED EXPERIENCE** :
+ 3-5 years of facilitation and/or training experience.
+ 5 or more years in case, disease or utilization management; managed care; or medical/behavioral health settings.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :
Active, unrestricted State Registered Nursing (RN) or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality, or other related 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.
#PJCorp
Pay Range: $28.76 - $59.34 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Strategic Services Sales Rep-Healthcare

83756 Boise, Idaho Oracle

Posted 2 days ago

Job Viewed

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Job Description

**Job Description**
This role requires an accomplished sales leader with a proven track record in both Account Management and new business development, combined with a deep understanding of the healthcare industry and its unique needs. The primary job duty is to sell CSS offerings to prospective and existing customers. Lead sales through forecasting, account resource allocation, account strategy, and planning. Develop solution proposals encompassing all aspects of the customer's service lifecycle. Participate in the development, presentation and sales of a value proposition. Negotiate pricing and contractual agreements to close the sale.
As a key member of our high-performing team, you will play a critical role in driving the rapid growth of Oracle's CSS business within large healthcare organizations. You will engage with senior healthcare executives and IT leaders to deliver tailored, value-driven solutions that support their digital transformation and customer success initiatives.
If you are a passionate sales leader with a deep understanding of the healthcare industry and a drive for results, we encourage you to apply and help us shape the future of customer success in healthcare.
**ABOUT CSS**
Oracle is the only provider of fully integrated technology solutions that span both infrastructure and applications. Today's businesses, however, need more than just the best technology solutions. They need a strategic partner to support sustained business growth. Oracle Customer Success Services (CSS) was created to help ensure the customer's ongoing success with our technology. CSS is completely integrated with Oracle's product development teams to help improve the value of the customer's cloud investment. CSS also trains and collaborates with implementers across Oracle's partner ecosystem to ensure the successful setup of Oracle technologies.
**RESPONSIBILITIES**
+ **Sales Leadership & Strategy:** Lead the sales efforts to sell Oracle Customer Success Services (CSS) offerings to both prospective and existing Strategic Healthcare clients across North America. Develop and implement account strategies to drive revenue growth and client retention within large healthcare organizations.
+ **Account Management & Expansion:** Manage and expand relationships with key healthcare accounts, including hospitals, healthcare networks, and payer organizations. Identify opportunities for new business and expand existing contracts by introducing Oracle's comprehensive CSS portfolio.
+ **Solution Development & Proposal:** Work closely with customers to understand their unique healthcare challenges and digital transformation goals. Develop comprehensive solution proposals that align with the customer's service lifecycle and provide clear value to their business.
+ **Sales Execution & Forecasting:** Lead the sales process from initial engagement to contract negotiation and closure. Accurately forecast sales opportunities, manage account resources, and ensure timely and effective execution of sales strategies.
