American Pacific Mortgage Corporation
Remote * (Long Beach,CA)
Job Description:Position: Closer (Permanent Remote) Location: Rocklin, CA Job Id: 1727 # of Openings: 1 American Pacific Mortgage Creating Experiences that Matter! Who you work with and for is one of lifes biggest choices. APM exists to serve our branch managers and originators. In every interaction with us as individuals and a company, we let our branch managers, loan officers, employees and associates know that they matter. Our core values drive the day-to-day behavior and decision making throughout our company. Respect, Transparency, and Scrappydefine how we act and work together as a team. These values have led us to be voted Top Employer 5 years running, 50 Best Places to Work, and Top 15 Mortgage Companies in America. Primary Job: Responsible for providing quality and efficient customer service to APM branch offices by producing timely, accurate and thorough closing documents, reviewing executed documents returned from closing agents for accuracy per investor guidelines and...
Oct 20, 2020
Job Description:Position: Closer (Permanent Remote) Location: Rocklin, CA Job Id: 1727 # of Openings: 1 American Pacific Mortgage Creating Experiences that Matter! Who you work with and for is one of lifes biggest choices. APM exists to serve our branch managers and originators. In every interaction with us as individuals and a company, we let our branch managers, loan officers, employees and associates know that they matter. Our core values drive the day-to-day behavior and decision making throughout our company. Respect, Transparency, and Scrappydefine how we act and work together as a team. These values have led us to be voted Top Employer 5 years running, 50 Best Places to Work, and Top 15 Mortgage Companies in America. Primary Job: Responsible for providing quality and efficient customer service to APM branch offices by producing timely, accurate and thorough closing documents, reviewing executed documents returned from closing agents for accuracy per investor guidelines and...
Entry-level job - Work at Home. Full or part-time positions available from home with or without experience, we encourage all applicants to apply. We are seeking candidates interested in working with companies who are hiring employees for remote at home positions. Both full-time and part-time opportunities are available in a variety of career fields including but not limited to data entry, marketing, customer service and support, clerical, and administrative, construction, healthcare. home care and many more. Candidates with experience in inside sales, outside sales, and retail sales are also encouraged to apply on our website. If you can work on your own from home and are self-motivated you would be a great fit. Ideal candidates should enjoy such work as email customer service, data entry, social media posting and reviewing products. Data entry clerks come from all different backgrounds including customer service, sales support, clerical,...
Oct 20, 2020
Entry-level job - Work at Home. Full or part-time positions available from home with or without experience, we encourage all applicants to apply. We are seeking candidates interested in working with companies who are hiring employees for remote at home positions. Both full-time and part-time opportunities are available in a variety of career fields including but not limited to data entry, marketing, customer service and support, clerical, and administrative, construction, healthcare. home care and many more. Candidates with experience in inside sales, outside sales, and retail sales are also encouraged to apply on our website. If you can work on your own from home and are self-motivated you would be a great fit. Ideal candidates should enjoy such work as email customer service, data entry, social media posting and reviewing products. Data entry clerks come from all different backgrounds including customer service, sales support, clerical,...
Work From Home Credentialed Tax Expert Cpa - IntuitOverview If you are a highly motivated individual with an active unrestricted credential (CPA/EA/Practicing Attorney) and excellent communication skills, we need you to help our customers complete their taxes using Intuit TurboTax products. You will advance our goal of Powering Prosperity Around the World by providing expert guidance and explanations of tax and technical terms to our customers. You will also play an important role in our effort to enhance our brand by delighting our customers and empowering them to prepare their taxes.What you''ll bringMust possess active unrestricted credential: EA (Enrolled Agent), CPA (Certified Public Accountant), or Practicing Attorney with strong tax preparation experience and extensive knowledge of tax lawsMust possess or be able to obtain any related State licenses, certificates, permits or bondsMust possess active PTIN (Preparer Tax Identification Number)3 or more years of recent experience...
Oct 20, 2020
Work From Home Credentialed Tax Expert Cpa - IntuitOverview If you are a highly motivated individual with an active unrestricted credential (CPA/EA/Practicing Attorney) and excellent communication skills, we need you to help our customers complete their taxes using Intuit TurboTax products. You will advance our goal of Powering Prosperity Around the World by providing expert guidance and explanations of tax and technical terms to our customers. You will also play an important role in our effort to enhance our brand by delighting our customers and empowering them to prepare their taxes.What you''ll bringMust possess active unrestricted credential: EA (Enrolled Agent), CPA (Certified Public Accountant), or Practicing Attorney with strong tax preparation experience and extensive knowledge of tax lawsMust possess or be able to obtain any related State licenses, certificates, permits or bondsMust possess active PTIN (Preparer Tax Identification Number)3 or more years of recent experience...
