17:I[59529,["/_next/static/immutable/chunks/2corl6wyj4669.js","/_next/static/immutable/chunks/31r--0f39g9ze.js","/_next/static/immutable/chunks/0ecdjrtw9-w3j.js","/_next/static/immutable/chunks/1nbyhb2cfdaol.js","/_next/static/immutable/chunks/1hodejexxhw_x.js","/_next/static/immutable/chunks/39f9_79wvgc2y.js"],"default"] 18:Tfcb,JOB DESCRIPTION Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• Collaborates with licensed care managers/leadership as needed or required.
• 25- 40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.

• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to operate proactively and demonstrate detail-oriented work.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations

.• Ability to work independently, with minimal supervision and self-motivation.

• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

• Excellent problem-solving and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program(s) proficiency.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

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: $27.61 - $53.83 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

19:T1754,JOB DESCRIPTION Job Summary

Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative approach emphasizing physician engagement and behavior change through actionable data and analytics. Drives value-based care strategies through risk adjustment and quality improvement activities. Ensures assigned Tier 1 & Tier 2 providers have engagement plans ensuring they meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using standard tools, facilitates data exchanges, and supports training and problem resolution for assigned providers - driving provider participation in Molina's risk adjustment and quality initiatives.

Essential Job Duties

Provides support for provider engagement activities including enhancing value-based strategies, and risk adjustment/quality improvement initiatives.
Ensures assigned Tier 1, Tier 2, and where applicable Tier 3, providers have a provider engagement plan to meet annual quality and risk adjustment performance goals.
Drives provider partner coaching and collaboration to improve Medicaid, Medicare and Marketplace quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution.
Works with provider front-office staff to get the Molina members with the most open gaps on the schedule and seen by their assigned provider. Coordinates with Health Plan Community and Member Engagement resources to drive supporting effort on the member side.
Addresses challenges/barriers in the practice environment impeding successful attainment of program goals and understands solutions required to improve health outcomes.
Drives provider participation in Molina risk adjustment and quality efforts (e.g. supplemental data, electronic medical record (EMR) connection, clinical profiles programs) and use of the Molina provider collaboration portal.
Tracks all engagement and training activities using standard Molina provider engagement tools to measure effectiveness both within and across Molina health plans.
Serves as provider engagement subject matter expert; works collaboratively with health plan and shared service partners to ensure alignment to business goals.
Collaborates with assigned health plan Provider Relations Network team member on operational, provider and member issues.
Accountable for use of standard Molina Provider Engagement reports and training materials.
Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by health plan and corporate policies.
Communicates comfortably and effectively with internal and external stakeholders, including physician leaders, providers, practice managers, and medical assistants within assigned provider practices.
Provides training and support for new and existing practice transformation and provider engagement team members.
Maintains the highest level of compliance.
May require same day out-of-office travel up to 80% of the time, depending upon state/health plan requirements.

Required Qualifications

At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant education and experience.
Experience with various managed health care provider compensation methodologies including but not limited to: fee-for service (FFS), value-based care (VBC), and capitation.
Working knowledge of quality metrics and risk adjustment practices across all business lines.
Knowledge and understanding of HEDIS/NCQA and/or CMS STARs quality measures and risk adjustment practices across Medicaid, Medicare and Marketplace.
Proficiency with data analysis, manipulation, interpretation and reporting.
Critical-thinking, problem-solving and analytical skills.
Relationship building skills.
Attention to detail and organizational skills.
Ability to implement process improvement initiatives and drive change.
Ability to work independently in a fast-paced, deadline-driven environment.
Ability to foster and build relationships in a cross-functional highly matrixed organization to obtain buy-in and drive results
Effective verbal and written communication skills.
Microsoft Office suite (including Excel), Power BI, and other applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

Bachelor’s degree in Nursing, Health Administration or relevant discipline.
Solid understanding of health insurance, provider messaging/design and project management.
Strong experience using Microsoft products, including Excel (knowledge of pivot tables, VLOOKUP, etc.) and PowerPoint.

Pay Range: $52,176 - $102,098.87 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

1a:T1749,JOB DESCRIPTION Job Summary

Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric.
• Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments.
• Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency.
• Establishes and documents reasonable medical diagnoses.
• Seeks specialty consultation as appropriate.
• Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.
• Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed.
• Creates and implements a medical plan of care.
• Schedules appointments for visits when appropriate.
• Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization.
• Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations.
• Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations.
• Orders bulk laboratory orders to target specific member populations.
• Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care.
• Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care.
• Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay.
• Obtains and maintains cross-state license in other states besides home state based on business need.
• Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively.
• Actively participates in regional meetings.
• May prescribe medications and perform procedures as appropriate.
• Performs timely medical records documentation in electronic medical record (EMR) computer system.
• On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment.
• Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws.
• Local travel required (based upon state/contractual requirements).

Required Qualifications

• At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience.
• Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).
• Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice.
• Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice.
• Current Basic Life Support (BLS) certification.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to work independently with minimal supervision and demonstrate self-motivation.
• Responsive in all forms of communication.
• Ability to remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience.

Preferred Qualifications

• Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting.
• Experience in home health as a licensed clinician, especially in management of chronic conditions.
• Experience with underserved populations facing socioeconomic barriers to health care.
• Immunization and point of care testing skills.
• Bilingual.

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: $84,031 - $172,483.8 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

1b:Td12,JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties
• Provides telephone, clerical and data entry support for the care review team.
• Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges and billing codes.
• Responds to requests for authorization of services submitted via phone, fax and mail according to operational timeframes.
• Contacts physician offices according to department guidelines to request missing information from authorization requests or for additional information as requested medical directors.

Required Qualifications• At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience.
• Previous experience as a Correspondence Processor at Molina.
• Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation.
• Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines.
• Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence.
• Willingness to learn and adapt to new programs, software systems, and lines of business.
• Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards.
• Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence.
• Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence.
• Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines.
• Ability to collaborate effectively with team members and internal departments.
• Basic Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications
• Previous experience in a health care correspondence or clinical communications role, with an understanding of regulatory and accreditation rules related to clinical determinations.

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: $20.34 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

1c:T1bec,

Molina Healthcare of California is hiring a Transition of Care Coach LVN/LPN. This role is remote; however, candidates must have a valid and unrestricted California LVN/LPN licensure. The hours will be Monday through Friday from 8am to 5pm Pacific Standard Time.

Highly Qualified Candidates Will Have the Following-

Must be an LVN/LPN with an active, unrestricted California licensure
Monday through Friday from 8am to 5pm Pacific Standard Time
Solid and above average computer skills. Able to navigate MS Outlook/Excel/Word and learn Windows based software. Point Click Care, Epic, etc…
Managed care experience.
Medi-Cal and Medicare knowledge.
Experience with care coordination and discharge planning.
Familiarity with community-based organizations and social service resources.
Knowledge of social determinants of health.
Bilingual skills (desired, not required) (Spanish, Vietnamese, Mandarin, or other prevalent languages preferred).
Experience working with high-risk or vulnerable populations.

