Role Description Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. - Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes to ensure alignment to regulatory baseline requirements and any health plan developed requirements. - Monitors sources to ensure all updates are aligned. - Leads coordinated development and ongoing management/interpretation review process, committee structure and timing with key partner organizations. - Conducts analysis to identify root cause and assist with problem management as it relates to state requirements. - Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. - Provides support for requirement interpretation inconsistencies and complaints. - Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. - Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. Qualifications - At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. - Policy/government legislative review knowledge. - Strong analytical and problem-solving skills. - Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams. - Previous success in a dynamic and autonomous work environment. Requirements - Project implementation experience. - Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). - Medical Coding certification. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

• Responsible for detailed configuration updates to provider data including file mapping, append query changes as well as plan and attribute updates. • Contributes to the mapping of data based upon client solutions for contracted product offerings. • Manage a dashboard for assigned sources and ensure timely cleaning of data along with ongoing documentation updates with specific business rules. • Act as a SME in the detailed configuration for onboarding process for all new clients and existing client updates and implementations. • Initiate tasks to ensure alignment with all involved teams and processes necessary to ensure a successful and positive client experience. • Provide consultation, training, education, sharing of best practices, solving issues and challenges. • Create documentation of all configuration and customer rules for operations. • Ownership of the handoff from implementation to operations of all key documentation, quality assurance, audit, or other operational processes defined during implementation. • Assist and support Customer Success and Operations teams in the delivery of custom reports, unique delivery requests and unique requirements. • Identify areas of inefficiency and service deficiency within the department impacting client implementations and recommend/drive remediation processes in coordination with related internal parties and leadership. • Responsible for assigned source projects and associated score and merge projects. • Managing dashboard for assigned sources. • Timely cleaning of assigned sources. • Ongoing documentation in Project Profile, Post Import. • File mapping and append query changes. • Work Production Help tickets (JIRA).

Role Description The Business Manager is responsible for managing, coordinating, and directing the administrative support and non-clinical operations of the agency, ensuring that all duties are performed in a timely manner. The Business Manager also ensures that all administrative support to the Executive Director and/or Clinical Director functions are operating effectively and efficiently. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Overseeing and maintaining contracts, binders, and HR/medical files for all agency employees and contract staff in accordance with policy and applicable regulations. - Reviewing, reconciling, and submitting invoices to Home Office in accordance with LHC Group policy, ensuring payment is issued timely, following up on concerns, and maintaining a positive relationship with all vendors. - Performing and/or managing billing audits per policy and following up with corrections. - Managing clerical staff and all non-clinical workflow and processes in the office, including timely completion of all clerical tasks and providing input into hiring, disciplinary, and separation decisions. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - Must possess at least one of the following: - 3+ years of healthcare experience - 3+ years of experience in an office administration role - Computer proficiency, including Microsoft Office suite Requirements - Demonstrated solid organizational, written, verbal communication, and time management skills. - Demonstrated computer proficiency, including Microsoft Office suite. - Demonstrated ability to work independently. - Demonstrated solid process and people leadership abilities. - Experience with payroll process, supply management, and basic financial knowledge. - *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - The hourly pay for this role will range from $17.60 to $26.45 per hour based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

• Gather and analyze client requirements for the implementation of our integrated solution • Document business and operational needs within the context of implementation and workflow automation • Evaluate and map business processes, aligning them with the data used across various pension plan management systems (e.g., payroll system, pension calculations, financial transactions, document management, telephony) • Configure our software to suit the specifics of the client's needs or requirements • Collaborate with solution architects, functional leads, and the development team to create and review new solutions • Define testing scope and criteria and work closely with the quality assurance team during execution • Build presentation decks and conduct solution demonstrations for clients • Contribute to the creation or redesign of reports and communications that support processes and procedures • Provide ongoing follow-up with stakeholders regarding implemented changes