Intuit Work From Home Credentialed Tax Expert Cpa - IntuitOverviewIf you are a highly motivated individual with an active unrestricted credential (CPA/EA/Practicing Attorney) and excellent communication skills by Jobble
Oct 20, 2020
Intuit Work From Home Credentialed Tax Expert Cpa - IntuitOverviewIf you are a highly motivated individual with an active unrestricted credential (CPA/EA/Practicing Attorney) and excellent communication skills by Jobble
Data Entry Clerk - Administrative Assistant - Survey Assistant - Online Operate At Home Position (Part-time/ Full-time) - Be Part of Our (USA) Market Research Panel Right Now Are you data entry Agent, administrative assistant or customer service representative searching for a legitimate solution to supplement your income from home? Our business is looking for inspired individuals to take part in across the country & local paid studies. With most of our paid studies, you have the alternative to get involved online or in-person. This is a wonderful way to gain additional revenue from the comfort of your house. If the idea of participating in group discussions and voicing your opinion concerning new consumer products, while being compensated to do so, gets you excited we 'd love to have you apply while spots are still available. Compensation: - Earn by taking surveys - Different payment methods, including Paypal, direct check, or online virtual gift card codes - Opportunity to win...
Oct 20, 2020
Data Entry Clerk - Administrative Assistant - Survey Assistant - Online Operate At Home Position (Part-time/ Full-time) - Be Part of Our (USA) Market Research Panel Right Now Are you data entry Agent, administrative assistant or customer service representative searching for a legitimate solution to supplement your income from home? Our business is looking for inspired individuals to take part in across the country & local paid studies. With most of our paid studies, you have the alternative to get involved online or in-person. This is a wonderful way to gain additional revenue from the comfort of your house. If the idea of participating in group discussions and voicing your opinion concerning new consumer products, while being compensated to do so, gets you excited we 'd love to have you apply while spots are still available. Compensation: - Earn by taking surveys - Different payment methods, including Paypal, direct check, or online virtual gift card codes - Opportunity to win...
We are looking for a competent Office Clerk to perform various administrative and clerical tasks to support our offices.You will undertake a variety of activities in the office ranging from filing and answering the phone to basic bookkeeping.An effective office clerk has the ability to work diligently to help maintain smooth office operations.You must be reliable and hardworking with great communication skills.The ideal candidate will also be familiar with office equipment and procedures.ResponsibilitiesUndertake basic bookkeeping tasks and issue invoices, checks etc.Maintain files and records so they remain updated and easily accessibleAnswer the phone to take messages or redirect calls to appropriate colleaguesMonitor stocks of office supplies and report when there are shortagesTake minutes of meetings and dictationsRequirementsFamiliarity with office procedures and basic accounting principlesVery good organizational and multi-tasking abilitiesWorking knowledge of office devices...
Oct 20, 2020
We are looking for a competent Office Clerk to perform various administrative and clerical tasks to support our offices.You will undertake a variety of activities in the office ranging from filing and answering the phone to basic bookkeeping.An effective office clerk has the ability to work diligently to help maintain smooth office operations.You must be reliable and hardworking with great communication skills.The ideal candidate will also be familiar with office equipment and procedures.ResponsibilitiesUndertake basic bookkeeping tasks and issue invoices, checks etc.Maintain files and records so they remain updated and easily accessibleAnswer the phone to take messages or redirect calls to appropriate colleaguesMonitor stocks of office supplies and report when there are shortagesTake minutes of meetings and dictationsRequirementsFamiliarity with office procedures and basic accounting principlesVery good organizational and multi-tasking abilitiesWorking knowledge of office devices...
AVP, Transformation (Remote)Molina Healthcare**Job ID** 2004426**Knowledge/Skills/Abilities** Work directly with the VP, Transformation and Stakeholders. The role provides and requires extensive interaction with the Company's executive leadership team Undertake business analyses, business requirement gathering, project management, governance and control and delivery activity across transformational projects Interact and collaborate with subject matter experts across the Company to execute and deliver successful transformational projects Develop and execute plans for the integration of announced M&A transactions Coordinate pre-acquisition due diligence process with subject matter expert team Collaborate with executive leaders and subject matter experts to track status, raise issues, monitor progress, and solve problems related to critical enterprise integration projects**Qualifications****Job Qualifications****Required Education**BS / BA**Required Experience** 5+ years of...