Essential Job Duties

Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.
Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
Facilitates interdisciplinary care team meetings (ICT) and collaboration.
Transition of care coaches with behavioral health and social science education may provide consultation, resources and recommendations to peers as needed.
40-50% local travel may be required (based upon state/contractual requirements).

Required Qualifications

At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
Background in discharge planning and/or home health.
Demonstrated knowledge of community resources.
Proactive and detail-oriented.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving, and critical-thinking skills.
Excellent verbal and written communication skills.
Microsoft Office suite/other applicable software program(s) proficiency.

Preferred Qualifications

Transitions of care sub-specialty certification and/or Certified Case Manager (CCM).
Hospital discharge planning or home health experience.

Key Words: Discharge Planning, Home Health, MCG Guidelines, Social Services, Health Care Navigator, Discharge Planner, Care Manager, Case Manager, LVN, LPN, Licensed Vocational Nurse, Licensed Practical Nurse, Continuity of Care, Transition of Care / Transitional Care, Interdisciplinary Collaboration / Multidisciplinary Team, Comprehensive Patient Assessment, Acuity & Functional Assessment, Medication Reconciliation, Patient & Caregiver Education, Post-Acute & Resource Coordination, Durable Medical Equipment (DME), Home Health Care / Home Care Services, Skilled Nursing Facility (SNF) Placement, Inpatient Rehabilitation / Long-Term Acute Care (LTAC), Community Resource Linkage / Utilization, Transportation & Follow-up Scheduling, Compliance, Payors & Quality Metrics, Medicare / Medicaid Guidelines, Condition of Participation (CoP), Readmission Prevention / Reducing 30-Day Readmissions, Utilization Review (UR) / Case Management, Insurance Verification & Payor Source Management, HIPAA Compliance & Confidentiality

Pay Range: $21.6 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

1d:Td12,JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties
• Provides telephone, clerical and data entry support for the care review team.
• Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges and billing codes.
• Responds to requests for authorization of services submitted via phone, fax and mail according to operational timeframes.
• Contacts physician offices according to department guidelines to request missing information from authorization requests or for additional information as requested medical directors.

Required Qualifications• At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience.
• Previous experience as a Correspondence Processor at Molina.
• Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation.
• Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines.
• Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence.
• Willingness to learn and adapt to new programs, software systems, and lines of business.
• Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards.
• Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence.
• Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence.
• Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines.
• Ability to collaborate effectively with team members and internal departments.
• Basic Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications
• Previous experience in a health care correspondence or clinical communications role, with an understanding of regulatory and accreditation rules related to clinical determinations.

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: $20.34 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

1e:T1748,JOB DESCRIPTION Job Summary

Essential Job Duties

Required Qualifications

Preferred Qualifications

Pay Range: $101,721 - $198,356 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

1f:T1748,JOB DESCRIPTION Job Summary

Essential Job Duties

Required Qualifications

Preferred Qualifications

Pay Range: $101,721 - $198,356 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

20:T1748,JOB DESCRIPTION Job Summary

Essential Job Duties

Required Qualifications

Preferred Qualifications

Pay Range: $101,721 - $198,356 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

21:Tf75,

Molina Healthcare is Hiring a Pharmacy Customer Service Representative. This role is remote; however candidates must reside in New Mexico.
This role will provide customer service support for inbound and outbound pharmacy calls from members, providers, and pharmacies. This role contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Shift will be Monday through Friday 11am to 730pm MST.

Essential Job Duties
• Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
• Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
• Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
• Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
• Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
• Assists members and providers with initiating verbal and written coverage determinations and appeals.
• Records calls accurately within the pharmacy call tracking system.
• Maintains established pharmacy call quality and quantity standards.
• Interacts with appropriate primary care providers to ensure member registry is current and accurate.
• Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
• Proactively identifies ways to improve pharmacy call center member relations.

Required Qualifications
• At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
• Excellent customer service skills.
• Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
• Ability to multi-task applications while speaking with members.
• Ability to multi-task applications while speaking with members.
• Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
• Ability to meet established deadlines.
• Ability to function independently and manage multiple projects.
• Excellent verbal and written communication skills, including excellent phone etiquette.
• Microsoft Office suite (including Excel), and applicable software program(s) proficiency.

Preferred Qualifications
• Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
• Health care industry experience.
• Bilingual, Spanish candidate encouraged to apply.

Pay Range: $15.4 - $26.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

22:T1751,JOB DESCRIPTION Job Summary

Essential Job Duties

Provides support for provider engagement activities including enhancing value-based strategies, and risk adjustment/quality improvement initiatives.
Ensures assigned Tier 1, Tier 2, and where applicable Tier 3, providers have a provider engagement plan to meet annual quality and risk adjustment performance goals.
Drives provider partner coaching and collaboration to improve Medicaid, Medicare and Marketplace quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution.
Works with provider front-office staff to get the Molina members with the most open gaps on the schedule and seen by their assigned provider. Coordinates with Health Plan Community and Member Engagement resources to drive supporting effort on the member side.
Addresses challenges/barriers in the practice environment impeding successful attainment of program goals and understands solutions required to improve health outcomes.
Drives provider participation in Molina risk adjustment and quality efforts (e.g. supplemental data, electronic medical record (EMR) connection, clinical profiles programs) and use of the Molina provider collaboration portal.
Tracks all engagement and training activities using standard Molina provider engagement tools to measure effectiveness both within and across Molina health plans.
Serves as provider engagement subject matter expert; works collaboratively with health plan and shared service partners to ensure alignment to business goals.
Collaborates with assigned health plan Provider Relations Network team member on operational, provider and member issues.
Accountable for use of standard Molina Provider Engagement reports and training materials.
Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by health plan and corporate policies.
Communicates comfortably and effectively with internal and external stakeholders, including physician leaders, providers, practice managers, and medical assistants within assigned provider practices.
Provides training and support for new and existing practice transformation and provider engagement team members.
Maintains the highest level of compliance.
May require same day out-of-office travel up to 80% of the time, depending upon state/health plan requirements.

Required Qualifications

At least 3 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant education and experience.
Experience with various managed health care provider compensation methodologies including but not limited to: fee-for service (FFS), value-based care (VBC), and capitation.
Working knowledge of quality metrics and risk adjustment practices across all business lines.
Knowledge and understanding of HEDIS/NCQA and/or CMS STARs quality measures and risk adjustment practices across Medicaid, Medicare and Marketplace.
Proficiency with data analysis, manipulation, interpretation and reporting.
Critical-thinking, problem-solving and analytical skills.
Relationship building skills.
Attention to detail and organizational skills.
Ability to implement process improvement initiatives and drive change.
Ability to work independently in a fast-paced, deadline-driven environment.
Ability to foster and build relationships in a cross-functional highly matrixed organization to obtain buy-in and drive results
Effective verbal and written communication skills.
Microsoft Office suite (including Excel), Power BI, and other applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

Bachelor’s degree in Nursing, Health Administration or relevant discipline.
Solid understanding of health insurance, provider messaging/design and project management.
Strong experience using Microsoft products, including Excel (knowledge of pivot tables, VLOOKUP, etc.) and PowerPoint.