+ **Value Proposition & Negotiation:** Collaborate with internal teams to present and sell the value of Oracle's CSS offerings. Navigate complex pricing and contract negotiations, ensuring alignment with customer needs while driving Oracle's business objectives.
+ **Industry Knowledge & Thought Leadership:** Stay current on trends in the healthcare sector, including regulations, digital health technologies, and challenges faced by healthcare providers and payers. Provide insights and consultative advice to customers on best practices in healthcare IT and customer success.
+ Driving the implementation of CSS sales and marketing campaigns
+ Generating, maturing and following up on leads
+ Facilitating and nurturing Senior Management relationships to generate active sponsorship of Oracle
+ Work both independently and with Oracle's XLOB sales forces (SaaS, OCI, Application and Hardware) and key Partners to build pipeline and achieve sales quota
+ Create compelling, personalized CSS propositions for targeted prospects and customers
+ Become an authority in CSS Services, ensuring the team is seen as exemplars and advisors within Oracle
+ Provide accurate and timely sales forecasts and other information
+ Initiate demand generation and Marketing programs
+ Work with designated Partners as required
**ACCOUNTABILITIES**
Overview:
+ Achieve/exceed sales quota.
+ Achieve/exceed other objectives as agreed annually/quarterly.
+ Work with Sales Management to ensure targets are met and skills are developed.
In detail:
+ Create & maintain sufficient Pipeline to achieve quota.
+ Accurate completion of sales forecasts, activities and close plans ensuring corrective action is taken as the need arises.
+ Maintain accurate records of all sales activities and key contacts in the Account.
+ Ensure Sales Forecasting systems and reporting is accurate and maintained up to date.
+ Write proposals with input from all relevant expertise in compliance standards.
+ Ensure Account Plans are in place as required.
+ Obtain appropriate management approval for proposals where required.
+ Ensure the contracts are legally compliant and commercially viable in conjunction with Oracle Business Practices.
+ Identify, maintain and deploy an internal network of people who can support achievement of plans.
+ Create and communicate reference sites.
+ Development of an industry customer reference program.
+ Operate in line with Oracle US HR policies and procedures.
+ Attend, host and speak at appropriate events.
#LI-VC7
**Responsibilities**
**What we like to see:**
+ A professional with a technical Background (IT, Computer Science) Or with an economical background, with good technical understanding.
+ Has a shown sales record in the IT Industry.
+ Has at least 7+ years Sales experience in Products or Services, preferably in another US Company or a renowned IT company.
+ Has a good ratio of result-to-target over the past 5 years.
+ Has a high-reaching winner personality.
+ Ideally knows Oracle Products and Services.
**Highly Preferred qualifications:**
+ 8 years applicable experience including minimum 5 years of sales experience.
+ Oracle knowledge and/or knowledge of Oracle's competitors.
+ Has strong presentation, organization, coordination and negotiation skills.
+ Has good eye for business.
+ Works with setting priorities and creation of sales related business plans.
+ Easy to adapt to changes and to cultural differences.
+ Familiar with the culture of a US Company and follow its Business Ethics and Conducts.
+ Great teammate.
+ Fluent in English.
+ Willing to travel (50%).
+ Bachelor degree or equivalent experience.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $113,100 to $185,100 per annum. May be eligible for equity. Eligible for commission with an estimated pay mix of 50/50.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
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Oracle Services Sales, NA, Healthcare East