Oct 20, 2020
AVP, Transformation (Remote)Molina Healthcare**Job ID** 2004426**Knowledge/Skills/Abilities** Work directly with the VP, Transformation and Stakeholders. The role provides and requires extensive interaction with the Company's executive leadership team Undertake business analyses, business requirement gathering, project management, governance and control and delivery activity across transformational projects Interact and collaborate with subject matter experts across the Company to execute and deliver successful transformational projects Develop and execute plans for the integration of announced M&A transactions Coordinate pre-acquisition due diligence process with subject matter expert team Collaborate with executive leaders and subject matter experts to track status, raise issues, monitor progress, and solve problems related to critical enterprise integration projects**Qualifications****Job Qualifications****Required Education**BS / BA**Required Experience** 5+ years of...
Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused. Knowledge/Skills/Abilities • Provides analytical, problem solving foundation including: definition and...
Oct 20, 2020
Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused. Knowledge/Skills/Abilities • Provides analytical, problem solving foundation including: definition and...
Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused. Knowledge/Skills/Abilities • Elicit requirements using interviews, document analysis, and requirements workshops,...
Oct 20, 2020
Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused. Knowledge/Skills/Abilities • Elicit requirements using interviews, document analysis, and requirements workshops,...
Job Description Job Summary Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via claims, call tracking, or e-mail. Maintain records in the enrollment database. Knowledge/Skills/Abilities • Supervises enrollment and billing specialists, assuring performance standards are met and staffing is adequate to meet overall company needs. • Manages the monthly enrollment process within operating standards. • Works with staff to resolve exceptions and takes appropriate action to ensure members are properly enrolled. • Manages billing processes and premium reconciliation to enrollment within the standards established for the group. • Reconciling the...
Oct 20, 2020
Job Description Job Summary Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via claims, call tracking, or e-mail. Maintain records in the enrollment database. Knowledge/Skills/Abilities • Supervises enrollment and billing specialists, assuring performance standards are met and staffing is adequate to meet overall company needs. • Manages the monthly enrollment process within operating standards. • Works with staff to resolve exceptions and takes appropriate action to ensure members are properly enrolled. • Manages billing processes and premium reconciliation to enrollment within the standards established for the group. • Reconciling the...
Job Description Job Summary Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient outcomes, medications safety and medication use policies). Knowledge/Skills/Abilities • Performs initial receipt and review of non-formulary or prior authorization requests against...
Oct 20, 2020
Job Description Job Summary Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient outcomes, medications safety and medication use policies). Knowledge/Skills/Abilities • Performs initial receipt and review of non-formulary or prior authorization requests against...
Knowledge/Skills/Abilities Responsible for leading and managing all aspects of government proposal response documentation, coordinating the internal flow and review of all proposal content, directing as well as formatting and production of the final books and materials. Documents range from a few pages to multi-thousand. The ability to multi-task and effectively prioritize multiple projects is a must. Willingness to work extended hours and assist team members in meeting deadlines as necessary. Proofreading skills, acute attention to detail, and ability to handle demanding, deadline-driven situations. Must be very dependable and possess exceptional customer service skills. Responsibilities include: Reviews and documents all production-related requirements within the RFP and serves as the production interface for the entire proposal team Responsible for the publication schedule and establishing production deadlines Using advanced MS Word features, creates...
Oct 20, 2020
Knowledge/Skills/Abilities Responsible for leading and managing all aspects of government proposal response documentation, coordinating the internal flow and review of all proposal content, directing as well as formatting and production of the final books and materials. Documents range from a few pages to multi-thousand. The ability to multi-task and effectively prioritize multiple projects is a must. Willingness to work extended hours and assist team members in meeting deadlines as necessary. Proofreading skills, acute attention to detail, and ability to handle demanding, deadline-driven situations. Must be very dependable and possess exceptional customer service skills. Responsibilities include: Reviews and documents all production-related requirements within the RFP and serves as the production interface for the entire proposal team Responsible for the publication schedule and establishing production deadlines Using advanced MS Word features, creates...