Pay Range: $54,922 - $100,099 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

23:Tb07,JOB DESCRIPTION Job Summary

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.

Essential Job Duties

• Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
• Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
• Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
• Assists in reviews of state and federal complaints related to claims.
• Collaborates with other internal departments to determine appropriate resolution of claims issues.
• Researches claims tracers, adjustments, and resubmissions of claims.
• Adjudicates or readjudicates high volumes of claims in a timely manner.
• Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
• Meets claims department quality and production standards.
• Supports claims department initiatives to improve overall claims function efficiency.
• Completes basic claims projects as assigned.

Required Qualifications

• At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
• Research and data analysis skills.
• Organizational skills and attention to detail.
•Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Customer service experience.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.

Pay Range: $16.4 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

24:T1465,

This is a remote field-based role requirinig travel in the Union County area. May also include Decatur and Ringgold counties.

Job Summary

Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• Collaborates with licensed care managers/leadership as needed or required.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years of health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Problem-solving skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
• In some states, must have at least one year of experience working directly with individuals with substance use disorders.

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Experience working with populations that receive waiver services.

Pay Range: $22.8 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

25:T13cd,JOB DESCRIPTION Job Summary

Provides subject matter expertise and leadership for Molina broker channel management activities. Responsible to build an effective and efficient broker channel for assigned geographical region in collaboration with other broker services and sales team members in assigned states. Develops a high functioning, high performing broker network that is strategically aligned with Molina’s mission and values by utilizing a combination of recruitment, mentoring, education, and channel management techniques to ensure brokers meet assigned objectives and enrollment targets. Adheres to ethical sales practices, compliance with Centers for Medicare and Medicaid Services (CMS), and other regulatory requirements.

Essential Job Duties

• Drives Medicare membership and enrollment growth through strategic broker channel management.
• Recruits new general agency (GA)/brokers that are skilled at selling to Molina’s target populations
• In collaboration with agencies/agents in assigned areas, implements a marketing plan to maximize self generated leads.
• Ensures agencies who receive company generated leads complies with established processes and timelines.
• Assumes accountability for the broker networks contribution to Molina’s enrollment, profitability, and retention goals.
• Ensures brokers follow Centers for Medicare and Medicaid Services (CMS), state guidelines, ethical sales practices, and adhere to established policies, procedures and industry best practices.
• Assists channel in the design and implementation of provider and community based relationships and growth campaigns, and monitors and reports on results.
• Actively participates in the development and implementation of GA/broker trainings.
• Assists with broker ride-along, trainings and evaluations.
• Works on the development and ongoing overview of territory marketing plans with GAs/brokers.
• Assists in business development strategies.
• Generates regular reports on each GA to determine corrective action plan (CAP) if needed, or relationship ended.
• Works as a liaison between Molina and/or national Medicare broker/FMO, exchange GA, sales agents and other departments (i.e. membership accounting).
• Tracks weekly/monthly member and provider issues for trending and reporting to leadership.
• Assists with GA/Broker meetings and ongoing trainings.
• Assist with projects including: competitive benefit comparison, monthly activity submission review, and provider presentations.
• Collaborates effectively with community engagement teams within assigned markets, and develops sales strategies to procure sufficient number of referrals and other self-generated leads to meet sales targets.
• Generates leads from referrals and local-tactical research and prospecting.
• Provides training and support to new and existing broker sales team members.
• 90-100% travel required (based upon state/contractual requirements and business needs).

Required Qualifications

• At least 5 years of Medicare, Medicaid, or Marketplace managed care health/insurance-related sales experience, or equivalent combination of relevant education and experience.
• Active and unrestricted Life & Health insurance license.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
• Ability to be on the road 90-100% of the time in the local service area.
• Experience self-generating leads through local area marketing.
• Current relationships with centers of influence for Molina products (Medicare/Marketplace/Medicaid).
• Strong sales and customer service skills.
• Multi-tasking and organizational skills.
• Experience preparing and presenting formal presentations.
• Ability to work cross functionally within a highly matrixed organization.
• Strong verbal, written, and interpersonal communication skills, and ability to interface with internal/external stakeholders.
• Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

• Management/leadership experience.
• Membership in related service organizations.
• Bilingual.

Pay Range: $60,415 - $117,809 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

26:T19fa,JOB DESCRIPTION Job Summary

Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting for the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse (FWA). Responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care, and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence.

Essential Job Duties

• Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or abuse (FWA) is corroborated by evidence.
• Conducts both preliminary assessments of FWA allegations, and end-to-end investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and communications development, recommendations and preparation of overpayment identifications, and closure of investigative cases.
• Completes investigations within the mandated period of time required by either state and/or federal contracts and/or regulations.
• Conducts both on-site and desktop investigations.
• Conducts low to medium, and extensive investigations, including reviews of medical records and data analysis, and makes determinations as to whether the investigation and/or audit identified potential FWA.
• Performs accurate and reliable medical review audits that may also include coding and billing reviews.
• Produces audit reports for internal and external review.
• Coordinates with various internal customers (e.g., provider services, contracting and credentialing, healthcare services, member services, claims, etc.), to gather documentation pertinent to investigations.
• Detects potential health care FWA through the identification of aberrant coding and/or billing patterns through utilization review.
• Prepares appropriate FWA referrals to regulatory agencies and law enforcement.
• Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU related requirements.
• Prepares detailed preliminary and extensive investigation referrals to state and/or federal regulatory and/or law enforcement agencies when FWA is identified as required by regulatory and/or contract requirements.
• Renders provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements.
• Interacts with regulatory and/or law enforcement agencies regarding case investigations.
• Prepares audit results letters to providers when overpayments are identified.
• Ensures compliance with applicable contractual requirements, and federal and state regulations.
• Complies with SIU policies as and procedures as well as goals set by SIU leadership.
• Supports SIU in arbitrations, legal procedures, and settlements.
• Actively participates in Medicaid Fraud Control Unit (MFCU) meetings and roundtables on FWA case development and referrals.
• May work with other internal departments, including compliance, corporate legal counsel, and medical affairs to achieve and maintain appropriate anti-fraud oversight.

Required Qualifications

• At least 2 years of investigative experience in the health care industry, or equivalent combination of relevant education and experience.
• Valid and unrestricted driver’s license.
• Proven investigatory skills including ability to organize, analyze, and effectively determine risk with corresponding solutions, and remain objective and separate facts from opinions.
• Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
• Knowledge of managed care and Medicaid, Medicare, and Marketplace programs.
• Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
• Understanding of datamining and use of data analytics to detect FWA.
• Ability to research and interpret regulatory requirements.
• Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels.
• Strong presentation skills with ability to create and deliver training, informational and other types of programs.
• Strong logical, analytical, critical-thinking and problem-solving skills.
• Strong sense of initiative, excellent follow-through, and persistence in locating and securing needed information.
• Fundamental understanding of audits and corrective actions.
• Ability to multi-task and operate effectively across geographic and functional boundaries.
• Detail-oriented, self-motivated, and able to meet tight deadlines.
• Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities.
• Energetic and forward-thinking with high ethical standards and a professional image.
• Collaborative and team-oriented.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software program(s) proficiency.