83756 Boise, Idaho Oracle

Posted 2 days ago

Job Viewed

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Job Description

**Job Description**
Seeking a highly motivated and results-driven Sales Professional to join the Customer Success Services (CSS) team, specifically focusing on expanding and growing CSS offerings within Enterprise Healthcare Accounts across North America. This role requires an accomplished sales leader with a proven track record in both Account Management and new business development, combined with a deep understanding of the healthcare industry and its unique needs. The primary job duty is to sell CSS offerings to prospective and existing customers. Lead sales through forecasting, account resource allocation, account strategy, and planning. Develop solution proposals encompassing all aspects of the customer's service lifecycle. Participate in the development, presentation and sales of a value proposition. Negotiate pricing and contractual agreements to close the sale.
As a key member of our high-performing team, you will play a critical role in driving the rapid growth of Oracle's CSS business within large healthcare organizations. You will engage with senior healthcare executives and IT leaders to deliver tailored, value-driven solutions that support their digital transformation and customer success initiatives.
If you are a passionate sales leader with a deep understanding of the healthcare industry and a drive for results, we encourage you to apply and help us shape the future of customer success in healthcare. ation's services (e.g., maintenance and service contracts).
**ABOUT CSS**
Oracle is the only provider of fully integrated technology solutions that span both infrastructure and applications. Today's businesses, however, need more than just the best technology solutions. They need a strategic partner to support sustained business growth. Oracle Customer Success Services (CSS) was created to help ensure the customer's ongoing success with our technology. CSS is completely integrated with Oracle's product development teams to help improve the value of the customer's cloud investment. CSS also trains and collaborates with implementers across Oracle's partner ecosystem to ensure the successful setup of Oracle technologies.
**Sales Leadership & Strategy:** Lead the sales efforts to sell Oracle Customer Success Services (CSS) offerings to both prospective and existing Enterprise Healthcare clients across North America. Develop and implement account strategies to drive revenue growth and client retention within large healthcare organizations.
+ **Account Management & Expansion:** Manage and expand relationships with key healthcare accounts, including hospitals, healthcare networks, and payer organizations. Identify opportunities for new business and expand existing contracts by introducing Oracle's comprehensive CSS portfolio.
+ **Solution Development & Proposal:** Work closely with customers to understand their unique healthcare challenges and digital transformation goals. Develop comprehensive solution proposals that align with the customer's service lifecycle and provide clear value to their business.
+ **Sales Execution & Forecasting:** Lead the sales process from initial engagement to contract negotiation and closure. Accurately forecast sales opportunities, manage account resources, and ensure timely and effective execution of sales strategies.
+ **Value Proposition & Negotiation:** Collaborate with internal teams to present and sell the value of Oracle's CSS offerings. Navigate complex pricing and contract negotiations, ensuring alignment with customer needs while driving Oracle's business objectives.
+ **Industry Knowledge & Thought Leadership:** Stay current on trends in the healthcare sector, including regulations, digital health technologies, and challenges faced by healthcare providers and payers. Provide insights and consultative advice to customers on best practices in healthcare IT and customer success.
+ Driving the implementation of CSS sales and marketing campaigns
+ Generating, maturing and following up on leads
+ Facilitating and nurturing Senior Management relationships to generate active sponsorship of Oracle
+ Work both independently and with Oracle's XLOB sales forces (SaaS, OCI, Application and Hardware) and key Partners to build pipeline and achieve sales quota
+ Create compelling, personalized CSS propositions for targeted prospects and customers
+ Become an authority in CSS Services, ensuring the team is seen as exemplars and advisors within Oracle
+ Provide accurate and timely sales forecasts and other information
+ Initiate demand generation and Marketing programs
+ Work with designated Partners as required
**ACCOUNTABILITIES**
Overview:
+ Achieve/exceed sales quota.
+ Achieve/exceed other objectives as agreed annually/quarterly.
+ Work with Sales Management to ensure targets are met and skills are developed.
In detail:
+ Create & maintain sufficient Pipeline to achieve quota.
+ Accurate completion of sales forecasts, activities and close plans ensuring corrective action is taken as the need arises.
+ Maintain accurate records of all sales activities and key contacts in the Account.
+ Ensure Sales Forecasting systems and reporting is accurate and maintained up to date.
+ Write proposals with input from all relevant expertise in compliance standards.
+ Ensure Account Plans are in place as required.
+ Obtain appropriate management approval for proposals where required.
+ Ensure the contracts are legally compliant and commercially viable in conjunction with Oracle Business Practices.
+ Identify, maintain and deploy an internal network of people who can support achievement of plans.
+ Create and communicate reference sites.
+ Development of an industry customer reference program.
+ Operate in line with Oracle US HR policies and procedures.
+ Attend, host and speak at appropriate events.
**PREFERRED QUALIFICATIONS**
**Ideal:**
+ A professional with a technical Background (IT, Computer Science) Or with an economical background, with good technical understanding.
+ Has a shown sales record in the IT Industry.
+ Has at least 7+ years Sales experience in Products or Services, preferably in another US Company or a renowned IT company.
+ Has a good ratio of result-to-target over the past 5 years.
+ Has a high-reaching winner personality.
+ Ideally knows Oracle Products and Services.
**Must:**
+ 8 years applicable experience including minimum 5 years of sales experience.
+ Oracle knowledge and/or knowledge of Oracle's competitors.
+ Has strong presentation, organization, coordination and negotiation skills.
+ Has good eye for business.
+ Works with setting priorities and creation of sales related business plans.
+ Easy to adapt to changes and to cultural differences.
+ Familiar with the culture of a US Company and follow its Business Ethics and Conducts.
+ Great teammate.
+ Fluent in English.
+ Willing to travel (50%).
+ Bachelor degree or equivalent experience.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $113,100 to $185,100 per annum. May be eligible for equity. Eligible for commission with an estimated pay mix of 50/50.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
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Patient Care Specialist