Job Description Job Summary A n a l y z e s c o m p l e x b u s i n e ss processes u si n g d a t a f r o m i n t e r n a l a n d e x t e r n a l s o u r c e s t o p r o v i d e i n s i g h t t o d e c i s i o n - m a k e r s . I d e n t i f i e s a n d i n t e r p r e t s t re n d s a n d p a t t e r n s i n d a t as e t s t o l o c a t e i n f l u e n c e s . C on s t r u c t s fo re cas t s, r e c o m m e n d a t i o n s a n d s t r a t e g i c / t a c t i c a l p l a n s b as e d o n bu s i n e s s d a t a a n d mar k e t k n o w l e d g e . C r e a t e s s p e c i f i c a t i on s fo r r e p o r t s a n d a n alysis b a s e d o n b u s i n e ss n ee d s a n d r e qu i r e d o r a v a i l a b l e d a t a e l e m e n t s . C o l l a b o r a t e s w i t h c li e n t s t o m o d i f y o r t a il o r e x i s t i n g a n a l y sis o r r e p o r t s t o m e e t t h e i r s p e c i f ic ne e d s . M a y p a r t i c i p a t e i n ma n ag e m en t r e v i e w s , i n cl ud i n g...
Oct 19, 2020
Job Description Job Summary A n a l y z e s c o m p l e x b u s i n e ss processes u si n g d a t a f r o m i n t e r n a l a n d e x t e r n a l s o u r c e s t o p r o v i d e i n s i g h t t o d e c i s i o n - m a k e r s . I d e n t i f i e s a n d i n t e r p r e t s t re n d s a n d p a t t e r n s i n d a t as e t s t o l o c a t e i n f l u e n c e s . C on s t r u c t s fo re cas t s, r e c o m m e n d a t i o n s a n d s t r a t e g i c / t a c t i c a l p l a n s b as e d o n bu s i n e s s d a t a a n d mar k e t k n o w l e d g e . C r e a t e s s p e c i f i c a t i on s fo r r e p o r t s a n d a n alysis b a s e d o n b u s i n e ss n ee d s a n d r e qu i r e d o r a v a i l a b l e d a t a e l e m e n t s . C o l l a b o r a t e s w i t h c li e n t s t o m o d i f y o r t a il o r e x i s t i n g a n a l y sis o r r e p o r t s t o m e e t t h e i r s p e c i f ic ne e d s . M a y p a r t i c i p a t e i n ma n ag e m en t r e v i e w s , i n cl ud i n g...
Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Knowledge/Skills/Abilities • Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts inpatient reviews to determine financial responsibility...
Oct 19, 2020
Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Knowledge/Skills/Abilities • Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts inpatient reviews to determine financial responsibility...
Job Description Job Summary Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations. Knowledge/Skills/Abilities • Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports for filings; reviewing Plan submissions for quality, accuracy and timeliness; and ensuring Plan meets contractual and regulatory requirements. • Reviews Provider Agreement, EOC/ Member Handbook, Provider Directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. • Assesses information received from government contracting agencies and regulators and disseminates to impacted Plan staff. •...
Oct 19, 2020
Job Description Job Summary Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations. Knowledge/Skills/Abilities • Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports for filings; reviewing Plan submissions for quality, accuracy and timeliness; and ensuring Plan meets contractual and regulatory requirements. • Reviews Provider Agreement, EOC/ Member Handbook, Provider Directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. • Assesses information received from government contracting agencies and regulators and disseminates to impacted Plan staff. •...
Job Description Job Summary The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit that will execute on Molina's Medicare national broker distribution strategy with National Marketing Organizations (NMO's) and other topline distributors. He/she will recruit, train, and motivate a group of external distributors/wholesalers that will deliver industry leading results via business development activities. Knowledge/Skills/Abilities • Prospecting, appoints and manages agency relationships to achieve sales and profitability objectives. • Develop and execute a market level distribution strategy that drives significant sales growth of Marketplace and Medicare products with accounts. • Build and maintain strong, focused relationships with distributors at all levels •...
Oct 19, 2020
Job Description Job Summary The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit that will execute on Molina's Medicare national broker distribution strategy with National Marketing Organizations (NMO's) and other topline distributors. He/she will recruit, train, and motivate a group of external distributors/wholesalers that will deliver industry leading results via business development activities. Knowledge/Skills/Abilities • Prospecting, appoints and manages agency relationships to achieve sales and profitability objectives. • Develop and execute a market level distribution strategy that drives significant sales growth of Marketplace and Medicare products with accounts. • Build and maintain strong, focused relationships with distributors at all levels •...