Preferred Qualifications

• Experience in government programs (i.e., Medicare, Medicaid, Marketplace).
• Experience in FWA or related work.
• Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE).

Pay Range: $22.8 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

27:T1220,JOB DESCRIPTION Job Summary

Provides level II support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values. Provides product and service information, identifies opportunities to improve the member and provider experience, and supports continuous quality improvement initiatives related to member/provider engagement and retention.

Essential Job Duties

• Provides service support to members and/or providers using one or more support center communication channels serving multiple states and/or products including but not limited to: phone, chat and email, in addition to other administrative off phone duties supporting Medicaid, Medicare and/or Marketplace lines of business.
• Supports member/provider issues in areas involving member/provider impact and engagement including: appeals and grievances (A&G), problem research and resolution, and the development/maintenance of member/provider materials.
• Assists members and providers with a focus on process improvement and retention.
• Consistently delivers excellent customer service and first call resolution.
• Accurately documents all calls across multiple platforms.
• Works regularly scheduled shifts within Molina hours of operation, follows protocol related to scheduled lunches and breaks, and accommodates overtime and/or weekends as needed.
• Quickly builds rapport and responds to customers in an empathetic manner by identifying and exceeding customer expectations.
• Listens attentively, captures relevant information, and identifies and resolves member and provider inquiries and concerns.
• Meets or exceeds individual performance goals established in the areas of: call quality, attendance, adherence and other support center objectives.
• Proactively engages and collaborates with various internal/external stakeholders.
• Demonstrates personal responsibility and accountability by taking ownership of real-time solutioning and timely member and/or provider follow-up.
• Supports a wide variety of member and provider inquiries involving benefits, claims, premiums, provider portal, member eligibility, and other issues; conducts initial research and works to immediately resolve issues.
• Evaluates risk criteria and determines urgency and appropriate escalation path.
• Demonstrates proficiency in at least two lines of business (e.g., Medicaid, Marketplace).
• Manages multiple channels of communication (e.g., Teams, email) within a timely manner.
• Demonstrates understanding of provider service inquiries related to claims, authorizations, appeals, contracting and credentialing.

Required Qualifications

• At least 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills, and ability to manage simultaneous tasks to meet business needs.
• Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
• Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office suite and applicable software programs.

Preferred Qualifications

• Systems training/experience for the following : Microsoft Office, Microsoft Teams, Genesys, Salesforce, Pega, QNXT, CRM, Verint, video conferencing, CVS Caremark, Availity.
• Call center experience.
• Managed care/health care experience.
• Broker/health insurance license.

Pay Range: $21.78 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

28:T1391,JOB DESCRIPTION Job Summary

Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
• Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
• Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
• Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
• Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
• Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
• Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• Facilitates interdisciplinary care team meetings (ICT) and collaboration.
• Provides consultation, recommendations and education as appropriate to non-behavioral health care managers.
• 40-50% local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
• Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD). License must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
• Background in discharge planning and/or home health.
• Demonstrated knowledge of community resources.
• Proactive and detail-oriented.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to work independently, with minimal supervision and demonstrate self-motivation.
• Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Excellent verbal and written communication skills.
• Microsoft Office suite/other applicable software program(s) proficiency.

Preferred Qualifications

• Transitions of care sub-specialty certification and/or Certified Case Manager (CCM).
• Hospital discharge planning or home health 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: $25.08 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

29:T1e80,JOB DESCRIPTION Job Summary

Provides lead level analyst support for information technology (IT) systems activities. Responsible for the performance of systems analysis, application programming, and user training connected with the development and maintenance of automated data processing. Supports development of information technology IT lifecycle system projects from design through completion. Adheres to Sarbanes-Oxley (SOX) guidelines for process standards, documentation and version control. Collaborates with leadership and end-users to schedule and implement systems testing and maintenance, and facilitates identification and resolution of programmatic issues.

Essential Job Duties

• Supports development of information technology IT lifecycle system projects from design through completion, including coding, testing, implementation, documentation and end-user training.
• Assists in IT project definition, execution and implementation.
• Provides expertise for one or more domains including application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, and/or status reporting.
• Provides thought leadership/hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes.
• Assists users and IT team in testing and debugging programs, reports, and queries.
• Performs application/report maintenance, troubleshooting and debugging of software; provides support across multiple locations and platforms.
• Collaborates with Medicare subject matter experts in the QMACS/QNXT platform, and/or with Molina medical group users, practice management (PM) and electronic medical records (EMR) platform.
• Develops business requirements documents (BRDs) along with business stakeholders, and conceptual designs for multiple projects concurrently.
• Translates user requirements into overall functional architecture for complex software solutions in compliance with industry regulations.
• Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
• Assesses and analyzes computer system capabilities, workflow and scheduling limitations to determine if requested program or program change is possible within existing system.
• Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
• Collaborates with supporting IT departments to troubleshoot and resolve issues.
• Provides subject matter expertise and reviews applications designs built using .Net Framework 1.1/2.0, C#, VB.NET, ASP.NET, VB6.0, VB Script, Java Script, XML, HTML, DHTML, SharePoint server, BizTalk Server 2004/6, Microsoft SQL Server 2000/5, DTS/SSIS/SSRS on windows platform.
• Drives Joint Applications Development (JAD) sessions with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently.
• Communicates with cross-functional, offshore team and coordinate requirements, design and enhancements with the development teams.
• Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
• Recommends, schedules and performs software systems/applications improvements and updates.
• Collaborates with project managers to define work assignments for development teams.
• Conducts studies pertaining to designs of new information systems to meet current and projected needs.
• Defines and plans software releases in accordance with other software applications.
• Identifies, defines and plans software engineering process improvements and verifies compliance, including Sarbanes-Oxley (SOX) compliance.
• Ensures continuous quality improvement and maintain timelines to meet accreditation and regulatory guidelines.
• May support prescribing and lab interfaces.
• Completes work assignments, ensures on-time completion of tasks and projects, and provides timely updates to applicable stakeholders.
• Fosters open communications and ensures effective and positive working relationships with coworkers, users and vendors.
• Works independently and resolves complex business problems with no supervision.
• Manages small to medium IT projects; assesses deliverables’ quality, plan and implement corrective and preventive actions to improve application quality.
• Provides training, mentoring and support to new and existing IT systems team members on software applications, business domain and design standards.