83756 Boise, Idaho St. Luke's Health System

Posted 2 days ago

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Job Description

**Overview**
At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.
**What You Can Expect:**
The Patient Care Specialist is responsible for providing support in the Revenue Cycle function area. Will answer incoming calls from clients, answer inquiries and questions, handle complaints, troubleshoot problems, collect patient balances and provide information.
+ Under direct supervision, performs basic, routine duties of limited scope and complexity.
+ Collects patient balances and handles financial assistance documents that are routine in nature. Referring more complex issues to higher levels.
+ Answers a high volume of calls. Obtains client information by answering telephone calls; interviewing clients; verifying information.
+ Performs standardized and routine tasks.
+ Resolves routine questions and problems and refers more complex issues to higher levels.
+ Maintains and improves quality results by adhering to standards and guidelines; recommends improved procedures.
+ Performs other duties and responsibilities as assigned.
**Qualifications:**
+ Education: High School Diploma or equivalent.
**What's in it for you**
At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
**Default: Location : City** _Boise_
**Category** _Revenue Cycle / Health Information Management_
**Work Unit** _Customer Service and Collections System Office_
**Position Type** _Full-Time_
**Work Schedule** _DAY_
**Requisition ID** _ _
**Default: Location : Location** _US-ID-Boise_
**Work Location : Name** _701 Morrison Knudsen Dr, Boise, St Luke's Plaza 2_
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Patient Care Technician - PCT

83756 Boise, Idaho Fresenius Medical Care North America

Posted 2 days ago

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Job Description

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.
How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.
Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.
Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.
- Sets up, tests, and operates hemodialysis machines for patient treatments.
- Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
- Evaluates vascular access pre-treatment and performs vascular access cannulation.
- Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
- Monitors patients' response to dialysis therapy.
- Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
- Reports any significant information and/or change in patient condition directly to supervisor.
- Enters all treatment data into the designated clinical application in an accurate and timely manner.
- Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
- Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
- Assists other healthcare members in providing patient education.
- Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.
EDUCATION AND LICENSES:
- High school diploma or G.E.D. required.
EXPERIENCE AND REQUIRED SKILLS:
- Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
- Previous patient care experience in a hospital setting or a related facility (preferred but not required).
- Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. We will consider whether reasonable accommodations can be made.
- Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, business unit and corporate meetings may be required.
- The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
- The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist" devices for the heavier items.
**EOE, disability/veterans**
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Representative, Customer Service - New Patient Care

83756 Boise, Idaho Cardinal Health

Posted 2 days ago

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Job Description

**Shift- Monday- Friday 8:30 am - 5:00 pm PST - or as business needs dictate -remote**
**_What Customer Service Operations contributes to Cardinal Health_**
Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.
Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution
**_Job Summary_**
The Representative II, Customer Service Operations processes orders for distribution centers and other internal customers in accordance to scheduling, demand planning and inventory. The Representative II administers orders in internal systems and responds to customer questions, clearly communicating delays, issues and resolutions. This job also processes non-routine orders, such as product samples, and ensures that special requirements are included in an order.
This position specializes in new patient care on the customer service team.
**_Responsibilities_**
+ Processes routine customer orders according to established demand plans, schedules and lead times using SAP and other internal systems. Enters all necessary order information, reviews order contents, and ensures that orders are closed once completed.
+ Responds to inquiries from internal customers, such as Distribution Centers, regarding order tracking information as well as on-hold, back order and high priority statuses.
+ Identifies and communicates resolutions to order delays, missing information, and product availability based on customer profiles.
+ Uses dashboards and reporting from internal systems to identify causes of order issues, such as lack of inventory or invalid measures or requirements in the order. Creates visuals and conducts analyses as necessary to understand and communicate order data and issues.
+ Coordinates with a variety of internal stakeholders, including Planners and externally facing Customer Service Representatives, regarding customer issues.
+ For international shipping and in cases of special-order requirements, coordinates with Quality and Global Trade teams in order to ensure compliance of orders.
+ Processes orders for product samples and trials, coordinating with Marketing teams as necessary to understand the purpose and requirements of the samples.
**_Qualifications_**
+ 1-3 years of experience, preferred
+ High School Diploma, GED or equivalent work experience, preferred
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**Anticipated hourly range:** $15.75 per hour -$18.50 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPa _y_
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 11/21/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (
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Program Manager, Healthcare Services - Clinical Systems

83642 Meridian, Idaho Molina Healthcare

Posted 2 days ago

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Job Description

**Job Summary**
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
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: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Program Manager, Healthcare Services - Clinical Systems

83605 Caldwell, Idaho Molina Healthcare

Posted 2 days ago

Job Viewed

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Job Description

**Job Summary**
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
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: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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