Job Summary Provides content development, compilation, editing and submission of proposals for government sponsored managed care programs or health care related areas. Works across the organization to develop specific response-focused, technically accurate content. Supports RFP, RFA, and RFI response projects, while contributing to procurement opportunities and development of strategies and content that enhance response quality. Knowledge/Skills/Abilities • Produces responses for any Request for Proposal (RFP) or Request for Information (RFI), including compiling, formatting, proofing, editing, creating charts / illustrations, and assembly. • Assists in the proposal process from receipt of a RFP or RFI through production and submission. • Provides responses to RFP and RFI questions by working closely with subject matter experts while keeping within tight timelines. • Develops understanding of company and process in order to create responses that accurately represent...
Oct 19, 2020
Job Summary Provides content development, compilation, editing and submission of proposals for government sponsored managed care programs or health care related areas. Works across the organization to develop specific response-focused, technically accurate content. Supports RFP, RFA, and RFI response projects, while contributing to procurement opportunities and development of strategies and content that enhance response quality. Knowledge/Skills/Abilities • Produces responses for any Request for Proposal (RFP) or Request for Information (RFI), including compiling, formatting, proofing, editing, creating charts / illustrations, and assembly. • Assists in the proposal process from receipt of a RFP or RFI through production and submission. • Provides responses to RFP and RFI questions by working closely with subject matter experts while keeping within tight timelines. • Develops understanding of company and process in order to create responses that accurately represent...
Job Description Job Summary: Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. Knowledge/Skills/Abilities: • Responsible for referral intake process and developing leads presented to the SIU to assess and determine whether potential fraud, waste, or abuse is corroborated by evidence. • Conducts preliminary investigations, along with witness interviews, within the mandated period of time required by either state and/or federal contracts and/or regulations. • Conducts non-medical/non-coding related extensive investigations and makes determinations as to whether the...
Oct 19, 2020
Job Description Job Summary: Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. Knowledge/Skills/Abilities: • Responsible for referral intake process and developing leads presented to the SIU to assess and determine whether potential fraud, waste, or abuse is corroborated by evidence. • Conducts preliminary investigations, along with witness interviews, within the mandated period of time required by either state and/or federal contracts and/or regulations. • Conducts non-medical/non-coding related extensive investigations and makes determinations as to whether the...
Job Description Job Summary Responsible for achieving established goals improving Molina's business development opportunities to participate in Medicaid programs around the country. Additionally, support enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall status knowledge of relationships within states of interest. At times, assist local health plan to increase choice rates and assignment percentages. Knowledge/Skills/Abilities • Works closely with the AVP/Director to develop and execute the growth strategy for a specific area, while also being accountable to achieve assigned relationship targets. • Accountable for achieving established goals with the primary responsibility for improving the plan's overall choice rate. In addition, works collaboratively with other key departments to increase the Medicaid and CHIP assignment percentages for Molina. • Contributes to the...
Oct 19, 2020
Job Description Job Summary Responsible for achieving established goals improving Molina's business development opportunities to participate in Medicaid programs around the country. Additionally, support enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall status knowledge of relationships within states of interest. At times, assist local health plan to increase choice rates and assignment percentages. Knowledge/Skills/Abilities • Works closely with the AVP/Director to develop and execute the growth strategy for a specific area, while also being accountable to achieve assigned relationship targets. • Accountable for achieving established goals with the primary responsibility for improving the plan's overall choice rate. In addition, works collaboratively with other key departments to increase the Medicaid and CHIP assignment percentages for Molina. • Contributes to the...
Job Description Job Summary Join one of the industry leaders in Managed Long Term Services and Supports (MLTSS). This position collaborates with Molina MLTSS programs across the nation in an exciting role that influences how LTSS services are delivered to individuals, ensure quality of and person centered practices both at the enterprise and state level. Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion activities across MLTSS markets. Plans and directs projects schedules as well as project budgets. Monitors the project from inception through delivery including measurement of impact. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. Ensure thorough understanding of MLTSS program and contract requirements, collaborating with Regulatory Affairs and health plan...
Oct 19, 2020
Job Description Job Summary Join one of the industry leaders in Managed Long Term Services and Supports (MLTSS). This position collaborates with Molina MLTSS programs across the nation in an exciting role that influences how LTSS services are delivered to individuals, ensure quality of and person centered practices both at the enterprise and state level. Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion activities across MLTSS markets. Plans and directs projects schedules as well as project budgets. Monitors the project from inception through delivery including measurement of impact. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. Ensure thorough understanding of MLTSS program and contract requirements, collaborating with Regulatory Affairs and health plan...