Required Qualifications

• At least 4 years of experience supporting, designing and/or implementing information technology (IT) application changes, or equivalent combination of relevant education and experience.
• Bachelor's degree in IT, computer science, statistics, business, health care, engineering, etc.
• Application delivery methodology or software development lifecycle (SDLC) background, functional domain and/or software engineering expertise.
• Information technology (IT) and information systems (IS) subject matter expertise.
• Knowledgeable in business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
• Understanding of health care industry/regulations.
• Programming skills in Microsoft SQL, and ad-hoc reporting experience in Crystal Reports.
• Knowledge of VB .NET and .NET ASP, SQL 2000, SQL 2005, SSIS, DTS.
• Knowledge of electronic data interchange (EDI) processing and submitter setup.
• Visual Basic or electronic medical record (EMR) Clinical Kids and Form development.
• Critical-thinking and problem-solving skills.
• Ability to meet delivery and budget deadlines.
• Ability to maintain attendance to support require quality and quantity of work.
• Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
• Strong time-management and organizational skills.
• Ability to collaborate cross-functionally in a highly matrixed organization.
• Effective presentation skills.
• Project management experience.
• Effective verbal and written communication skills.
• Experience with Microsoft Project/Jira, Microsoft O365 Cloud (Exchange, Skype, SharePoint, OneDrive, OneNote), Microsoft Office/Office ProPlus (Excel, Word, PowerPoint, Outlook, Teams), Power BI, and applicable software programs proficiency.

Preferred Qualifications

• QNXT, QMACS, or Centricity CPS knowledge/experience.
• SharePoint/Microsoft Project experience.

Pay Range: $92,474 - $180,324 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

c:["$","$L17",null,{"company":"Molina Healthcare","companyPath":"Molina%20Healthcare","data":{"data":[{"id":"23bf0c9ca4c8ca7e82a4815a4f43433d","Role Name":"Care Manager","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-16 18:15:00","Scrape_Date":"10/16/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/long-beach/care-manager/21726/102052009872","Details":{"datePosted":"2026-10-16","description":"$18","jobLocation":{"address":{"addressLocality":"Long Beach"}},"employmentType":"Full Time"}},{"id":"8fb314a348097019493f6ae51fec6a47","Role Name":"Senior Specialist, Health Plan Provider Engagement (Remote in KY)","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-16 12:15:00","Scrape_Date":"10/16/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/louisville/senior-specialist-health-plan-provider-engagement-remote-in-ky/21726/102039889472","Details":{"datePosted":"2026-10-16","description":"$19","jobLocation":{"address":{"addressLocality":"Louisville"}},"employmentType":"Full Time"}},{"id":"82881f7fbaf48189f34ac970a91b8eb4","Role Name":"Nurse Practitioner","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-15 18:15:00","Scrape_Date":"10/15/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/lincoln/nurse-practitioner/21726/102001544720","Details":{"datePosted":"2026-10-15","description":"$1a","jobLocation":{"address":{"addressLocality":"Lincoln"}},"employmentType":"Full Time"}},{"id":"1750606830738d0fe875979ad29f06d9","Role Name":"Care Review Processor","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-13 18:15:00","Scrape_Date":"10/13/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/california/care-review-processor/21726/101915583856","Details":{"datePosted":"2026-10-13","description":"$1b","employmentType":"Full Time"}},{"id":"8a846f9d242f6b0364902e676ee115a3","Role Name":"Transition of Care Coach Remote (Must have CA LVN/LPN)","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-13 18:15:00","Scrape_Date":"10/13/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/california/transition-of-care-coach-remote-must-have-ca-lvn-lpn/21726/101923250464","Details":{"datePosted":"2026-10-13","description":"$1c","employmentType":"Full Time"}},{"id":"f41c26d50209dfcca3897463e55cfc66","Role Name":"Care Review Processor","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-13 18:15:00","Scrape_Date":"10/13/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/california/care-review-processor/21726/101915584256","Details":{"datePosted":"2026-10-13","description":"$1d","employmentType":"Full Time"}},{"id":"23e273415d998a0fda12f867c20e5174","Role Name":"Field Nurse Practitioner (San Diego, CA)","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-09 00:15:00","Scrape_Date":"10/09/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/san-diego/field-nurse-practitioner-san-diego-ca/21726/101719273104","Details":{"datePosted":"2026-10-08","description":"$1e","jobLocation":{"address":{"addressLocality":"San Diego"}},"employmentType":"Full Time"}},{"id":"ce64d807b8f62ce344ff7309f704b9da","Role Name":"Field Nurse Practitioner (San Diego, CA)","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-09 00:15:00","Scrape_Date":"10/09/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/san-diego/field-nurse-practitioner-san-diego-ca/21726/101719273088","Details":{"datePosted":"2026-10-08","description":"$1f","jobLocation":{"address":{"addressLocality":"San Diego"}},"employmentType":"Full Time"}},{"id":"dd1595151dcbb53c2d053ec355a2bbcc","Role Name":"Field Nurse Practitioner (San Diego, CA)","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-09 00:15:00","Scrape_Date":"10/09/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/san-diego/field-nurse-practitioner-san-diego-ca/21726/101719273120","Details":{"datePosted":"2026-10-08","description":"$20","jobLocation":{"address":{"addressLocality":"San Diego"}},"employmentType":"Full Time"}},{"id":"23da2773b7e667fe2cce46cbd2b64d8d","Role Name":"Pharmacy Customer Service Representative (Remote) Must Reside in NM","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-07 12:15:00","Scrape_Date":"10/07/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/new-mexico/pharmacy-customer-service-representative-remote-must-reside-in-nm/21726/101654913216","Details":{"datePosted":"2026-10-07","description":"$21","employmentType":"Full Time"}},{"id":"eb8238e9619495dfc7208aaabd3492e9","Role Name":"Senior Specialist, Health Plan Provider Engagement (Remote in NM)","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-06 18:15:00","Scrape_Date":"10/06/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/new-mexico/senior-specialist-health-plan-provider-engagement-remote-in-nm/21726/101622195296","Details":{"datePosted":"2026-10-06","description":"$22","employmentType":"Full Time"}},{"id":"02178d307fafa17646e8bc6b56d4907d","Role Name":"Adjudicator, Provider Claims","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-06 18:15:00","Scrape_Date":"10/06/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/lake-louisvilla/adjudicator-provider-claims/21726/101629499584","Details":{"datePosted":"2026-10-06","description":"$23","jobLocation":{"address":{"addressLocality":"Lake Louisvilla"}},"employmentType":"Full Time"}},{"id":"7448546160395ed71dc8ce111d2c4636","Role Name":"Care Manager, LTSS - Union County","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-06 18:15:00","Scrape_Date":"10/06/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/creston/care-manager-ltss-union-county/21726/101622195376","Details":{"datePosted":"2026-10-06","description":"$24","jobLocation":{"address":{"addressLocality":"Creston"}}}},{"id":"eb711931dfc9b0f456ea4005e9505064","Role Name":"Broker Channel Manager-Albuquerque, NM-Fully Bilingual-Spanish","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-06 18:15:00","Scrape_Date":"10/06/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/albuquerque/broker-channel-manager-albuquerque-nm-fully-bilingual-spanish/21726/101622193552","Details":{"datePosted":"2026-10-06","description":"$25","jobLocation":{"address":{"addressLocality":"Albuquerque"}},"employmentType":"Full Time"}},{"id":"1b97a0d7e3b0165febda3aa1405ee046","Role Name":"Investigator, Special Investigative Unit (Remote)-Must reside in Iowa","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-05 18:15:00","Scrape_Date":"10/05/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/iowa/investigator-special-investigative-unit-remote-must-reside-in-iowa/21726/101577950592","Details":{"datePosted":"2026-10-05","description":"$26","employmentType":"Full Time"}},{"id":"6fa4ad32a9fece2ea82b480b11cf3502","Role Name":"Representative, Support Center II","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-05 18:15:00","Scrape_Date":"10/05/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/washington/representative-support-center-ii/21726/101585650144","Details":{"datePosted":"2026-10-05","description":"$27","employmentType":"Full Time"}},{"id":"3ce9d89713fa6f16da8c17eadc8ef8dd","Role Name":"Transition of Care Coach (BH Licensed)","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-05 18:15:00","Scrape_Date":"10/05/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/lexington-fayette/transition-of-care-coach-bh-licensed/21726/101577951584","Details":{"datePosted":"2026-10-05","description":"$28","jobLocation":{"address":{"addressLocality":"Lexington"}},"employmentType":"Full Time"}},{"id":"22146af85ca5dbb24f33289a077830b5","Role Name":"Lead Analyst, IT Systems - IAM - Remote","Primary Industry":"Insurance","Scrape_DateTime":"2026-10-05 18:15:00","Scrape_Date":"10/05/2026","Company":"Molina Healthcare","Link":"https://careers.molinahealthcare.com/job/california/lead-analyst-it-systems-iam-remote/21726/101585649952","Details":{"datePosted":"2026-10-05","description":"$29","employmentType":"Full Time"}}],"total":69,"totalPages":4,"page":1,"refreshedAt":"2026-10-17T07:00:00.010Z","scrapDates":["10/16/2026","10/15/2026","10/13/2026","10/09/2026","10/07/2026","10/06/2026","10/05/2026","10/03/2026","10/02/2026","10/01/2026","09/30/2026","09/29/2026","09/28/2026","09/25/2026","09/24/2026","09/23/2026","09/22/2026","09/21/2026","09/18/2026","09/11/2026","09/10/2026","09/08/2026","09/04/2026","08/28/2026","08/27/2026","08/25/2026","08/20/2026","08/18/2026","08/10/2026","08/06/2026","07/28/2026","07/24/2026"],"companies":[{"value":"4M Analytics","count":17},{"value":"9am Health","count":30},{"value":"AECOM","count":116},{"value":"AMCON","count":8},{"value":"AVEO Oncology","count":9},{"value":"Abbott","count":150},{"value":"Abbvie","count":92},{"value":"Abcam / Danaher","count":61},{"value":"Abiomed","count":198},{"value":"Acadia Pharmaceuticals","count":51},{"value":"Accenture","count":474},{"value":"Acushnet Golf","count":42},{"value":"Adecco","count":127},{"value":"Advidity Biosciences","count":3},{"value":"Aequor","count":35},{"value":"Aerotek","count":188},{"value":"Agilent Technologies","count":88},{"value":"Agios Pharmaceuticals","count":18},{"value":"Ahold Delhaize","count":574},{"value":"Aktis Oncology","count":6},{"value":"Alexion","count":34},{"value":"Alkermes","count":116},{"value":"Alloy Therapeutics","count":16},{"value":"Alnylam","count":201},{"value":"Alteryx","count":17},{"value":"Alumis","count":12},{"value":"Amazon","count":700},{"value":"Ameresco","count":56},{"value":"Amgen","count":1254},{"value":"Amylyx","count":54},{"value":"Anagram Therapeutics Inc.","count":2},{"value":"Analytic Recruiting Inc","count":11},{"value":"Angitia Biopharmaceuticals","count":2},{"value":"Anika","count":15},{"value":"Apellis","count":31},{"value":"Apnimed","count":21},{"value":"Aprecia Pharmaceuticals","count":1},{"value":"Arbor Biotech","count":11},{"value":"Arcutis Biotherapeutics","count":20},{"value":"Ardelyx","count":47},{"value":"Argenx","count":101},{"value":"Arrowhead Pharmaceuticals","count":67},{"value":"Ascendis Pharma","count":11},{"value":"Astellas","count":30},{"value":"AstraZeneca","count":105},{"value":"Astrix","count":363},{"value":"Aura Biosciences","count":9},{"value":"Aurion Biotech","count":16},{"value":"Autolus Therapeutics","count":32},{"value":"Automated Health Systems","count":93},{"value":"Avance Consulting","count":1526},{"value":"Axim Collaborative","count":4},{"value":"Axis Communication","count":44},{"value":"Azurity Pharmaceuticals","count":56},{"value":"BAE","count":1297},{"value":"BBOT/BridgeBio Oncology Therapeutics","count":10},{"value":"BJ's Wholesale","count":157},{"value":"BMS","count":260},{"value":"Babson College","count":14},{"value":"Bain Capital","count":28},{"value":"Baxter","count":86},{"value":"Bay Path University","count":21},{"value":"Bayer","count":15},{"value":"BeOne","count":97},{"value":"Beacon Biosignals","count":38},{"value":"Beacon Hill","count":325},{"value":"Beam Therapeutics","count":37},{"value":"Becton Dickenson (BD)","count":91},{"value":"Beeline Medicines","count":32},{"value":"Beghou Consulting","count":48},{"value":"Belfor USA Group","count":391},{"value":"Billion To One","count":38},{"value":"Bio-Techne","count":110},{"value":"BioAgilytix","count":11},{"value":"BioCryst","count":38},{"value":"BioMarin","count":14},{"value":"BioNTech","count":18},{"value":"Biogen","count":171},{"value":"Bloom Energy","count":1},{"value":"BlueRock","count":16},{"value":"Boehringer-Ingelheim","count":243},{"value":"Bond Building Construction","count":28},{"value":"Bosch","count":13},{"value":"Bose","count":56},{"value":"Boston Children's Hospital","count":313},{"value":"Boston Scientific","count":546},{"value":"Branch","count":9},{"value":"Bridge Bio","count":76},{"value":"Brio Group","count":27},{"value":"Broad Institute","count":25},{"value":"Brooks Automation","count":72},{"value":"C4 Analytics","count":40},{"value":"C4 Therapeutics","count":7},{"value":"CBRE","count":568},{"value":"CRISPR Therapeutics","count":11},{"value":"CSL Behring","count":119},{"value":"CSW Industrials","count":41},{"value":"CVS","count":745},{"value":"CVS Health Aetna","count":52},{"value":"Calico Labs","count":7},{"value":"Candel Therapeutics","count":4},{"value":"Cardinal Health","count":146},{"value":"Cardurion Pharmaceuticals","count":4},{"value":"Caribou Biosciences","count":4},{"value":"Caris Life Sciences","count":34},{"value":"Catalent","count":24},{"value":"Cavicchio Greenhouses Inc","count":4},{"value":"Cellarity","count":3},{"value":"Centessa Pharmaceuticals","count":33},{"value":"Century Therapeutics","count":3},{"value":"Charles River Laboratories","count":49},{"value":"Chewy","count":2},{"value":"Clean Harbors","count":150},{"value":"ClearView Healthcare Partners","count":18},{"value":"Climb Bio","count":11},{"value":"Cogent Biosciences","count":23},{"value":"College Board","count":89},{"value":"College of the Holy Cross","count":20},{"value":"Collegium Pharmaceutical","count":30},{"value":"Columbia Construction","count":12},{"value":"Commodore Builders","count":1},{"value":"Commonwealth Fusion Systems (CFS Energy)","count":128},{"value":"Consigli Construction Co Inc","count":121},{"value":"Contineum Therapeutics","count":1},{"value":"ConvenientMD","count":72},{"value":"Corcept Therapeutics","count":129},{"value":"Costco Wholesale","count":194},{"value":"Crescent Biopharma","count":10},{"value":"Crinetics","count":6},{"value":"CrossCountry Consulting","count":5},{"value":"Curia","count":7},{"value":"Daiichi Sankyo","count":98},{"value":"Dana-Farber Cancer Institute","count":389},{"value":"Danaher","count":35},{"value":"Datadog","count":58},{"value":"Daymark Health","count":54},{"value":"Deciphera","count":57},{"value":"Deep Genomics","count":2},{"value":"Definium Therapeutics","count":31},{"value":"Dellbrook | JKS","count":9},{"value":"Deloitte","count":596},{"value":"Disc Medicine","count":19},{"value":"Dyne Therapeutics","count":42},{"value":"Dyno Therapeutics","count":3},{"value":"EMD Serono / MilliporeSigma / Merck","count":13},{"value":"EVERSOURCE","count":441},{"value":"Editas Medicine","count":7},{"value":"Edwards Lifesciences","count":7},{"value":"Element Biosciences","count":9},{"value":"Elevate Bio","count":38},{"value":"Elicio Therapeutics","count":2},{"value":"Elion Therapeutics","count":3},{"value":"Ellevation","count":7},{"value":"Entegris Incorporated","count":141},{"value":"Entrada Therapeutics","count":13},{"value":"Erland Construction","count":8},{"value":"Evenda Bio","count":10},{"value":"Exelixis","count":18},{"value":"Experis","count":70},{"value":"EyePoint Pharmaceuticals, Inc.","count":24},{"value":"Fallon Health","count":51},{"value":"Fidelity Investments","count":270},{"value":"Figma","count":104},{"value":"Flagship Pioneering","count":131},{"value":"Fresenius Kabi","count":12},{"value":"Fuji Film","count":53},{"value":"GE Aerospace","count":118},{"value":"GE Vernova","count":237},{"value":"GeneDx","count":53},{"value":"Genentech","count":506},{"value":"Generate Biomedicines","count":30},{"value":"Genetix Biotherapeutics","count":19},{"value":"Genezen","count":28},{"value":"Genmab","count":36},{"value":"Geron Corporation","count":9},{"value":"Getinge","count":102},{"value":"Gilead","count":2},{"value":"Ginkgo Bioworks","count":11},{"value":"GiveDirectly","count":75},{"value":"GlaxoSmithKline","count":723},{"value":"Global Partners","count":248},{"value":"Goodwin Procter LLP","count":47},{"value":"Gossamer Bio","count":1},{"value":"Guardian Life","count":253},{"value":"HHMI","count":7},{"value":"Habitat Health","count":80},{"value":"Haemonetics","count":29},{"value":"HarbourVest Partners","count":47},{"value":"Harvard Medical School","count":76},{"value":"Hill Holiday","count":1},{"value":"Hollingsworth & Vose","count":23},{"value":"Hologic","count":165},{"value":"Humana Careers","count":34},{"value":"IPG Photonics","count":105},{"value":"ITF Therapeutics","count":34},{"value":"Illumina","count":118},{"value":"Immunome","count":43},{"value":"Immunovant","count":6},{"value":"Immuta","count":13},{"value":"Inceptive","count":2},{"value":"Incyte","count":32},{"value":"Inductive Bio","count":4},{"value":"Innovia Specialty Therapeutrics","count":7},{"value":"Insightec","count":16},{"value":"Insitro","count":11},{"value":"Insulet","count":178},{"value":"IntePros","count":42},{"value":"Intellia","count":18},{"value":"Interra Health","count":22},{"value":"Invivyd","count":13},{"value":"Ionis Pharmaceuticals","count":56},{"value":"Ipsen","count":108},{"value":"Ironwood Pharmaceuticals","count":6},{"value":"JVT Advisers","count":26},{"value":"Jacobs","count":162},{"value":"Jade Biosciences","count":13},{"value":"Jazz Pharmaceuticals","count":102},{"value":"Jetcool","count":13},{"value":"Jnana Therapeutics","count":3},{"value":"Johnson Controls","count":50},{"value":"Johnson and Johnson","count":308},{"value":"Jump","count":1},{"value":"KBI Biopharma","count":3},{"value":"Kailera Therapeutics","count":22},{"value":"Ken's Foods","count":27},{"value":"Keros Therapeutics","count":30},{"value":"Keurig","count":100},{"value":"Kindeva","count":135},{"value":"Kiva","count":9},{"value":"Koala Health","count":4},{"value":"Koch","count":116},{"value":"Konica Minolta","count":31},{"value":"Korro Bio","count":5},{"value":"Kura Oncology","count":19},{"value":"Kymera Therapeutics","count":23},{"value":"Kyndryl","count":206},{"value":"L3Harris","count":616},{"value":"Labur","count":49},{"value":"Lantheus Medical Imaging","count":7},{"value":"Lee Kennedy Co.","count":6},{"value":"Legend Biotech","count":17},{"value":"Lesley University","count":21},{"value":"Liberty Mutual","count":272},{"value":"Lilly","count":24},{"value":"Lonza","count":161},{"value":"Lyell Immunopharma","count":8},{"value":"Madrigal Pharma","count":25},{"value":"Magic Services Group","count":20},{"value":"MannKind Corp.","count":5},{"value":"Mariana Oncology","count":9},{"value":"Markley","count":2},{"value":"Mass General Brigham","count":171},{"value":"MassTech.org","count":2427},{"value":"Medtronics","count":228},{"value":"Merck","count":483},{"value":"Merida Biosciences","count":2},{"value":"Mighty Therapeutics","count":2},{"value":"Minaris","count":12},{"value":"Mineralys Therapeutics","count":131},{"value":"Mirum Pharmaceuticals","count":59},{"value":"Moderna","count":214},{"value":"Molina Healthcare","count":69},{"value":"NOVA Biomedical","count":140},{"value":"NVIDIA","count":451},{"value":"NanoVation Therapeutics","count":2},{"value":"Natera","count":49},{"value":"National Grid","count":367},{"value":"NeoGenomic","count":50},{"value":"Neurocrine Biosciences","count":60},{"value":"Neurotech","count":5},{"value":"New Balance","count":54},{"value":"Newleos","count":1},{"value":"Northrop Grumman","count":109},{"value":"Novanta","count":44},{"value":"Novartis","count":439},{"value":"Novo Nordisk","count":356},{"value":"Nuvalent","count":5},{"value":"ORIC Pharmaceuticals","count":8},{"value":"Oak Street Health","count":24},{"value":"Obsidian Therapeutics","count":20},{"value":"Ocean Spray","count":38},{"value":"Ocular Therapeutix","count":28},{"value":"Olena Oncology","count":31},{"value":"Olympus Corporation of America","count":215},{"value":"Omada Health","count":19},{"value":"Open Signal","count":5},{"value":"Optum","count":1303},{"value":"Orbis Clinical","count":96},{"value":"Orca Biosciences","count":41},{"value":"Organogenesis","count":12},{"value":"Orum Therapeutics","count":4},{"value":"Otsuka","count":291},{"value":"PTC Therapeutics","count":50},{"value":"PacBio","count":5},{"value":"Pacira Biosciences","count":14},{"value":"Parabilis Medicines","count":19},{"value":"PepGen","count":3},{"value":"PetSmart","count":17},{"value":"Petco","count":647},{"value":"Pfizer","count":676},{"value":"PharmaEssentia","count":34},{"value":"Philips","count":61},{"value":"Pickle Robot Company","count":5},{"value":"Planet Fitness","count":23},{"value":"Planet Pharma","count":111},{"value":"Plymouth Rock Assurance","count":183},{"value":"Point32Health","count":62},{"value":"Praxis Precision Medicines, Inc.","count":90},{"value":"Pretzel Therapeutics","count":3},{"value":"Procede Biosciences","count":3},{"value":"Prudential and PGIM","count":32},{"value":"Purple Carrot","count":5},{"value":"Putnam Associates","count":24},{"value":"Quality Confidential","count":6},{"value":"Quest Diagnostics","count":426},{"value":"RSM","count":179},{"value":"Recursion Pharmaceuticals","count":20},{"value":"Red Hat","count":25},{"value":"Regeneron","count":88},{"value":"Regent Craft","count":33},{"value":"Regis College","count":31},{"value":"Relay Therapeutics","count":24},{"value":"Rentschler Biopharma","count":21},{"value":"Repligen","count":83},{"value":"Republic Services","count":10},{"value":"Resilience","count":118},{"value":"Revolution Medicines","count":94},{"value":"Rezolute Bio","count":5},{"value":"Rhythm Pharmaceuticals","count":54},{"value":"Ring Therapeutics","count":3},{"value":"Robert Half","count":1476},{"value":"Roche","count":7},{"value":"Rocket Pharmaceuticals","count":10},{"value":"Rockwell Automation","count":17},{"value":"Roivant","count":5},{"value":"Roselin CT","count":1},{"value":"SSI People","count":84},{"value":"Sail Biomedicines","count":10},{"value":"Sana Biotechnology","count":4},{"value":"Sanofi","count":581},{"value":"Sarepta","count":41},{"value":"Sartorius","count":62},{"value":"Scholar Rock","count":34},{"value":"Secura Bio","count":7},{"value":"Sensata","count":15},{"value":"Septerna","count":7},{"value":"Seraphic Springs Health Care","count":22},{"value":"ServiceNow","count":243},{"value":"Servier Pharmaceuticals","count":80},{"value":"Seven Hills Foundation","count":445},{"value":"Shawmut Design and Construction","count":29},{"value":"Siemens","count":140},{"value":"Siemens Healthineers","count":46},{"value":"Skanska","count":32},{"value":"Slalom Consulting","count":66},{"value":"Smith College","count":20},{"value":"Smith Hanley Associates","count":23},{"value":"Snowflake","count":24},{"value":"Sobi, Inc","count":32},{"value":"Sodexo","count":282},{"value":"Solid Biosciences","count":3},{"value":"Spear Bio","count":3},{"value":"Springfield College","count":23},{"value":"Springworks","count":21},{"value":"Staples","count":235},{"value":"State Street","count":689},{"value":"Stellar Health","count":11},{"value":"Stoke Therapeutics","count":35},{"value":"Stone Harbor Staffing","count":514},{"value":"Stonehill College","count":11},{"value":"Strand Therapeutics","count":6},{"value":"Stylus Medicine","count":1},{"value":"Suffolk Construction","count":287},{"value":"Sumitomo Pharma","count":47},{"value":"Sunrun","count":139},{"value":"Symbotic","count":91},{"value":"Synchron","count":8},{"value":"Sysco","count":32},{"value":"TG Therapeutics","count":13},{"value":"TJX Companies","count":468},{"value":"Takeda","count":621},{"value":"TalentBurst Inc.","count":111},{"value":"Tango Therapeutics","count":23},{"value":"Tegra Medical","count":44},{"value":"Teladoc Health","count":58},{"value":"Tempus","count":7},{"value":"Tempus Unlimited","count":12},{"value":"Teredyne","count":337},{"value":"The Kraft Group","count":222},{"value":"Thermo Fisher","count":185},{"value":"Third Rock Ventures","count":56},{"value":"Tocci Building Companies","count":5},{"value":"Tonix Pharmaceuticals","count":4},{"value":"Trane Technologies","count":16},{"value":"TransMedics","count":38},{"value":"Trinity Life Sciences","count":105},{"value":"Triveni Bio","count":4},{"value":"Truveta","count":8},{"value":"Twist Bioscience","count":11},{"value":"UKG","count":213},{"value":"UMass Chan Medical School","count":138},{"value":"UMass Memorial Health","count":954},{"value":"Uline","count":48},{"value":"Ultragenyx","count":49},{"value":"Upstream Bio","count":4},{"value":"UroGen Pharma","count":21},{"value":"Vanda Pharmaceuticals","count":2},{"value":"Veeva Systems","count":137},{"value":"Vera Therapeutics","count":17},{"value":"Veralto","count":100},{"value":"Veranova","count":24},{"value":"Vericel","count":28},{"value":"Verily","count":43},{"value":"Vertex","count":309},{"value":"Viridian","count":31},{"value":"Visterra","count":2},{"value":"Vor Bio","count":8},{"value":"VytlOne","count":90},{"value":"WSP","count":118},{"value":"Waste Management","count":52},{"value":"Waters Corporation","count":150},{"value":"Wave Life Sciences","count":17},{"value":"Werfen","count":43},{"value":"Whitehead Institute","count":16},{"value":"Whoop","count":319},{"value":"X4 Pharmaceuticals","count":2},{"value":"Xenon Pharmaceuticals","count":38},{"value":"Xilio Therapeutics","count":2},{"value":"ZS Associates","count":38},{"value":"Zenas BioPharma","count":17},{"value":"Zevra Therapeutics","count":8},{"value":"ZigZag Careers","count":12},{"value":"Zimmer Biomet","count":19},{"value":"ZoomInfo","count":82},{"value":"hims & hers","count":62},{"value":"uniQure","count":18}],"industries":[{"value":"Insurance","count":69}]}}]